25A-181 (19) Kuhn Poddle Arch—..Inc.
IX
i
A
—J
I
Y J
i
A �
r
10. Do any signs exist on the property=? YES NO
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colnma to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size G & C � C—
Frontage
Setbacks -70 0 0 1�
- side L: R: L: R:
- rear
Building height 1�J l
Bldg Square footage 2 �- 2—0� d-"-
%Open Space:
(Lot area minus bldg
' &paved parking)
of Parking Spaces ";7 U r• Q,
f of Loading Docks U
Fill:
(volume -& location)
13 . Certification: I hereby certify that thji #o co ained herein
is true nd accurate to the best of my
DATE: / APPLICANT's SIGNATURE
NOTE: lssu no of a zoning permit does not relieve an nYs u en to oom wit
zoning requirements and obtain all required Phi Ir,.•all
q permits t m the Board of Health. ConServatlon
Commission, Department of Publio Works and other applionble permit granting authorities:..
FILE #
{ File No.
6�)3dx�
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: faJrtGh{r E�-{�'�t Y�1v�C
Address: 1 �� + U(� tY 1.j }'11'fi',. lU046' ' Telephone:
2. Owner of Property: 11
Address: 1v5- _.lyll.(n 5" mu �.JY10 Telephone:
} �hEh Teti Yl p'V1 f�
3. Status of Applicant: }/ Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# d-') Parcel# /Ls / District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed s /Work/Pt oject/ cupation Use d'' nal sh is if necessary) s
o i
r
7. ttached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the uilding Dept or Planning Department Files.
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO � DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
FILE I J
R
41997 _
APPLICANT/CONTACT PERSON: �{��,�c�{•� �� � '>L ti�71t �lc �7
ADDRESS/PHONE:
PROPERTY LOCATION:
NIAP PARCEL: ZONE4!!�-,L
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
\ ENCLOSED REQUIRED DATE
Building Permit Filled nift
� •?�
TvnP of Construction-
New Cnnstriirtinn
-Rerrindplin2 Interior
Addition to -Existing
Arregynry Structure
_ Q
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATIW
l!�S Approved as presented/based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD _ ZONING BOARD
Received & Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § w/ZONING BOARD OF APPEALS
Received & Recorded at Registry of Deeds Proof Enclosed_
Variance Required under: § w/ZONING BOARD OF APPEALS
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
!Perm' om C s ation C Sion
Z
Signature of Building Inspector Date
NOTE: hyauanoa of a zoning permit does not relieve an applloant's burden-to, oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commtasion, Department of Publio Worica and other applioable permit granting authorltles.