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25-015 (29) j MAY 1 21,998 ,y DEPT OF SUILDNG INSPECTION NORTHAMPTC,?3 fin O?C,Cr NoR1Ngl`1P To N AN; PoR i I i I i , a DEPi - N \ AY L d MAY 1 2 11998 , i DEPT OF BUILDING INSPECTIO NS NOPTNAl PION KJA O1CS0 a j I , I � 1 � f � i i NAI� � eI 10. Do any signs exist on the property? YES NO X IF YES,describe size,type and location: Are there any proposed changes to or additions of signs intended for the property?YES X NO IFq YES,describe size,type and location: /g X / �r cue "e�°�+ b� 5'iTL !v b� G< f7 `U 1`I 7 r JCk Avt'> O/) 11 ��e �je c� 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This cola to be filled in by the Bmilding Department Required Existing Proposed By Zoning Lot size Frontage Setbacks - side L• R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg ' &paved parking) # �f Parking spaces of Loading Docks Fill: A vol-ume--& location) 13 . Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowle e. DATE: Q!- APPLICANT'S SIGNATURE NOTE: Issuan o a zoning permit does not relieve an a lloanVs burden to m PP Ply.wltl�,,,aalt zoning require ents and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioabla permit granting authorities:... FILE # '# File No. 3 DEBT U, sav-0 ?y t� � " E r ZONING PERMIT APPLICATION (§10 . 2) !� PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: v AL / Address: ��b�( 155 �il�bon S ocl(e /�. L Oo1S`yc� Telephone: /50� 16 7 5 �1 2. Owner of Pr�erty: Ic A�cL ►u5 P0cx��r Address:Uos5 , d o N�o N P ? rr �yh aW I Telephone: 7D 3. Status of Applicant: Owner /I Contract Purchaser Lessee _Other(explain):One-dau lc_ 4 '5df Alj ..�«;N� 4. Job Location: ( ,. R wa 55 a4-ez3, Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure roperty �/2C'c?�lT 6. Descdpti n of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): S �r ��e� °d a►- S-9 y l wdt n c��� �e K-16 = 98 � am 9,qr." `i"3 D p n _ 7. Attached Plans: _Sketch Plan Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special PermitA/ariance/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-,X _ 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: 9 (FORM CONTINUES ON OTHER SIDE) FILE # GA 1 r _ MAY 1 2 '1998 APPLICANT O TACT PERSON: JSZ —43941 N . : ' S PROPERTY LOCATION: V' — MAP c5 PARCEL: THIS SECTION FOR-OFFICIAL USE ONLY: PERIYIIT APPLICATION CHECKLIST ENCLOS D REQUIRED DATE Fee 19 IF Tyne of C'onstnirtion- - Addition to Eyisting Accessory Strortnre THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: Approved as presented/based on information presented / Q�7—dcej�' .C�Z.CTie� ✓Sim (/ Denied as presented: ZSUn,`�SS �,p uns< r� pecial Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD 'L'k Cast a Received & Recorded at Registry of Deeds Proof Enclosed Llnc7 Finding Required under: § w/ZONING BOARD OF APPEALS PP cti i S le�vi c,� < 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 !Permit from Conservation mmission Signature of Bui ding r Date NOTE: lnsuanoe of a zoning permit does not relieve an applioant's burden to oomply with alt zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applionble permit granting authorttles.