39A-030 (2) -_---- \
_.----
-__ -----
_-----
-------___
_ ..
_----- __ -
___- --
,
,
,
/
_ ---
I
__,-- - -
,-.
,___/----
- I
I I
.--
_____.--- ---
, _, ,
I I
,
----- '
I I
.---------
I I
.7rs
\ \ \ I
_ --- -
__- -
..„--,----------
L j
r\
'-'), \ , 1
,
, \
,------ _
,_---s, /\J\
I _ 1
,
r__J ( P.J,..
.___ _
,
,
,
.....)
,
,
I
,
,
/ r
i
1 ,
___,)
i\,___,___, \__. -
(......_„,,
,
.
1 ,i----, ,J
__...,„
)
_
_
t t
23.1,1 mit WV
i
1
._...._ -
_--
_ ---
u r 1"
. _
_ - ya cull" i _.
'n .
p\
\ „0,
_
TM
1
\ _
\ n \
Rn.
;,F
\ f , - e
C.
\ .
seat' 4 (Wel0 22 1 ! rr 4e �9 11 1 S . ......,..30„ �► Vi
4
Z
t
1
„„..5-4. 'aot /_„....‘ ,) --T ivay d
_... -
-.,... ;.,-.--,,!---.7.7 • ,,,,- s - ..,,,,,,.., 'ir';_ l. ..- .:' ., ; r, ' '-' 1...7 ' .. ..Z...."., ' 'r, ''. . r ''' . , ' .
1...41:1* .....Ic'...:"' • ''' ''. ' ;4' ''''' , .' , ;.. ' 1 "' ' .. . ' -. ' ' .
f ' • '' ' ''......-...'43.;,, ...49111P". .......'.:, !'r'
' '''' : '.11P11' ; '','' '.,; 2.17,..':,.;;;.:4:' ,,,_„:7".' 4,,•,:',1',, ...": , .,,,,,, , '--", ';', , - ,,, , . ,,... . - - - ,c...?.?•-: .'..... .....1 ,:' . '' ''," "
''‘ic '' ' . , .. ..:4*.t;f:•:;f'.:: '..7 74. ,:f t 2.'':.. : - .--" . ' ' ' 1' ; . - ' ' .: . ' • ::'' !.. 1. ' ' ' ' ' ' , - . ' . .' i' '
:' ...,'1%- i--:`, : -- --,-.----.-- . -- 4 ..- , ,,..;,.... :.- 4,-.- .:..,\,,,,.' ,,-,' •- . = „.-...- , . ' ', ', , "
-'. -.: -.-..-,..' i -. ' L'...,'? .- -' r , ■ 14 "P-1.-...':,
, C' - ' : - . -t7,,,77 , -•''' --7 1.;-:.-":::. -...-;- - ,,,, .•.: .;. .i" r ' r; :•‘ ' ..*, ', .,::: 'r , , . : ' .. '''' '''S ''' ' '''. ..,
■ ,' 'T.::i' 1 7 '• , ,' 1.''.‘:. . ' . '
'':: ''. ' t: :**j; ' '''' 4,:f.::;it.,• . 7 ' f P.' :" .‘ . r ' . , ;:. •• . ' .1..t; 2
, ■■■■lr, ... ,;Z114..e. . ..' ,14.7. ..1L: .' 4 •
' ,..' 1... ftt ' ,"
. .: .2 .t."1 ,41.'■r-r. ' Ilteg !' . '. ,, '.. ' ' ..I'.4 r t. '. : ' ' r 4•1 I* A .
: .,,0,-. !ip..;,,,,,..,4-,,,-,-,:ciii°7.z...i..-:-;,;;;;es,,:i. ":"-.--*,,,,--,_ -..-;,-;:::-• ,----,-, 4 -!.. '• . -
' _ . - ,' ''''' • ".... .4
...'4 ^ - . ',',- .. ' .::41, ..1
. *.-.,::" - :-- . ,':-. '''' ', ' ' r , ' '''-- .;1' ,‘,,-•': ''r 'S r ' ''''..i'' `:,,, '''''' ! ., '7:: j._ .?r,I, , .r. V'. 9, :...%,''.." ., .;:...i 17 1.t...11"':":"
011,47,A7-fgztr-;:,;1,-.:.i..,;- . -$...::'-...,:,.:- -7;--,'„ 6 . ,, -; - -, - -..'''..-a , .:.--...-.,:;-- . .-.-;:.,.-A.7-...:4;,*_-,.---.4.7,..o.!..•
..-Aafkitta,„:44,44kggosir.v‘ slc,....,1 .'r r ',.: " •N':•.,1 '..' ' .Zt.:' I.., ;i'''' i'.... ifly ;I! r .--,:,„ , , ,,,.. , .4t , .,::::„.., ,... .,...„,..,-,,,,,..i.,,,,ii'..:,.,:01,...iv,:,-,-,-
- .. ..e A: 4 00/"..„ , ,firo , ,,-,. , ,,., , , I:,,.,- .,.. -.,..,..„: .:-.- F..c . k,..- -`,,-. - ' - ' ' - ;. - 7,..e,,,::- . --• -. . -..,.:',!:;„
. , / ' ..r> ,' P'' '‘ ,11 0..., 4.417,..,,..047f`'..i ''',...%;,::,::,1,■i',,;:. ,,„ _ _ ,; ' - ,..'',V . , ... • q ' ' ' .. . 1.;-..,,,,....,,,-,..',-_.-
-• -- '` 7-. ', ''' ‘•• Vi4401::,47 ;t1-irel:,?7 '';:, - . ' r . ' ' ' ' ' ' ' . 'r ' 1 • .77-' "'-'''' ..„::- -,1' :.' i - 7 ... ; : :: 4 7 .;. - -;;;;;:. : : - : - .--;,, : -1 : •'''.: ,.: . r ' '11, '''''1:' '
, , rill
..1, .,.d I kfrP. , .r.atin kfr,t,j ••• 1 ,.:.....,,„,..,,,, .y: __, ,.:;.:,.....,..„..s.,:::
„?" -'•- -- - . ."'Aa -'' .*: ,!.. , .4 ,' ••••'' • -r,,,,,-'., r . ; , ,'.
lt . .'",--,'..,-,.. I 6- . - ''''' - ';'; - , -' -- -,... ', ,, . ■••• 1 . 2 r.-- ' ''-- , _L„ .
1,4 1 '''
. "..`‘,-, c4,,,`ItY/,': 1,.„,.-,,..„7,.,4-,,,,,g.-4.4;‘,01,-1-,':-.
,, .- - - • ,--- --,',,•,,-,=- A ,,' ','• ',,,N,..., '-‘0."---t.-N-,-,,N.-..i-,,1-4,,,,,,,,,,:--5,---,
-•=.441 71 i'.+W.1--;il.r.;31t. - ,*,,$'
- , Atemiai\AI • '''''-•,' •''''''= \::.'f-i-e,.;.: -,",,,'*);',.'...-,:::.:;..;i4! ,...„•,--,:r,;;Z:',::,...:',2:45A=4
_ .-1-•„:"•- , i - •-•:- 5- f , .. P .;_all,„•/..1-r - r -, -.43,:r' pie'l,f,'45,'?"-i;:i l y;g,.i ' r
,._ ,
,.„.,,,y-":;:;,/ ,;p.,e11-.4r4, ,g 't(4r.,,, ,..„
-.......,,,--.- :,-, L.-- k' ' ,.....- - ii._ iiii 4.04,. __,-, = :4 1,,,..
.: ;-'' ‘-t4 *%) --'-‘:.,,-',' 3 -' "•--,:-,-.,-,,,--. .''''' '','. '''.'',''''''''''':',''U'f'V'',.''',:,'''' ',
1 ' ' (ri):41,1'tt.;;Pt;Ir.(41 ', NON,I'
• . , , ' , '',,iS ' ',',, ': :' ' c.:, A- ,,,1,-„,?--,,,-'.,:f::(2i'::,,,,,,,,:,.,i0-k*-,-:170.,F'.,'-,
. .-,-„, .,-.-,,171:.,,7-= I\ \ ,.......-,:,,---!,-;-- - ‘" • k! , :'.1' - ,, ,, -,,_ :,-- ,'• i.'4.,--'z',,,f.--:,.5,7,',7-';‘,,,,,,--;;',..,, r..,„`,5,,,,,,W,11'".;''J
,,,,,./.; 717-' -,,i0-4, log , .0);
ili -.
j yr
. ,,,•., .i-- , .__,.,40,- ..,. , ,, 0jt,
_..../.,y/ ki..\\ , ; '.. 4 -,-:::-'..,' i f ill ' ° Ity.V---jt7 ,Ti?' 1. .-,,,,07-:::, .;.--,":a--_•'1, \,t, ii , :.•:- .`'; :. -::: '' ''''Ll -: ,',' - 1 .'.... 7 ,"..":. :!-_--..--.-;,:= .,','..:''',-:,'"-.':'.:'4;i.'r,ie.fii'',ff,,'P2;;',-q;';,',..:;
,-.--,•.7,c--:„,-;;;:•..,_ ,,,..„i„.„-„:„4-..r.„,, io.,:,,,,f 1 . k ,15. ,-,„ ;‘,..,;,.. ,_ • -': ' -,, .`,-; .,,,,, ,r,:e:',',,r5".,,,,..,.,'?,',4A,/,'",a;,:4--,:',4,,I.:;:,,
. ":7-i_.',,•.!`..-r-----;,. -,,,.. kk,,i,egovi.....I ' • .. .:: r:, r ■ '''.. . ' ' , ' ,l',,,f ''-kr'i...,,,:, '4:"C''' ''':',-3't'I'''•a''''''''''''
;alai k41.11k 441.,. lekAiligiN 1 itill:
III t.! Ari ;Mt i W \
0
MIr.rjk"All . 731N ' '''''', .: .-1 , ''.., ' ' .'-: ',, :■:2.',',',..:',-i :7-.:-.'''.4!:.*ZINff::*t4:4.!A4.1?';'
--7411.7.4 t.;.':, : -1 6:■‘ '','''r il.:. '7 ,'::,:::,::::::',:::::::::,....,-;,:k-.17..:4.0',..:7,7itt„7....1',4,:,%:xs
0--..4t. Aritkii 4 , 5 7.,,
: ' : ,,,, .„' , " .w , , ,-;: , , ..41... I r II t&I,";•,,, ''',', '. ''''',INStr',,.,„; r , r, , ir A, _,,-,41,-,-,..:- ...,,,,.5.,, , ,,,r''--'"-'4'.'".54'''VS''','5;',4A*4it,'.t,"-Z'V4,-.'"''t
'.:.!f",;:r.:1,- -` ' '111,_ _ , ,,..:,-.x.„-- ..-.::: - . , .: ,4 44.,,, , r2e14 - `t At.41:.i...g,..,'''qk
, -,/:', "I.,' ,...'" 1 / , •.,''''
,7 1.;,2,:-' g''
---,---------,-,,'`',"7 ' d ..f2 ,- .' , k k` - - ..' , :4;.;•,..'' "'"''..:-= -: :4:: ,--„ ----. ' ,- 7 - ::,-:;"-i;--q;.c4t-'_--'-.--,,r,,n,-;-:,',--:;-.'tii.A.v. , i Agl 41. 4,,,--,-.;:t1
-P'''.,,--1.1.,:;:-. ,:-' j ,,-.., -...,:, ... , , - ,-
1 ..,-,
• ,'" ' - -..Lr':,--;',7":1: :: : i L _ 4
- 1; ' ''' - >;•,' ' '''',,, `",,,.
:-.,. : — — . ".., "7, .4t,Z"-'2.::'",-,...-:1-;,,,;,,,,".5,..ItV , 4.,. .' ,' . ••,,,-t•WP,,,Y e... ihi '
. .
::::f ''' . ::7''''' ''''''i .'''.' ::::::7''''''r'''''''''''''''''7:4';')''. 'I'''A--•.d.''-,,,gq '.t5i'71-0-41-I•:.t'::;ii,l,„;444,,,AVI
, ,..- - - , , .. -„, -.---,..v,;i:.-,,,,=-..-z-tA13---w dt,,, • ,„"v.,:wwzi--!...;,-1.-04,1-61.,,I4:4,:,40,1
. ,
. ,
. .
s '..* ... ..-..,.... ‘.--..,,..-.,-; -, , ....Y. .;,-;,;,,,,-,-,.,4,,,.'..4,ktYltOWirl-xl, ,•-ii%-:',,,,,' ',-4--,-."-z.,,,,f.c.-va\-44.-41,t.0,:-.4,-
74. ,,,,, ',.:::•.", ',,, • . '•'-:1 ••,-,:2:,::-.11-4,14,1•,,47.',.;-,,,t,:-T,,'•-',1"2?-!..4:;ii--,(g.,,,,"iii-1.-1,1ii5i3M
--,,-0--4,e,,,,,,,,,,V,„-- ' ' - -,-. . .F.' 1•7-Y:‘,--:,5,'?.,.7,TtI,Igi-ti,..114-A"'_f"-' 7-L,0--I.-', -..-•44..t,PVAIVAt,M-
.
:i.,-•"- ...,i't74'.1' ': ''-.'-- --.-,',. ,•,•.`.',. .,- -7,5.:;:lakz.;0,5-q4;,,,A7',..,,,:-S.,,t-abtf.-2.,-,;,_.- -44.;.4,t49-4::::14,47-,,-.4,\.';,4
---- ,-„- . -- . , ,' , 1 ,- 4'-1- -,-.5 5.,,,,,,,,,,,sxTk,,71,-,2,---I4',,z,,,,,k54:z.„, m,4,,'" '-',4krt*iiA,,t=:41.!./.,4-',..■^1.0.
'.';',,,,g:R---, -z ' ,i.-, ,',i':4=4.§",•9-'-:--;-:,,„1.1,1,,,,I,,f,,-,444%,,,,,I..,„.,:°i_v:tft-Igl',-i;i4.1,Xi-I4f
r, ,,,k,t,l,„ ! . - -,,,,,--,,,,r.,:,,.7,4A: 'f, ,,,-4-=•,,J.::::-',11--::-2,.??:,,,',Rikgt..,-,,•,,a*„70,--,:. -4-kl.,\I',,it,og'?A.04,14-
-- -••'•:•-•'--,'-',f I.-,„,,,-.'ik:',W.;::-.,3,,I,11,0Nqtr,,:kw-„,,,-,,,,,ziA,,,,,,1,,i,,a.:„,14;.2,4,,,,,,,Isiiiiitz44..;
..' , ,.;.., „, . ,. '-=.,,'t.,,--f-s,,..7v-rve-4, -,,,,.,'..te,.--.-„,mv,,.,4..4.„...
..--.., •. '.,-...: ,` ,r--'',1':::!.4.--,:,:-..'e.-4.::-.;1'-.r:::-...;,..;;,'„.,,,h6r,:,.-4'1.11.1,pli,..41* ‘...17-4.,,,Y.-„ce,:6-44,fet.'
,, '' . . - , - - ,-.-.. -,.... - .a: --;-,,„ .., ,-.,,,,;,„,,,,,..--1,',,,;tr-L,..,-4,1',•,:,*,„,71t, 4V-1;1.----.t '..#4,._:V.1...e,,,AS...,S4471'
- , - '''r • i 7 - . ,','.---,Q,'..---.,k, ,,;., ^ ..--,..., vf , ..•; ,,, ..ro-:,- , ,.-4, , i 174 r..... - •.' ..-...,--1,.....*....-Jm--
AgtAtkt.
a...-1.;E#4,.
- .
_ ." .' '' , , ' , :- ',..' ,', ' : '' ' '''. Ir.- '-'.':-'':;'.: 4. ...'' ',.' '''1.':
V7"IrZff .V ' ' S ' '• : ' : : ; ' ;':-,
•••••
, __ _ __. -.:. , -_, -,r- : :',_,- '-.;'-'-_-,,-._ 7- _T--:'r .:':' ,..: ''''' :r, : L:2•:'-':',:-Z-fr:':ff 5;‘,:F4L'';;::''';',:',?,:.L.r.''''''A
.e ., ..„ ..,:: ., .:, ::, ,., r •.: r. :=,' ..‘:, , ' :: . ' ' :', 7 . ' ' 1 ' '',, '''''. ' '' '',, L''.' c'.:,'":'''' ;.':'',:: ' '-..-'' ''' ''''':''"I''''''?'4-.1':,-'''.. ';':'''''''7'-':
,:,ir , , , I , ' r., - ''-: , ' .,' '' , ',r; ' : ''. '''',' ', ''''' ' r .. ',':':• '-, 2.- ';':' . ,,,-',2',''',7,' ''''''',''-',''''..','11.''''2,:;':,- 4 ';'',:;*'.'l
!,, ' 2 ; r . ' I . ' ' L ' ' r , . , . , , H ' .., -' , '' .: ,:-,r. - j' ,: • „ ; :: •:, r „,, 'r' ' ',.' . r: . ,*.?.. : ,'',, '',''',,:'.'',12T:l,t''''':.:,',k'4 rf '''''.4,..i....i,,:::::::::.,::::zr.,:il.:::
, , ■ ' , r,„,r.r, ,
.. _. ... . , . ,
• 'r3 •>,
7 I' r? C 1 s
sEll
r
€ g . �-� .r• 4 Y �- �.�, ^c, ^qua .+m`a�:�`yfic.`z���v�. � � ' ��"' ?+kx � �"` � —i
t
5- 23 - v�i
DATE
-
c� a ✓C� v` vv
ADDRESS _ PRONE
DATE
INVOICE
9 EST STREET
REF.
W. HATFIELD, MA 01088
w t-ic stigns r'n - - "Ems
(413) 247-5986
FAX (413) 247 -3218
o
�` 2_6, s Desi
eA � Mat erials
patt
S
Y\ 5 Construction +
Background
Layout
Lettering
instattatice
Delivery
Misc.
• Si
Rv� Ol
SALES TAX
TOTAL 1 72;
Deposit
BAL. DUE
TERMS
50% DOWN ON ALL ORDERS;
BALANCE DUE ON DELIVERY OF SIGN. ALL INVOICES ARE PAYABLE UPON RECEIPT.
A t .5% Per Month, 18% Annual Rate
Service Charge is added to any Unpaid Balance•
over 30 days,
From Date of invoice,
Plus any Costs incurred in Collection
Customer's Signature
10. Do any sig ns exist on the property? YES X NO
IF YES, describe size, type and location:
0/06 6.1.1./e.4.- (77-c,
�-- /el�ef vi Si — &.vg• �1;6iv 6 9 j c2d 94 ,�
NO
X
Are there any proposed changes to or additions of signs intended for the property? YES
IF YES, describe size, type and location: _
ii ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION. i7si a cotes .to .be filled is
by the ian T.r� ^g Departmea
Required f
(
Existing Proposed By Zoning
•
Lot size
Frontage
Setbacks - frnnt '
- side L: R: L: R
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&pa parking)
# of 'Parking Spaces
of Loadings Docks
Fill:
:(volume--& location)
13. Certification: I hereby certify that the info.'""...at n contained h.nrein
is true and accurate to the best of my know edg
rte"
DATE: // 3 ' 7 APPLICANT'S SIGNATURE "
NOTE: lssusnoe of a zoning permit does not relieve .., epplio s b i e ° to oomply with ell
zoning requirements end obtain all required pr from the Boa of Health, Conservastion
Commission, Department of Publio Works end other applicable permit granting authorities.
FILE I
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No.
ZONING PER IT APPLICATION ( §I0.2)
.PLEASE TYPE OR PRINT ALL INFOR3 fATION
1. Name of Applicant: Fa` 7 A /' fie. E 4-tie , 0 1l'er,4 Jc v e �' U yr
Address: Y / / 4 / - 7 Telephone: �/ /3 ro d 57.)
2. Owner of Property: £OZ2 -7 �.4G'J
Address: X i,BGsii //. : 12e-v L Telephone: V‘....? V7 5 Si )-- )-- ,F/
3. Status of Applicant: Owner Contract Purchaser,(' Lessee
Other (explain):
4. Job Location: q ' " — _ - - Jr Weln-- / i--�,/.l c' /-z4-
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property 5/ 5.-0
6. Description of Proposed Use/Work/Pro ect/Occupation: (Use additional sheets if necessary):
7. Attached Plans: / Sketch Plan -IC 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 DONT KNOW X YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW X YES
IF YES: enter Book Page and /or Document #
9. Does the site contain a brook, body of water or wetlands? NO x DONT KNOW YES
IF YES, has a permit been or need to be obtained from the Conservaton Commission?
Needs to be obtained Obtained . , date issued:
(FORM CONTINUES ON OTHER SIDE)
ooy fit / °6Pb
1 1 Erec ( )
T`� > • -----` r '= '- Alteration -( )
' 1 Repa ( )
Plans must be filed with the Building Inspector ; ,.� — = - -: Repainting .._ ( )
before a permit will be granted, , '? 4 4.`U - - Removal_ ( )
Titv of ,_ orth-4 5s.
, %._ ___,
Application for a Permit to Place or Maintain Sign
or other Advertising Device
(Application to be filled out in ink or typewritten)
FEE PAGE PLOT d
Northampton, Mass_,_ / - " P.- c9c 19
To the Building Commissioner:
Application fora ermit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME... 4 a fg 7v L1.2-4✓ 6/42-52-7''e C ✓J
1. OCATION, STREET and No. 9'5 1 y-47
/ 6'c -A4-751--
�sse �
2: z name e- / Z.- 1 ,./ q iDCe.-4„.4 ,v'7 T —f d C-7�2 C cv--e-4
3. Owner's address g-;-? " r, ,g k / C=., y/� .. c /oE/
4. Maker's name. `I7(��.r
5. Maker's address._ 9 ''-� 1 ' ' `._,C& iC, 4V6 l'' ..,..__.._
6. Erector's name._. - r .P- s- 'c-®
7. Erector's address !`? i-"C- - - 52- ' 4 - 4-- ST ( - - f-- 1- 1 r/, ,A--1,4 d / d cPP
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated
X non - illuminated.,...___...
tr ���, Marquee..__._
2. Will sign obstruct a fire escape, window or door ?__ ___
3. Lower edge will bef ft_ 8 ins above the public way.
Projecting
4. Upper edge will be _.ft. d -ins above the public way.
Roof
5. Height f± as ins. Width
ft 0 ins Temporary
6. Face area.'" tsq. ft. Wall
7. Inner edge will be 0_ ins from the building or pole.
Groundr..l ..........._.... _.
.r 8. Outer edge will be t i ins from the building or pole.
Other_
9. Face of building or 0 is 17 P- ins. back from the street line.
10. Sign will project 0 iris beyond the street line.
11. Sign will extend 0 ft O ins above the building or pole.
12. Of what material will sign be constructed ? Frame...../.9_ U Face_14-U""1.. )0#"
13. Estimate cost V/_ q o IS
The undersigned certifies that the above stat- mi , f '- o the 7,t/ __, i best of his knowledge and belief. __
(Signa I of • ner P ge
_ NOTE: I. order thatf nia applrcatton may e `ccepted the data called for above must be set forth _�
PA11ITy P
CLE-A.RLY and FULLY.
File # BP- 2010 -0560
APPLICANT /CONTACT PERSON PLEASANT JOURNEY USED CARS INC
ADDRESS /PHONE P 0 BOX 1629 NORTHAMPTON (413) 586 -8150 0
PROPERTY LOCH ', THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
I ice Paid
Building Permit Filled out
Fee Fee Paid
Tvpeof Construction: REPLACE ILLUM GROUND SIGN - PLEASANT JOURNEY USED CARS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRj E NTED:
Approved F /Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER: §
Intermediate Project: Site Plan AND /OR Special Permit With Site Plan
Major Project: Site Plan AND /OR Special Permit With Site Plan ,,/
ZONING BOARD PERMIT REQUIRED UNDER: § 6 ,u , 5j it
Finding Special Permit t /" Variance*
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission _ Permit DPW Storm Water Management
Demolition Delay
I
Signature of Building Officio Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health, Conservation Commission, Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning & Development for more information.