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17B-015 (15) 10. Do any signs exist on the property? YES _ NO_�_ IF YES,describe size, type and location: _J Are there any proposed changes to or additions of signs intended for the property?YES_ NO IF YES,describe size,type and location:, IM �1-�1�-0K . 1�C�}"� (e� �X�A MM 62>_ 'ITYP� s A; 1�PH 1 l0&#.i11�IG t N;f ILPW- R J e ,B" ,yang f; 11 . ALL INFORMATION MUST BE COMPLETED, or PER SIT CAN BE DENIED DUE TO LACK OF INFORMATION. This colmffi to bs fi.Lled ;n by the Banding Department Required Existing Propo: ed By Zoning I Lot size 3, fir,*� pcev3 5AMP- 7 Frontage Setbacks �� 3 3v i(- -side L: 30 R•3 V r L: R: 30 3 - rear �$o , Building height H/A Bldg Square footage 91A 18� 0�8 54- %Open Space: (Lot area minus bldg ' &paved parking) # .9f -Parking spaces O i© f of Loading Docks b U Fill: '4vol-tame--& location) 13 . Certification: I hereby certify that the information contained herein G, . is t e end ccurate to the best of my k W2 dg � APPLICAN?''s SIGNATURE ' NOTE: Ise anon a zoning permit doers not relleva an a a oant•s burdan to comply wltty,.Mll zoning utramants and obtain all required permits frog n o Board of Health. Coheervatlor Commisslon, Department of Pub' Ho Works and other apps looble permit granting authorities. "°'' FILE # ki } Fi.Ie No. JJ �� MAY 2 z-ONING PERMIT APPLICATION (§10 . 2) PLEAS E TYPE OR PRINT ALL INFORMATION 1. Name of Applicant:_,�t n Address: e 0l �� ? 1s�Y �}�(� '` ,LTelephone: «0 5o2!1 "' 217-3 2. Owner of Property: OfJ O WAI4plor K1 MV9-.,u 1 LIZAI l;.! gRACE. � 504- �f 7 Address:�st rt ti,✓�4 r Telept7one: L-U-51 -- s 4 - 4 3. Status of Applicant: Owner Contract Purchaser Lessee _Other(expl iin):AtWAUAQ-O of LAW i1 W Lf T1 ,14F-�:a 0" 4. job Location: —Rk fx- Parcel Id: Zoning Map#_ 176 Parcel C- Z� District(s): 111663 1194 (TO BE FILLED IN BY T BUIL ID NG DEPARTMENT) 5. Existing Use of Structure/Pro)erty VAc�"T- 6. Description of Proposed Use Work/Project/Occupation: (Use additional sheets if necessary): rcY-J-J?'t Liu_ Two t 92x5, Ark BUILA pt? '1,rrx gts> t�i s kQ - u,o�� 7. Attached Plans: Sketch Plan �_Site Plan Engineered/Surveyed Plans Answers to the following 2 questions ma, be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special Permit/Vahani:e/Finding ever been issued for/on the site? NO, �� DON'F KNOWN YES_ IF YES,date issued: IF YES: WaF4 the permit recorded at the Registry of Deeds? NO DON'F KNOW YES IF YES: enter Book_ Page and/or Document# 9. Does the site contain a brool , body of water or wetlands? NO DON'T KNOW YES_ IF YES, has a permit been c. need to be cbta?ned from the Conservation Commission? Needs to be obtained_�� Obtained_ ,date issued: (FORM CONTINUES ON OTHER SIDE) r) lv0 5 ; 4 FLLE I MAY 2 7 X998, APPLICANT CONTACT PERSON: DEPT ({�o�fy(F(({{s'' S$I HD E: jR PROPERTY LOCATION: PARCEL: /,���'� l ZO THIS SECTION FOR-OFFICIAL USE ONLY: PERK UT APPLICATION_CHECKLIST ENCLOSED REQUIRED DATE Fee Pnid 1Rnilrjin2 Permit Filler] nut Type of Constnirtion- Addition t�Exkting THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: Approved as presentedibased on information presented _Z, Denied as presented: Special P rmit and/or Site Plan Required under: §_ ' , =PLANNING BOARD ZONING BOAR 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 #ic Approval-Bd of Health Well Water Potability-Bd Health Permit from Conservation Commission 09 mmme �44 ,4z �8 Si o Date NOTE:Issuanoe f a zoning permit does not relieve an applicanVa burden to comply with all _ zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Public Works and other applicable permit granting authorltles.