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23D-059 8141 I5 ri': File No. 90,c23.J97 SEP 2 8 lac)). ZONING PERMIT APPLICATION (§l O . PEPT OF BUILDING INSPECTIONS NORTHAMPTON MA 01060 PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: NO Pr-SficNIPTD N �( KIDSr1 . ET" G-- Address: %J b NES) LI-3 FA-(RV( R1 AVE)N' Telephone: ,5 5—0 6 q L� 2. Owner of Property: �F1 ARL�N� (i LL N (c4AEL PO N N-E Address: g ROT I b C 'PR c , (U 'fid ki Telephone: '5 ,— (3 3. Status of Applicant: Owner I-contract Purchaser Lessee Other(explain): 4. Street Address: 2/ R-( DE DP N C R T-ff&frU TD N, (a 3 IP, tot 59 t coo Parcel Id: Zoning Map# G� Parcel# District(s): Zl k-J (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property RES Or-NC 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): CO-ANGV 0> U5E nutil l2ESID&-{\ICE TO QU14KCR MEETINGt-tOOSE W1114 C URCC oF- (Les, SUN-DAY SCH-DOL Rooms) LTG, IF2E5"l7li DWi N6 (S WaNcMi`0wk(NG ,. 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. <26 8. Has a Special PermitNariance/Finding ever been issued for/on the site? NO ? DON'T KNOW YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO t/ ? 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 t7 DONT 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 t ht FILE # 960289 APPLICANT/CONTA T ERSON:40 _ ADDRESS/PHONE: e Olo PROPERTY LOCATION: ,2/ MAP c,23J) PARCEL: L 4© ZONE l/Vel3 THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FIT,T,F,T) (lTTT (—`1/ 1 6C/4 ,, Fee Pair] Building Permit Filled nut Fee Paid Type of C'nnstrnrtinn• New Construction Remodeling Interior Addition to Existing Accessory Structure Building Plans Tnclnded- ()wner/Orrupant Statement nr License fi 3 Sets of Plans /Pint Plan 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 l/ Finding Required under:§ Zr -2gw/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § wIZONING 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 f Conservation Commission ignature f ding tor Dat NOTE:Issuance of a zoning permit does not relieve en appiloent's burden to comply with all _ zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applioabie permit granting authorities.