25A-107 (31) 4SIlM!r,
Date Filed r ~°``' File No
ZONING PERMIT APPLICATION (§10 . 2 )
I . Name of Applicant : �� t i cam. ���. G,r tic, .-Ft-A,
Address : 31>`i T- V Telephone: F `7:L"7 z --
1
2 . Owner of Property : ►
Address : Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# 27T A- Parcel# /D7 ,
Zoning District (s) (include overlays)
Street Address
Required
5 . Existing Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%Bldg. Coverage (Footpz-int)__^_^
Setbacks - front
- side --~
- - rear
Lot size
---�--�--- r
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces _
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary)
7 . Attached Plans : -, Sketch Plan 1,ZSite Plan
8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
Date: � I����- Applicant ' s Signature: , 1 _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ r ,
- - - - - - - - -
THIS SECTI024 FOR OFF US qNL - - - - - - - - -
pproved as presented/based on information presented
Denied as presented
as n for enial :
q�-
S gna e o Building Inspector Date
NOTE: t s suanoe of a zoning permit does not relieve un applicant's burden to comply with all zoning requirement:,and obtain all required permits
from the Board of Health, Conservation Commission, Dopartrnent of Public Works and other applicable permit granting authorities.
7/92 TXAS