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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations !/
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location c97 ® .4 Lot No.
2. Owners name IJ C 5 JC Address
3. Builder's name Address
Mass.Construction upe ' is License No. 12 6 Z Expiration Date G 7
4. Addition
5. Alteration 11/t irk LaA)7"
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-
The undersigned certifies that the above statements are we to the best of his, her
knowledge and belief.
. LA.41A
Signature of responsible app icant
Remarks
Date Filed 5 / Qy Qui 004263114
File No.
ZONING PERMIT APPLICATION (Si0. 2)
I. Name of Applicant:
Address: /6 a7
2 . Owner of Property: e .
Address: Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# Parcel#
zoning District(s) (include erlayO Ci
Street Address
Required
5 •
Existing Proposed bv Zoning
Use of Structure/Property
(if project is only interio work, skip to #6)
Building height
%B1dg. Coverage (Footprint)
Setbacks - front
- side 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)_
C2 Z
Y
7 . Attached Plans: Sketch Plan Site Plan
8 . Certification: I hereby certify that the information contained herein
is true and ccurate to the best of my knowledge.
Date: r-- Applicant's Signature.
/ / \ -Z)I/U - -0� 04 4A
THIS sECTION FOR OFFICIAL 15-SE LY:
Approved as presented/based on information presented
Denied as presented--Reason:
Special Permi and/or Site Plan Required:
F' d 'ng Re it d- Variance Required,
gnatur of Building Inspector _ ate
NOTE: Issuance of a zoning permit does n eve 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 authorities.
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