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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations y�
NORTHAMPTON, MASS. 19 Additions
APPLICa ATION FOR PERMIT TO ALTER Repair
Garage
1. Location o97 ® A<'A J ���. Lot No.
2. Owner's name -9 S Address
3. Builder's name Address
Mass.Construction upe is License No. Expiration Date
4. Addition
5. Alteration /1/t 119 >�iP�IAJ C' x/94
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:- ^��, p p
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible appicanl
Remarks
� r
Date Filed 5� / 1% OO�G3 ; File No.
ZONING PERMIT APPLICATION (§10. 2)
1. Name of Applicant:
Address: Telephone: S-95- -76177
2 . Owner of Property:
Address : ' Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# 2,LC, Parcel# l T-),
Zoning District(s) (include erlays (�6
street Address _Q76
Required
5•
Existinq Pro nosed by Zoning
Use of Structure/Property 6-
(if project is only interioiZ, work, skip to #6)
Building height
%Bldg. 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)� Y) p5u) 62,e
If�( S /C�
Y
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: ZLq Applicant' s Signature. Q 4,L11 J C-/
THIS SECTION FOR OFFICIAL USE LY:
" Approved as presented/based on information presented
Denied as presented--Reason:
Special• Permi and/or Site Plan Required:
F'n d ' ng Re trod• Variance Required:
Acgrnatur4r—bf 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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