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000632
Date Filed i- 2l - 93 File No.
ZONING PERMIT APPLICATION (§10. 2) C
1. Name of Applicant: LD U
Address : ,.0 6/p /h., eR �,.rD z.r a.�� Telephone: 6"--791e)
2 . Owner of Property: SpR.�j �;e� T✓s���o.� �gd, tif�
Address: ivy/ M+rr SI. P,, ,mss F.'�/� Telephone:
3 . Status of Applicant: Owner Contract Pyrchaser
_Lessee � Otner (explain: C0N 4e.4 cf ai2 )
4 . Parcel Identification: zoning Map Sheet# 3=2 C; Parcel#
Zoning District (s) (include overlays) /- R
Street Address Qn _ -
Required
5. Existin Pro osed b Zonin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R!
- rear
Lot size -
Frontage
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional s4eats
if necessary) ,��g,,;, F.� �F^rszc fa R�sfA4as�t( c5-:r. C4Pj')
7 . Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge
Date: iAf3 Applicant's signature:
THIS SECTION FOR OFFICIAL USE ONLY: � ; ��vIL-'_ '
1
✓Approved as presented/based on information presented -':>! 2 1 . . ?jJ
_Denied as presented--Reason:
Special Permit and/or Site Plan Required: Ef, osE r -1SNS
" 'nding Req ' eVariance Required: a ui 65e
. ,653
gnature uilding ar /. j to
NOTE: Issuance of a zoni pennR does not relieve an applicam's burden to comply with all zoning requirements and obtain all squired pennib
from the Board of Health, conservation commission, Dopartmem of Public Works and other applicable permit granting aulhorilios.
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Zoning
Miscellaneous Additions,Repairs,Almmfions,etc. Tel.No. Alterations
NORTHAMPTON, MASS. Jd..w i9 19 F3 Additions
APPLICATION FOR PERMIT TO ALTER Repan ✓
// Garage
1. Location 8�/ �rlreNSN,r/ Si(+ Lot No.
2. Ownersname a"W'r,e/ad s/n><c,�.Sq✓•N 93. Address IWI 1741 r S{_ -�O�I•�S�e�D
3. Builders name EDwpkD -r Q—,4 le Address /10 0/6 4> 4ev3 / Rel
Mass.Construction Supervisor's License No. OS6 YO '�— Expiration Date
4. Addition
5. Alteration
6. New Porch �N
7. Is existing building to be demolished? 1' �[
S. Repair after the fue 1- fele A! + 3,or-6 ,foo AgeAAukgNl�-
9. Garage No.ofcars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Esfimatedcost-�
Z $,enc
'Me undersigned certifies that the above statements are we to the best of his,her
knowledge and belief.
Z 7
nature of re+pon.r' le apo,ioant
Remarks
� \ �
/
I
PERMIT APPLICATION CHECK LIST
PAGE '4")- C PLOT04bT ZONECR T=/h,�rn 2, chrF s NO DATJ . E
ZONING P N
2 PERMIT APELICATIONL
OWNER OCCIFNOT xC) `5G; 402 I-
3 SETS OF L6U /PLOT PLAN
heicl•,
NEW CONSTIRUCIION
6 . CURB CUT
WATER
8. REMODELINAG
ADQITION
10. ACCESSORY STEUCTURS
11 , SIGNAWNING
J.2 FE - CHECK 0NLY - MONEY ORDER9f 0-.00
13 , SPECIAL I REQUIRED WITH OEED IF APPI-TCABLE
d UNDER SECTION 127 - CMR 760
18 . FORM A
16 EILL
COMMENTS '
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ow
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