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Date Filed File No.
ZONING PERMIT APPLICATION (510 . 2)
I. Name of Applicant: ;,,r ,►.�
Address: Telephone: �2 q-7
2 . Owner of Property: '�(��
Address: S 6 o RT' Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain )
4 . Parcel Identification: Zoning Map Sheet` �?Z� Parcel# 1(07. r
Zoning District(s) (includ ve
Street Addressu�
Required
5. Existinci Proposed bv Zonin
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontage.
Floor Area Ratio
%Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary)
7. Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.'
Date: N)e-c J� Y Applicant's Signature: _ p
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
ial" Permit and/or Site Plan Required:
g wired: Variance Required:
/ 2-A 7//-
g o 51 u�.l Inspector Date ,/
NOTE: Issuance of a zoning pormtt does not felleve an applicant's burden to comply Willi all zoning requirements and obtain all required permits
from the Board of Health,Conservation Commission,Dopactmont of Public Works and ollior applicable permit granting authorities.
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. t'c- 191 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Lot No.
2. Owner's name K, C (L p i N C IZ 0+n Address S k o QT' S-1 oj
3. Builder'sname U0k�."If e Address 3 3 :J qt n1 Zr 1.j
Mass.Construction Supervisor's License No. C*), k 14,2 Expiration Date 1 q q 40
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 a' "� ���{�1q,
13. Siding house
14. Estimated cost:- �- C7
The undersigned certifies that the above statcmcnts are true to the best of his, her
knowledge and belief.
(J Sign pure responSibfe app icani
Remarks
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