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32C-219 (38) 10. Do any signs exist on the property? YES _ NO IF YES, describe size,type and location: kV,Ii/ 1-74VIL \�f'/���•'r Are there any proposed changes to or additions of signs intended for the property?YES _ NO IF YES,describe size,type and location: 11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This column to be filled in by the Et djmq, Department Required Existing Proposed By Zoning Lot size f t� $� 4t 7S� Frontage Setbacks - frnnt - side L: R: L: R: - rear -� Building height Bldg Square footage %Open Space: (Lot area minus bldg &pa.ved parkingN # of -Parking Spaces # of Loading Docks Fill: -(volume -& location) 13 . Certification: I hereby certify that the information contained herein G is true and accurate to the best of my knowledge. DATE: .fl3 a/9 d APPLICANT's SIGNATURE'�j''�^� NOTE: Issuanoe of a zoning permit does not relieve a pp oant's burden to oomply wltla all zoning requirements and obtain all required permits from the Board of Health. Conservation Commisslon. Department of Publio Works and other appiloable permit granting authorities. FILE # File No. (t'� � i ZONING PERMIT APPLICATION (§10 . 2 PLEASE TYPE OR PRINT ALL INFORMATION Eyr 1. Name of Applicant: 47 C r. Address: 4a I A-14wl—cy ! � Telephone: 2. Owner of Property: f4°'r/t'"� Address: 5-4--^-7e Telephone: 3. Status of Applicant: '7� Owner Contract Purchaser Lessee Other(explain): 4. Job Location: fl-2 1 ivtEY - r% r Parcel Id: Zoning Map# �Jdc Parcel# // 9 District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property 1`71'X 6. Description of Proposed UseNVork/Project/Occupation: (Use additional s eets if necessary): -57j A 1P;87 i'�'/ca&lAc C�2 cu-r- 7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. 8. Has a Special PermitiVariance/Finding ever been issued for/on the site? NO DON'T KNOA' YES --)(, IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW_, YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO X_ DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained ,date issued: (FORM CONTINUES ON OTHER SIDE) 1 i FILE # � UJSG APPLIC �YT (�NT�TACT PERSO�1 N: /l L A > A11) -R !�� (.f PROPERTY LOCATION: MAP 30) PARCEL: / ZONE_ 5,r THIS SECTION FOR-OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST NCLOSED REQUIRED DATE �r - �J�/c� t THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: Approved as presentedfbased on information presented Denied as presented: ��='t�lfalr Site Plan Required under: § a L =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: §_j. 5 w/ZONING BOARD OF APPEALS �Ok� J (du�Nj 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 Conservatio ommission Q Signature of Building 11 or j7atel NOTE:issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain ail required permits from the Board cf Health, Conservation Commission, Department of Public Works and other applicable permit granting authoritles.