29-343 (4) 10. Do any signs exist on the property. YES-4A— NO
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES-,d/ NO
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This cols to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks -frnnt
- side L: R: L: R:
- rear
Building height 12,
Bldg Square footage
74) stz
%Open Space:
(Lot area minus bldg
' &paved parking%
�A'
.of "Parking spaces
ht of Loading Docks
Fill:
'4 vol-time--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knorr7edge
L070E: /O C APPLICANT's SIGNATURE
NOTE: Issfunn4da of a zoning
g permit does not relieve an applioant's burden to oomply.w1t1A,,a11-
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applionbla permit granting authorities.
FILE #
OCT 3 01997
File No.lj�"71
ZOiVXNG PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
�C -k"k -CN � Telephone:_( `� 3) �
Address• r7�i�ci�cn�c-�rJa�„ 1�t1� /%
2. Owner of Property: t-t:ar.,�-. S
Address: 101 Ct Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: I 0 A�;;
Parcel Id: Zoning Map#od _ Parcel# � District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTME
5. Existing Use of Structure/Property �..
6. Description of Proposed U sse/Work/Project/Occupyattion: (Use additional sheets if necess/a�r ): �
'340."71 .r- "W.jjy 0"'
7. Attached Plans: Sketch Plan 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 Permit/Variance/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 Document#
9. Does the site contain a brook, body of water or wetlands? NO DON'T 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)
FILE #
OCT 0199
APPLICANT/CONTACT PERSON: O� =,j7
• ADDRESS/PHONE: D &f 3r}�
PROPERTY CATION:
MAP PARCEL: ZONE ,PLC
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
4 .ENCLOSED REQUIRED DATE
Fee PAid
'Building Plan- Trichided-
THE LOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: 1'
Approved as presented/based on information presented NOT TO EXCEED 11/4/98
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received &Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § w/ZONING BOARD OF APPEALS
Received & Recorded at Registry of Deeds Proof Enclosed_
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
_Permit from Conservation ommission
Signa e o r Date
NOTE: Issuance '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 authorttles.