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15-020 (6) 10. Do any signs exist on the p(operiy? YES NO IF YES,describe size,type and location: JUL Are there any proposed changes to or additions of signs intended for the property?YES No IF YES,describe size,type and location: 11 _ ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DE'NIE'D DUE To LACK OF INFORMATION. T7iis calamm to bo fillod in by Lb- (Required Existing Proposed By Zoning I Lot size q 7 Q ores Frontage Setbacks - G - side L: R: L: R: Jr- - rear 1 i C4 Building height C4'� Bldg Square footage - �p di %Open Space: Lot area minus bldg /0 v v/O &paved par—Lng) [ of marking spaces t of Loading Docks Fill: -4 volume -& location) 13 . Certification: I hereby certify that' the information contained herein is true and accurate to the best of my knowledge.&.4-m DATE: 71 j-1 ?I APPLICANT'S SIGNATURE, "� c� _ NOTE: lauuanoe of n zoning permit does not t-elieve an ioant's burden to oomP Y vOU11 &M zoning requirements and obtnln ali required permits from the Board of Heatth. Cvnset'votion Commission. 1Departrrment of Publio Works and other applioabla permit granting duthorit(os. FILE it 1 AL 1 4 No � File No- �PT of Btf EQ ! G PERMT T APPLSGAT-TON (§10. 2) p7 I E TypE OR PR-TNT ALL 3EY.FO TTON 1. Name of Applicant: Address: /n {/�' Sc ( !� Telephone: t. Owner of Property: fA Address: C3�/lQ��1`C/lr,_ _►�� l )—H019 Telephone-. 3. Status of Applicant: Owner Co�ndtrapct Purchaser'se � Lessee Other(explain): 1� Tr u `✓ A'� � d 4. Job Location: ' Parcel id: Zoning Map#_� Parcel# p�© (TO BE FILLED IN,, BY THE BUILDING 0 (( 5. Existing Use of Structure/Property I,(.'w' I S. Description of Proposed Use/VVork/Project/Occupabon: (Use ad( 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 Deparunent Files. S. Has a Special PermWariance/Finding ever been issued for/on the site? NO !DON'T KNOW V✓ YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? f NO DON'T KNOW YES IF YES: enter Book Page andlor Document# 9. Does the site contain a brook,body of water or wetlands? NO r/ 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: - (FORM CONTINUES ON OTHER SIDE) File#MP-2000-0009 APPLICANT/CONTACT PERSON BUNCE JANET ADDRESS/PHONE 76 CRESCENT ST 586-7487 THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ONING FORM LED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: RESIDENTIAL CLUSTER-3-4 SINGLE FAMILY UNITS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presented/based on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § w/ZONING BOARD OF APPEALS 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 Board of Health Well Water Potability Board of Health Permit from Conservation Commission Signature of Building Official Date Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities.