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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTa HAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location c1LC Azl;t z ��"i 4° Lot No.
2. Owners name Admen T )rae r - Address /H ��,414A -9� / 0 ,t ic1 , InA
3. Builder's name) Vee 141 LI fLel k) 461/,cj . Address 1 �EGG<J i
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration ; &JF' A&4,441U /Vdl+/°'0 .t�6- �G"f3� 5
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief/
Signature of responsible app„cant
Remarks
u�r
Date Filed ' File No.
ZONING PERMIT APPLICATION (§10 . 2 )
1 . Name of Applicant; Sj
Address :__.':-
Sf� �00 , iYts. Cz.�1 Telephone : cc�>
2 . Owner of Property: - 7 i4iae 7--E,Address : /� ;,� � f � f Telephone : 45-s v,
3 . Status of Applicant ; Owner Contract Purchaser
Lessee Other explain ;
4 . Parcel Identification : Loning Map Sheet# 1T Parcel#Zoning District (s) (include o s) r �Z
Street Address
Required(
5 . Existing Proposed — by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height C I -
%B1dg . Coverage (I'ootprin
Setbacks - front _
- side L: L:
- rear
Lot size
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 Site Plan
8 . Certification : I hereby certify that the information contained herein
is true and accurate to the best of my knowledge .
Date : Applicant ' s Signature :
— -- — — — — — — —THIS SECTION FOR OFFICIAL^ USE ONLY: — — — — — — — — —
r,I Approved as presented/based on information presented
Denied as presented--Reason ;
S cial' P rmit and/or Site Plan Required :
i ing q ' red; _ Variance Required :
�7 c
gnat re f Bui Inspector Date/
NOTE; Issuance of a zoning permit does not rollove an applicant's burden to comply with all zoning requirements and obtain all required permits
from tho Board of Health, Conservation Commission, Dopailrnont of Public Works and other applicable pormil granting nuthorillos,
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