25A-107 (30) 4�
i � t •�
02943
Date Filed Q ile No.
ZONING PERMIT APPLICATION
I Name of A plicant: f� 1
Address: ar Telephone: IL
jM� DID(oQ
2 . owner of Prope ty: . 11Q.►S� Gt� ),(,us Q �0/L
Address: nk- Telephone:
3 . Status of Applicant: Owner ✓ Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# �- , /Parcel# XL
Zoning District(s) (include overlay ) W1 -
Street Address 35 f
Required
5. Existincf Pro osed P. bv Zo in
Use of Structure/Property�j>,ad&&x S ►t r 's
(if project is only interior work, 9kilp o #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage.
Floor Area Ratio
oOpen Space (Lot area minus
building and parking)
Parking Spaces
Loading
signs
Fill (volume & location)
6 . Narrative Descri tion of Proposed Work/Project: ( e. additional sheets
if necessary) o G(J
-r
7 . Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the inform ion contain herein
is true and accurate to the best of my know le
Date: 11 9 App 1icantIs Signatu
-61-
THIS SECTION FOR OFFICIAL USE LY:
pproved as presented/based on information presented
Denied as presented--Reason:
special' Per it and or Site Plan Required:
ng ed: Variance_Require
d:
gna a of Bui nspector ate
NOTE: issuance o a zoning pormit does not re(fove an applicant's burden to comply with all zoning requirements and obtain aU required permits
from the Board of Hoafth,conservation commission,Dopartmont of Public Works and otlior applicable permit granting authoritios.
Date Filed 002943 Q File No.
ZONING PERMIT APPLICATION
1 . Name of Applicant: r,/,w
Address: or Telephone:
jM� DID(pQ
2 . Owner of Prope mty: . hu2r &� I,(,tv� d FDIL.Address: - n p— C Telephone:
.. / 1-
3 . Status of Applicant: Owner ✓ Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Z ,)Zoning Map Sheet# rcel# /0
Zoning District(s) (include overlay G Pa
Street Address
Required
5• Existin Proposed by Zo in
Use of Structure/Property'juacQ.g GtSA r 's
(if project is only interior work, 9kip tto #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage.
Floor Area Ratio
oOpen Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Descri tion of Proposed Work/Project: (Use additional sheets
if necessary) •-a C�J .
7 . Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the in ion contain herein
is true and accurate to the best of my knowle
Date: 11 q Applicant's Signatu
THIS SECTION FOR OFFICIAL USE 6DYT, 61—
,,Approved as presented/based on information presented
Denied as presented--Reason:
special' Per it and/or Site Plan Required:
)ing Orr ed: variance._Required:
l�
gna a of Bu j nspector ate
NOTE: Issuance o a zoning permit does not reliove an applicant's burden to comply with all zoning requirements and obtain all required permits
from the Board of Hoaftk Conservation Commission,Depattmont of Public Works and othor applicable permit granting authorillos.