06-040 (3) FILE ! 9 I; '186
APPIAC N /CONTACT PERSON: %/.1✓i/iu _�✓ ���- fl 7
. DDREssrnxoNzt: •_ pp
PROPERTY LOCATION: �p -(Tt..✓.a�r/-1.a.C. IQI
MAP PARCEL: d ZONE Sief
THIS SEC ZION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSEDJEQUIRED DATE
Ca Th. ! Lir e Y so
�Lva� X. '
AIri
Building Permit Filled out
Fee Poid
type of Construction•...
New f nncfrn:tine
Remndeling Interior ...
Addition to F,tisting
Areas, a
Building Plane Tnrluded•
_. f)wrter/Orrnpant Statement nr licence#
Setcuf Plans /.Pint Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APF ICATION: ?'
Approved as presented/based on information presented
Denied as presented:
IS Special Permit and/or Site Plan Required under. § •III (p .'3
y, PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ wIZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under.§ wtZONNG BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
_Curb Cut from DPW Water Availability Sewer Availability
_Septic App roval-Bd of Health ��/�///,�}�Well Water Potability-13d Health
Permit from Conservation .m���'t=0—"' ��
8 �‘
Signature of Building le�- to
NOTE:Issuance of a zoning permit does not relieve an applicants 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 authorities.
• 2 94131x4)
File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE rTYPE OR PRINT ALL INFORMATION
1. Name of Applicant: �}A'�)tnn) l ///t n;
-
Address: a9/ .N'4e&u)t ie /4OX , Telephone: --S v - D S'F7
hee /NQ, CP/cin
2. Owner of Property: .Cony
Address:_ Telephone:
3. Status of Applicant: t/ Owner Contract Purchaser Lessee
Other(explain):)pl / , ��
4. Job Location: p' %/ //)44t Af 1 [[_[[,,CC .,..I
Parcel Id: Zoning Map# 4 /Parcel# 1Tt-^' District(s): ,57e
(TO BE FILLED IN BY THE BUILDING DEPARTMENT-+c�j4"""
5. Existing Use of Structure/Property S (�` QrY L1
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): •
' c c u1cQ l/tie '{c> brna&r ct e of; ><k c. 3 acre, f ,2 67< tie nd Ln.u1_
Rear jea lb/r161(y PLy /o t, 5r0
7. Attached Plans: Sketch Plan I Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Manning Department Files.
8. Has a Special PermitNariance/Finding ever been issued for/on the site?
NO DONT KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO _ DONT KNOW YES
IF YES: enter Book Page and/or Document#_,,,,,_„
9. Does the site contain a brook,body of water or wetlands? NO 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)
•
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 t--
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This corm to be rived in
by the Palhlints Depart ent
Required
Existing Proposed By Zoning
Lot Size G a. ate,
Frontage /gam 4 a / 3S, e a' /095
•
Setbacks - front
- side L:k>/R:, L: R: 020
- rear 1/
Building height
Bldg Square footage a
%Open Space: ! 76
(Lot area minus bldg
&paved parking)
# ,pf marking Spaces
Prof Loading Docks
Fill:
:(volume--& location)
13. Certification: I hereby certify that the information contained herein
G is true and
accurate to the best of my knowledge.
DATE: ,a2 C}' 9(-3 APPLICANT'S SIGNATURE - "'•T..
NOTE: Ira once f a zoning permit Coes not relieve an applicants burda oZ.mptriatU ati
zpning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
. ,, FILE f
•
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m THOMAS J. , JR. AND GLORIA H. TUPERKEIZSIS
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a BOOK 1622 PAGE iia
O0 PLAN BOOK 64 PAGE 62
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GI
PAULINE G. WALKER
BOOK 1313 PAGE 243 EDWARD D. AND JEAN A. ANSANITIS BOOK 1478 PAGE 381
BOOK 1556 PAGE 14
PLAN BOOK 44 PAGE 18