23D-143 (3) r
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Date Filed ;'' 2;��� File No.
ZONING PERMIT APPLICATION (§1.0 . 2)
1. Name of Applicant: /-ti F G L
Address: 1/1,vv,,.-iol's',, Telephone : 5
3-6-5- y I
2 . Owner of Property: - ,k2—..-i 5•
Address : /'- 4. 4-_ /(, >i iGh Telephone :
3 . Status of Applicant: Owner Contract Purchaser
./Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# /, Parcel# / 3 ,
Zoning District(s) (include overlays) A'a,
Street Address
Required
5. Existing Proposed by Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%Bldg. 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 sheets
if necessary) %) �t�r�- �-1 - • 171 ocSJ
Nso
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 knowledg , .
Date: 0f 7 rti Applicant's Signature: ,' c� ;L t
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
}Denied as presented--Reason :
Special. Permit and/or Site Plan Required: /!, % I
i ding eq,uired: Variance Required*
cam-
.
Signat r'e o Building -Inspector Da
NOTE: issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning req irements and obtain all required permits
from tho Board of Health,Conservation Commission, Department of Public Works and other applicable permit granting authorities.
lc'9'�-
• s+..Rctalyv
WA
Date Filed // �q I �=+o' &a. File No.
REGISTRATION OF HOME OFFICE/OCCUPATION (§10.2 & 11.11)
With the Building Inspector
1. Name of Applicant: ✓z /� 1/C /L
Address: / L( . Ak-rjk - ,17- Telephone: S 332_
2. Owner of Property: /// -
Address: /9C (-e-tLl% J f. A/i "(k.ti1 r-,Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other (explain: )
4. Parcel Identification: Map 0313 e , Parcel # /c j ,
Zoning District(s) (include ove lays) Z'
Street Address jcf `t17
'��� (:
5. Narrative Description of Proposed Home Office: (Use additional sheets
if necessary) 7'/ c= h _ u tvi4s y2 .
6. Is this a legal residential building? YES NO
_ 7. Will there be an employee/owner who doesn't live in the home YES NO )
8. Will you ever see clients or customers at your site? c!ffi NO
How often axf il&Lvr, IC) per✓
For what purposes �� r�,
9. Will there be any signs fair the Home Office? YES 410
10. Will there be any goods sold from the premises or any sale of
goods stored on premises, either retail or wholesale, or any
display of goods on premises? YES
11. Will there be any outdoor storage of materials? YES
12. Will your use be totally within a building and not cause any
outward manifestation (including traffic generation, parking
congestion, noise, air pollution, and materials storage) ? YES NO
If NO explain:
13. Attach Plans (if applicable)
14. Certification: I hereby certify that the information contained herein
is true and accurate. I understand that if any information is incorrect,
my permit is null and void and I may be liable for non-criminal fines and
criminal and civil actions.Date:
ate• /j q ' APPlican t s S1 n at ur e: ; � /
/
L
- - - - - - - - - -T-I- - —O— —O—L—:— — - - —
Approved as presented/based on information presented
APPROVAL EXPIRES ON DECEMBER 31 OF. THIS YEAR AND MUST THEN BE RENEWED
Denied as _presented---Reason:, j/ //
/-y
S gnat re f Building Inspector /Day
NOTE: Issuance of a permit does not relieve an applicant's 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.