144 King St ZPAFile # MP-2020-0063
APPLICANT/CONTACT PERSON DUPREY NICHOLAS D & BETTY LOU
ADDRESS/PHONE 164 No11hampton St (4 13) 527-540 I ()
PROPERTY LOCATION 144 KING ST
MAP 24D PARCEL 161 001 ZONE HB(IOO )/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ZONING FORM FILLED OUT
Fee Paid
Buildin Permit Filled out
Fee Paid
TypeofConstruction: ZPA-MARIJUANA STORE
New Construction
Non Structural interior renovations
Addition to Existino
Accessory Structure
Building Plans Includ ed:
Owner/ Statement or License
3 sets of Plans / Plot Plan
ENCLOSED REQUIRED DATE
T~· E F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
l~F MATION PRESENTED: /J€G }) .. f/lE-.. ,tqR€fj)
__ Approved __ Additional permits required (see below) ~
PLANNING BOARD PERMIT REQUIRED UNDER:§ ________ _
Intermediate Project : ___ S ite P la n AND/OR ___ Spec ial Permit with Site Plan
Major Project: Site Plan AND/OR Special Permit with Site Plan
ZONING BOARD PERMIT REQUIRED UNDER:§ __________ _
Finding ____ _ S pecial Permit ____ _ Variance* _____ _
____ Received & Recorded at Registry of Deeds Proof Enclosed ____ _
___ Other Permits Req uired:
___ Cw-b Cut from DPW ____ Water Availability ____ Sewer Availability
___ Septic Approval Board of Hea lth ____ Well Water Potability Board of Health
___ Permit from Co nservation Co mmi ss io n Permit from CB Architecture Committee ----
Permit from Elm Street Commiss ion ---____ Permit DPW Storm Water Management
Signature ofBuildingOffic ial Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health , Conservation Commission, Department
of public works and other applicable permit granting authorities.
* Variances are gra nte d only to those applicants who meet th e str ict standards of MGL 40A. Contact the Office of
Planning & Development for more information .
04/03/20