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32C-313 (3) PERMIT APPLI ATION CHECK LIST PAGE PLOT 3>l--3 ZONE � C ° _ �h< - YES NO DATE I . -'ZONING FORM APPLICATION z� 2 . PgRMIT APPLICATION 3 . OWNER OCCUPANT 4 . 3 SETS 0 • LAN 5 . NEW CONSTRUCTION 6 . CURB CU 7 , WATER V 0 S 8 , REMODELING INTERIOR 9 . ADDITION 10 . ACCESSORY STRUCTURE 11 , SIGN AWNING 12 , PERMIT FEE - CHECK ONLY- ----MONEY ORD E t 3P 440--1 . 13 , SPECIAL PERMIT UI ED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 . FILL COMMENTS r ;Y _r c ;r1 � � o � z o � C � ►b —3 d > O a Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. � Alterations a NORTHAMPTON, MASS. 11' 2- 19 .9 Additions APPLICATION FOR PERMIT TO ALTER Repair n yam,. Garage 1. Location ,-It>-_�.JFI�I�-t( GJ /I� � LotNo. 2. Owner's name ( 1��..V UAAJ -- Address-- 3. Builder's name Mass.Construction Supervisor's License No. �L1;2(2�,+✓ Expiration Datel_ l�` 4. Addition aigk? _ 2�- t=5rwA_ZE� 5. Alteration 6. New Porch / ��}� �iW'��fG� �i 1 z) >�I -'_., Ce�S � 7. Is existing building to be demolished? C� _ 8. Repair after the fire Ke—> 9. Garage tZL';> No.of c,_arrs� Size 10. Method of heating � /�� WS2� & jqY.l Et:AJ(e y L_ D j6j 1 Q. 11. Distance to lot lines 12. Type of roof k> !,/ 13. Siding house VIYWL� JFZ) 694�n E4&-� A,66- 14. Estimated cost:- The undersigned certifies that the above statements are true to the best of his, her knowledge and be 'ilm ig atu a ojresp nsible appican! Remarks — 4u stay.,, ty Date Filed / ..2, File r J No. 0 01 v 4 . r ZONING PERMIT APPLICATION (910 . 2) 1 . Name of Applicant: Address : Telephone: 2 . Owner of Property: Address : ;? &e—s Telephone : 3 . Status of Applicant: Owner Contract Purchaser Lessee other (explain: r6Af 4 . Parcel Identification : Zoning Map Sheet# �ZC arcel# Zoning District (s) (include verlay ) Lt-V-� Street Address ( Rt , Required 5. Existinq Proposed by Zoning Use of Structure/Property r ,� (if project is only interior work, skip to #6) Building height V/1 e=— %B1dg. Coverage (Footprint) Setbacks - front ✓Y�;� -' '.e L: R: L: R: r -ea minus 19) ition) i of Proposed Work/Project : (Use additional sheets kLJ c)^� 7. A7-ZaL111=u. : su.._. Sketch Plan Site Plan 8 . Certification : I hereby certify that the infor;rnation contained herein is true and accurate to the best of my knowledq Date: / - Applicant's Si G� �� pp nature :g THIS SECTION FOR OFFICIA Z L USE 1LY: ZApproved as presented/based on information presented Denied as presented--Reason : S ecial' Permit and/or Site Plan Required: ng used: Variance Required: S gna u e of Bull for t IF NOTE: Issuance of a zoning permit does not relieve 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. as P4 CDgin. . o COO CsJ o 5 co 0 NJ bb CD :3 a y I c R -0, D s � y � � � g I i R.. p n � 5 o n Fl• Q LQ Ir• fD vo = w CD � ay r g' y ~ a C4 rl IrQ co 5 ° CD o CO < o C sego I • 0 05 p ara rl cn n o 0 V1 0 ''d td 5 y ►� � � d Z r CY . 0 0 o O y 9 2- � Pt . 0 = o o � 5, cra � o o, °, ° LO 08 cr y I ► I ► � � p ego w .d g CD ° bd .< cn � �j ��. � bona• vi 5y � 'g � CrosJ 0 Q moo co ti ur ;'` ";k z�r ,'y n4 a ,w a: a s >r ''� f emu^. s. ll_ �a'l � .s's ?� �qzr ,�" v`x X if In, x �{ s�x �* � �E - � " Mtn IRE,; � ,"Al r<`� �P a xeka 3 ", 2*.hz z '"' yea , �` r« 3"'. 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