32C-179 (25) Rte-)
�I K-eko 5POLIC� G,�
s
I l b
I PL l 1,,f- e `�
f'
V ire d p�foc 4o �►� � bldg. 4--b
ii
I,
I / �L 3 r- , s W a
�
lover
U_ = a,_5ao .
= pro
I
(U_cad C- C) cw = / :D
-
T� -
5 v Icil„ c-' m4w_qzN Zw 9
FILE # 6 v
FEB 1 31997
APPLICANT' ACT PERSON:
13
g�R �W�^6�0 1�11
PROPERTY LOCATION:
NIAP PARCEL: ZONE__�y
THIS SECTION FORAFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED D
aternent or License fl
� P �
IG t )N HAS BEEN TAKEN ON THIS AP ICATION'
r
�''!►t Sased on information 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 Commission
Signature of Building Inspector Date
NOTE:issunnoo of a zoning permit does not relieve an applioant's burden to oompty with all
zoning requirements and obtain all required permits from the Board of Health, Conservati
Commission, Department of Publio Works and other applioable permit granting authorttles