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03) Zoning �)K\-
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. b6 p :L4 Alterations
a NORTHAMPTON, MASS. 19 W Additions
Repair
APPLICATION FOR PERMIT TO ALTER
Garage
't�yi1
1. Location D� \ t fc. Lot No.
2. Owner's name _541-1�-Iel d bA-W it _ Address '` - ,�-
3. Builder's name Ste &r-j.-4 Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished? �✓
8. Repair after the fire
9. Garage Y No.of cars 0 Size c'?� O
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:- �
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. 1-zi V 6,e-(-4
Signature of responsible applicant
Remarks 15 C' L-X1 S 1 6S6
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