25-015 (31) 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 X/
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This colssma to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage �.
Setbacks - front
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
of "Parking Spaces
fof Loading Docks
Fill:
{vol-time--& location)
13 . Certification: I hereby certify that the informatzo con n ere-in
G is t a d ac urate to the best of my knowledge.
DATE: - APPLICANT's SIGNATURE `'
NOTE: an o a zoning permit does not relieve a pli a rd comply witt},.all .
zoning uir ments and obtain all required permits from the Board of ealth, Conservation
Commission, Department of Publio Works and other applicable permit granting authorities:...
FILE #
N S
9
1998
'!F¢7 ; C File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: r (( s -c)
Address: one:
2. Owner of Property:
Address: � Tel phone:
3. Status of Applicant: Owner Contract Purchaser Lessee
s
Other(ex lain):
4. Job Location:
Parcel Id: Zoning Map# Parcel# 5 District(s): 5L—
(TO BE FILLED IN BY THE BUIL7"zq-ARTMENT)
+�}C? SP i�;,uEC�1 5o +4'5
5. Existing Use of Structure/Property
c1 U"o f 'm 10
6. Des 'ption of Proposed Us NVork/Project/Occupation: (Use additional sheets if necessary):
ov
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 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_N�>� 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 t e obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
FILE # -
u
APPLICANT/C9PT+CT PERSON:
E r 1PFS7PHONE• z GAG ca
~�PROPERTY LOCATION:
MAP PARCEL:
THIS SECTION FORAFFICIAL USE ONLY:
PERNUT APPLICATION CHECKLIST
LOSED R.EQUIl2ED DATE
]Rnildin2 Permit Filled mit
Fee Paid
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATIOM
Approved as presented/based on information presented
Denied as presented: n
02 SP- ?a�wc'r I vmmfltc+a �jQCcrf
Special Per and/or Site Plan Required under:
PLANNING BOARD ZONING BOARD kr�
Received & Recorded at Registry of Deeds Proof Enclosed
✓x� L,S.
Finding Required under:§ w/ZONING BOARD OF APPEALS
Received &Recorded at Registry of Deeds roof 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 Co ssion ale t k-s� Q- b?/iC+'mir10.���� C Q1 �ooGt�JlC�vn
Z
Signature of Building Inspect Date
NOTE:Wouanoe of a zoning permit does not relieve an applioant's burden to oomply with all
zoning requirements and obtain ail required permits from the Board of Health. Conservation
Commisslon, Department of Publio Works and other applicable permit granting authorities.