38B-099 (6) (1,17i
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Date Filed i.- LI - 9 3 File No . :3qH-099
ZONING PERMIT APPLICATION (§10 . 2 ) LL /3 S
1. Name of Applicant: , • sue_-- i ., /,,J //4,7, ",ti�-6�
Address : -- --7' Telephone: L
/Q04 e-r7147/11-c;:v , `� if; -- /
2 . Owner of Property: ;: -- , R-- 45--� - -- L r e-- /-c 6—
Address : (r) Mc-;vi2Gj 5'r , /L%,; '/((, ,1.4'2/.r,_ Telephone : 5 )--(1 -.-A21 i
3 . Status of Applicant : kAOwner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# -3qe Parcel# a'7Y ,
Zoning District (s) (include overlays) 4;g P.{,,,.-,-, („�, ,T-
Street Address (i RL3 ,
• 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 addition 1 sheets
if necesary)-- J 4,-'PJ�%.� 17- i -ric ' x..vt � 0 , .� Z` aS�r te.�
-w,,Lev (7 e,vN f -.e.4-A it/r-, ,,L, ad,4
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 knowledgq.
Date : ''���'P /1 S�_ Applicant' s Si nature-4-
-
5 Ir
THIS SECTION FOR OFFICIAL USE ONLY: , ,
y Approved as presented/based on information presented L. JAN 4 --' 3 !
Denied as presented--Reason:
S ecial Permit and/or Site Plan Required : DEPTUFBUILOftIGIPJSPECTI NS
in ' g quired: Variance Required:
NORTllAMPTON, MA 01060
// / - ' .-7
S gnat e of Build ' nspector Date /
NOTE: Issuance of a zoning 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.
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