25A-185 (132) 003354 Date Filed 00335
te127/q� File No.
ZONING PERMIT APPLICATION (510. 2)
1. Name of Applicant: Tke- Avsy,y egm PMuy 94w,- Ttv.ft`�o
Address : 4�6 p�,.,,,��-,� , F �- q.�� �• 'ioz41 Telephone: g0,�_�ya-z too
2 . Owner of Property:_. Tke Coe,& Cvu,, C.XAP*%.;'t A4_itrK U 9!ayy
Address : Q%e, Coca► &0E^ Puz. ► AltwrA 4,% Telephone: 404- (.7G_ 23?'7
P•o O*6we,K 1"134 ((30301 )
3 . Status of Applicant: 0,�ner A Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# oaSl4 Parcel# 105 ,
Zoning District(s) (includee a s) (TZ
Street Address
Required
5. Existincl Proposed by Zonin
Use of Structure/Property MprvuF u nylit. I M*WVF P r
(if project is only interior work, skip to #6)
Building height 3g
%B1dg. Coverage (Footprint) o,re
Setbacks - front 2n
- side L: IS R: L: t R:
- rear 20 �pr
Lot size
Frontage. 4 3 S63 tt
Floor Area Ratio 17,20
oOpen Space (Lot area minus
building and parking) 70t„ 14 to
Parking Spaces 100
Loading 1-4 S4
Signs N l3U;(J ,
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) _ 92o905cro PKrR 90-r( -J C'&W-r—M ISOrTLlVe MCif IT Xty-
ME
r
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:_ to/VA4 Applicants Signature:
THIS SECTION FOR OFFICIAL USE NLY:
Approved as presented/based on information presented
Denied as presented--Reason :
Special" Permit and/or Site Plan Required:
inding wired: Variance Required:
gnat a of But Inspector Date ;-
NOTE: Issuance of aazz_o"n"inngg permit does not relieve an applicant's burden to comply wiUi all zoning requirements and obtain all required permits
from the Board of Hoalth, conservation Commission, Department of Public Works and other applicable pormtt Granting authorl(ios.
/c'T)-