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25C-031 (4) ti/,9G,✓F-r�c ( i9 8� �:� 3 Ln 00 'r a� .,,,� � O ` �� ,°mob• r N-.+�- rn x,,63 c9y/ .-g ON Vy N—� VIIQ �yd off' © / w \ \�'� Q)� ° ri FN a � lV- � o� �by +l �;, ��• •J`N A Date Piled v Pile . No , 2024TNG P1;ItMTT �snFPTiTf/CA' 'T02J ('10 , 2 ) �^ �. 1 . Nama ;of Applic n.tt � •, ,c s' 'ti /�l,i � r Address t f� �� % TaIpphono at r" - > 9 2 , 'Owner of Property : Address : - i Telephone, 3 . .. . ,Status o:C Applicant : 04rner Contract Purchaser Lessee Oilier. (explalnt__ _ ) 4 . Parcel Identification : zoning Map Sheet# arc01Y.- Zonirtcf D�.str ict (s) (include overlays) Street Address )Iocjtlirod g , Ex_ incr �ropoaed Lay_r•.,ai� ina Use of Structure/Property 5' Z r (if' pro j eat 'is only into for work, skip It-6, / 6 ) Bui':l.cling height _ kpldc7 . coverage (Footprint) _ S,etY.tacks - front - sidd _...__ - rear Lot-'size Frontage • Floor, Area Ratio k0pon Space (Lot 4re4 'minus bvt:Yd. ng And parking) _...:..__ • Par),,inq� •Space,s Signs _._.._ z''il:t (volumr� & location) 6 , Narrative Descr ' ptio�' f Prpposed Work/Proj,ec .; (Use additional :sheets rle4essary) 7 , Attached Plans ; Sketch Plan Site Plan S . certification : ,I ' hereby certify .that the information contained herein •• ' i'e true and accurate to the best of my knowledge , y Dann = 14 Applicant t•s signature: ' r ' 'THIS SECTION rOR OrVICIA aff alfry t ''App.rove•d as ', reserited/based on information' presented Deiiied as presented . Reason,for Deii.ia'l t 'S• nature of Building Inspe-ctor Data NOTE: Inuanoo of a zoninp.permit dooa not rollwo an applicant's burdon to comply wtih all zoning roqultomontn and obtaltl ail iquircd l;onrrta from Iho Board,of}•lonith, ConaorvalJon Commloalon, Dopattmont of Public 1Yotka and otiior opplicablo ponnit orwtuna authorluuj, •.