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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. d-,Cj Alterations
NORTHAMPTON, MASS. & 3 19 � Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location ld fXd Lzo!�X c`3'T, Lot No.
2. Owner's name Z492A � Address .ylo�3 g'�.✓ .S-
3. Builder's name kCe/AEG Address ldf/,L, . -//T
Mass.Construction Supervisor's License No. Yot EZ5— Expiration Date / '31- 96
4. Addition
5. Alteration
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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 true to the best of his, her
knowledge and belief.
Signature of responsible appicam
Remarks
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Date Filed - 0003553 File No.
ZONING PERMIT APPLICATION
I . Name of Applicant:
Address: ,-,I Telephone: 5"- -o,79/
2 . Owner of Propert J D�6 ,5
Address: Telephone:
3 . Status of Applicant: Owner `,_6 Contract Purchaser
Lessee Other (explain ) '
4 . Parcel Identification: Zoning Map Sheets 1 2C- Parcel# ,
Zoning District(s) (include over ys
street Address 3
Required
5. Existin ' Pro osed by Zoning
pop
Use of Structure/Property PO /n
(if project is only* interior work, skip to #6)
Building height
%Bldg. Coverage (Footprint)
Setbacks - front
- side L: R: L: R:
- rear
Lot size
Frontaga.
Floor Ratio
. %Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
signs
Fill (volume & location)
6. Narrative Description of Proposed Work/Project: (Use addit'onal sheets
if necessary) �WA
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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 - Applicant's Signature:
—9H28 SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presented--Reason:
S ial•' Permit and/or Site Plan Required:
di g Required.: Variance Required:
S. gnatur of dilding ctor
NOTE: tssuarm of a zoning permit does not relieve an applicant's burden to comply Wiui all zoning requirements and obtain all required pormits
from tho Board of Hoolth.Conservation Commission,Dopartmont of Public Works and oulor appiicablo permit oranting authoritlos.
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