23D-157 (8) Date Filed (-?- 1/ �-•��'•'"'^•• File No. 4—9
Tau" 'tr
REGISTRATION OF HOME OFFICE/OCCUPATION (§10.2 & 11.11)
With the Building Inspector
1. Name of Applicant: ` US/-k W7S lnGc
Address: (al)� 11-;y161CI-�.c1 ��" Telephone: cc i-966 z
2. Owner of Property: /W c,InoveI
Address: f;p Telephone: S 3"S -c)'- L7
3 . Status of Applicant: Owner Contract Purchaser )( Lessee
Other (explain:
4 . Parcel Identification: Map #c)3J), Parcel #/c7 ,
Zoning District(s) (include overlays) ` , '--
Street Address I-`v\GICI S{-
5. Narrative Description of Proposed Home Office: (Use additional she(
if necessary) 1vor4_d LrnQ cyn iA-€4 ou p w- '\
c-;`.k/1n15 (U«r( CvN i,c) S/Wit'3/-
6. Is this a legal residential building? ® 2
_ 7. Will there be an employee/owner who doesn't live in the home YES
8 . Will you ever see clients or customers at your site? YES (j
How often
For what purposes
9 . Will there be any signs for the Home Office? YES (I
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 8,
11. Will there be any outdoor storage of materials? YES C
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 I
If NO explain:
13 . Attach Plans (if applicable)
14 . Certification: I hereby certify that the information contained here
is true and accurate. I understand that if any information is incorrec
my permit is null and void and I may be liable for non-criminal fines a
criminal /and civil actions.
Date: 6(111q 7 Applicant's Signature: p�
— — — — — — — — — — —
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
APPROVAL EXPIRES ON DECEMBER 31 OF THIS YEAR AND MUST THEN BE RENEF
Denied as presented-- Reason:
Si a 1 for Date 24,6
NOTE: Issuance of a permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required per
from the Board of Health.Conservation Commission, Department of Public Works and other applicable permit granting authorities_
_,. ,1 f- " V y FILE # 9 G r 14 ,I Bile e
ti 4 ,,
L I l iI6 '/C TACT PERSON: ���%t,L(i k—i1
1e ADDRESS/PH( NE; o(3 Lc-ft Y-1 /rcP / 9‘ G
DEFT i :''SFE(;TiONS
NO=: ROPER].Y°LvZ'A11'ION:
MAP g 3 O PARCEL: /57 ZONE Cti��i---
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM MT.I.ET) OTTT c� 6�ZS'/F7
Fee Paid
Rnilding Permit Filler] mit
Fee Paid 9Y3 7'J_` ez
Type of C'nnctructinn• U - ,
NPW C onctructinn AVoa' L----
Remndeling Tnterinr
Addition to Exicting
Aeeeccnry Structure
Building Planc included!
Owner/Occupant Statement nr Licence ii
3 Setc of Planc /Pint Plan
THE,POLLOWING 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: § 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
Permit from Conse C, •• on
Signature of Building ector Da !
NOTE:issuanoe of a zoning permit does not relieve en appiloent's burden to oompty with all
_ zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other eppiioable permit granting authorities.
File No. 96(72-V4f)
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Sias i P UJLf S
Address: bob C Telephone: g-11—n6 2-
2. Owner of Property: /v1 i ova _kf I 011
Address: bo 11104-1.-=ci S� Telephone: 3 5-04 6 7
3. Status of Applicant: Owner Contract Purchaser X Lessee
Other(explain):
4. Job Location: cLA c4v�,d
Parcel Id: Zoning Map# � V Parcel# I 7 District(s): we,-(4
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property hO`rv`SL.
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
tiJel* C s f(76 O . S .
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 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 DON'T KNOW Y- 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)