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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLIC TION FOR PERMIT TO ALTER Repair
Garage
a
1. Location Lot No.
2. Owners name Address
3. Builders name Address
Mass.Construction Supervisor's License No.-, s� fnS Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:-
,�4 J�
The ndersigne ce ' ' s that a above stateme is Ptru ;L e be st of his, her
t know dge an lief.
Signature of resp0nS1b1 pp ican!
Remarks
003 33
� 7 .
Date Filed File No.
ZONING P RMI TCAT ON (§10. 2)
1 . Name of App nt: -� ,%" `� �'
Address : " Telephone: — " -
2 . Owner of Property: . ;(
Address : e: ephone: -
3 . Status of Applican owner �ontract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet#-32-C Parcel# ,
Zofling District(s) (in ,1 vie 1
YS)
Street Address tvt-t
Required
5. ExistincT 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
oopen Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of roposed Work/Project: (Use additional sheets
if necessary)
7 . Attached Plans: Sketch Plan site Plan
8 . Certification: I hereby certify that the information contained Lhe i
is true ��n a urate to the best of my knowledge,.-
Dat e: A/�;//- A pplicant's Signature'
-THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
S ecial"• Permit and/or Site Plan Required:
mint ing R ired: variance Required:
gna ;:e f nspector Da e
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, Depattmont of Public Works and othor applicable permit granting authorities.
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