17D-049 (5) 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 l/
IF YES,describe size,type and location:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
Tbia columm to be filled in
by the Bui2ding Dapnztment
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
&paired parking%
# of -Parking spaces
#
of Loading Docks
Fill:
(vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
_1
DATE: S �/� APPLICANT's SIGNATURE �, �� ;
NOTE:Issuanoa of a zoning permit does not relieve an npplioant-s burden to oompty Wit" off
zoning requirements and obtain all required permits from the Board of Health, Conservtatior
Commission, Department of Publio Works and other applicable permit granting authorities.
FILE #
t t 1
N 9 t File No.
oE�r orr sub ��'r',' l s r�s4NING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:_ :�/_C�
Address:_ 99 ;iAlgkl AbIr Telephone:
2. Owner of Property: AC-0 41 6,ARIAET
Address: R9 37 A91-tl AA! r,-U. __ Telephone: -t,,73F1<1
3. Status of Applicant: k1 Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property A o m e-
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if ecessary):
!�G'G?�IR�C ��iAi�t /�US'i12C25-' , /JSE of 1i6177e Pa,'-
d JC l�✓6aaX rv�fl oCC A:S1012 r
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/adance/Finding ever been issued for/on the site?
NO Z 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 J� 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)
i
Y ` 9
Date Filed File No.
DEPT OF SU;i't;�e�r!f�PFs
RATION OF HOME OFFICE/OCCUPATION (§10.2 & 11.11)
With the Building Inspector
1. Name of Applicant:
Address: W F'S 7-e � Gv 4!/,� �,lo, 411, Telephone:
2. Owner of Property: �' A M E
Address: Telephone:
3 . Status of Applicant: (r Owner Contract Purchaser Lessee
Other (explain: )
4. Parcel Identification: Map #jo, Parcel ,
Zoning District(s) (include overlays)_,1 --
Street Address S r,41' A,
5. Narrative Description of Proposed Home Office: (Use additional sheet
if necessary) Z e , L
O,/�' Off' rwq2 Sc-C F 4.,Ime 0/1'rX1F
6. Is this a legal residential building? ES NO
. 7. Will there be an employee/owner who doesn't live in the home YU 6
8 . Will you ever see clients or customers at your site? ES NO
How often D C A S a d JyL
For what purposes f'��,�T u p PAR r s
9 . Will there be any signs for the Home Office? YES 66
10. Will there be any goods sold from the premises or any sale of
goods stored on premises, either retail or wholesale, or any
display of goods on premises? 16EESJ NO
11. Will there be any outdoor storage of materials? YES 66
12 . Will your use be totally within a building and not cause any
outward manifestation (including traffic generation, parking
congestion, noise, air pollution, and materials storage) ?
If NO explain:
13. Attach Plans (if applicable)
14. Certification: I hereby certify that the information contained herein
is true and accurate. I understand that if any information is incorrect,
my permit is null and void and I may be liable for non-criminal fines anc
criminal and civil actions.
Date: 5 � Fl�� F Applicants Signature:
- - - - - - - - - - - - - - - - - -
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
APPROVAL EXPIRES ON DECEMBER 31 OF THIS YEAR AND MUST THEN BE RENEWEL
Denied as presented--- ason:
Signature of B ding Inspec or Date
NOTE:Issuance of a permit does not relieve.an applicant's burden to comply with all zoning requirements and obtain all required permit!
from the Board of Health,Conservation Commission,Department of public Works and other applicable permit granting authorities.
FILE # ._i J 54
MAY 19 {99�
_.4.
A.PPLICAIN,,/CONTACT PERSON: O-iS►'� �%` iO ��Ip �CD g
E
DEPT OF
LL- `. � �P$ONE:
PROPERTY LOCATION:
MA,P it P PARCEL: ZONE_
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION_CHECI LIST
ENCLOSED REQUIRED DATE
ZONING FORM MLET) MIT
3=-
1311i1ding Permit Filled nut
-'Remndplin2 Interior
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION-
�
Approved as presented/based on information presented
`� Denied as presented:
!/Special Permit and/or Site Plan Required�under:
PLANNING BOARD 7/ 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-Bd of Health Well Water Potability-Bd Health
Permit from Conservatio ommission
Signature of BuildinP4ector Date
NOTE:`Issuanoe of a zoning permit does not relieve an applioant's burden to comply with all
zoning requirements and obtain all required permits from the Board of Health. Conservation
fsCommloolon. Department of Publio Works and other applioable permit granting muthorltles.
c� .