32C-224 (39)10. Do any signs exist on the property? YES NO x �+
IF YES, describe size, type and location:
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 DENIED DUE TO
LACK OF INFORMATION.
This coli to be fj_12od in
by the Bmi2dini Department
13. Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE:'
ATE :lam- APPLICANT 's SIGNATURE �"/-
NOTE: Issu oe of a zoning permit does not relieve an npplionnt burden t th ply,wiall
zoning requirements and obtain all required permits from the Board of H . Consiervation
Commission. Department of Publio Works and other applionble permit g anting authorities.
FILE if
Existin
Proposed
muqull uu
By Zoning
Lot size
0
Frontage
2�
Setbacks - front
- side
L:�R:_7�
L: R:
- rear
Building height
�� l
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
2QQZ/
# of Parking spaces
A4
# of Loading Docks
Fill:
(volume & location)
13. Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE:'
ATE :lam- APPLICANT 's SIGNATURE �"/-
NOTE: Issu oe of a zoning permit does not relieve an npplionnt burden t th ply,wiall
zoning requirements and obtain all required permits from the Board of H . Consiervation
Commission. Department of Publio Works and other applionble permit g anting authorities.
FILE if
K
3.
�5 � i
................ ........
Fi 1 e No. """' 3 : U
FOF BUILI)IN61NSPEffl
ZONING PERMIT APPLICATION (§1 : n�gMPTON MA 01060 vS
PLEASE TYPE OR PRINT ALL INFORMATION
IRIN '
V FA4
W1r*IM4012W(M
Telephone:,
Status of Applicant: Owner Contract Purchaser Lessee
4. Street Address:
Other (explain):.
Parcel Id: Zoning Map#
r! ("F-/ Parcel# Districts
BE FILLED IN BY THE BUILDI G DEPARTME
5. Existing Use of Structure/Property
0
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 Permit/Variance/Finding ever been issued for/on the site?
11,
NO DON'T KNOW YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds? ,
ti
NO DONT KNOW YES
IF YES: enter Book Page and/or Document #
Does the site contain a brook, body of water or wetlands? NO—LI-1 DON'T'KNOW
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)
YES
APPLICANT/CONI
ADDRESS/PHONE:
FILE #
st00R3
PROPERTY LOCATION: ,LZ )�
MAP ( (. PARCEL:
ZONE S -L_
THIS SECTION FOR -OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED.REOUIRED DATE
I L/
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. § r 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
Commission
Of
NOTE: lasuanoe of a zoning permit does not relieve an applioa(nt's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health,_ Conservation
Commission, Department of Publio Works and other applicable permit granting authorities.