32A_156C 5 Bridge Street Zoningw .
File NO. 0 /6
ZONING PERMIT APPLICATION (§ O 2 )
PLEASE TYP;�, OR PRINT ALL INFORMATION
r I On_(
1. Name of Applicant: �� t1 �` ��- N u �-rr � a
' 46 �. Ulf Telephone: t,V A%� C-7 d lC
Address: ,
2. Owner of Property: rG �rt1S�
Address: UD ,e 7' P j f Telephone: S �� l! P 7
3. status of Applicant: Owner Contract Purchaser __L"e ee
Other (explain):
Job Location:
&-CYST
Parcel Id: Zoning Map#__
Parcel# District(s):_
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans
✓ Sketch Plan Ll 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 Permi ariance/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 YES --
IF YES: enter Book Page and/or DDocument #
g. Does the site contain a brook, body of water or wetlands? NO t/ 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)
10. Do any signs exist on the property?
IF YES, describe size, type and location:
YES Z
NO
Are there any proposed changes to or additions of signs intended for the property? YES NO
IF YES, describe size, type and location: y
I1. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
2ILis eol== to be filled is
by the Building Department
rn
Existing
Proposed
M-1LjUII CU
By Zoning
Lot size
f 1 / 2 '7 / S
F
5
Frontage
Setbacks front
/ly �ca S7.
- side
-rear
L:�R: C7
L: /0 0� R: O
Building height
Bldg Square footage
� 0 2
30 2 +szatas / b 2
%Open Space:
-(Lot area menus Bldg
&paved parking)
_iof 'Parking spaces
2
Hof Loading Docks
'
Fill:
=(volume -& location)
13. Certification: I hereby certify that the information con ained herein
G}
is true and accurate to the best of my knowledge. - p
D71-'1'E: - /l % APPLICANT'S SIGNATURE
NOTE: issuanoe of ea zoning permit does not relieve an applloant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, conservatlon
Commisslon, Department of Publio Works and other app11oab1e permit granting authorities.
3, FILE #
v.'a