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32C-318 (2) PERMIT APPLICATION CHECK LIST PAGE ZC PLOT 319 ZONE (J- (d z/7 t4 '" l' YES NO DATE 1 . ZONING FORM APPLICATION Q 2 . PERMIT APPLICATION 3 . OWNER OCCUPANT STATEMENT IC. # IF NOT 4 . 3 SETS OF PLANS /PLOT PLAN 5 . NEW CONSTRUCTION 6 . CURB CU 7 . WATER VAIL BI IT FORMS 8 . REMODELING INTERIOR 9 . ADDITIO 10 . ACCESSORY STRUCTURE 11 . SIGN / AWNI 12 . PERMIT FEE - CHECK- ONLY - MONEY ORD5-R-�- 60 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 . FILL COMMENTS: 10 > o C �• C � v b o r � � a 0-4 °z � c y N > O o o � Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 5� �` Alterations a NORTHAMPTON, MASS. /iL� 3 19�. Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location IQ sr Lot No. 2. Owners name AJAR 6✓FK fit— + Address 3. Builder's name 5,�4�vr E Address Mass.Construction Supervisor's License No. 0 Expiration Date9� 4. Addition 5. Alteration tJ,&-j 5.a,A�)L— ►��r s -VinA Arno &LnI]OAss 6. New Porch 7. Is existing building to be demolished p 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating �✓}5 l.� re 11. Distance to lot lines 12. Type of roof 1918L6� 13. Siding house 14. Estimated cost:- I��Oov The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. lam' Signature of responsible appicam L Remarks FPM L Date Filed v 0009 ( File No. ZONING PERMIT APPLICATION (510. 2) / 1. Name of Applicant: U,M✓�5 c�1_Jg - Address: 41 ����_�. - Telephone: 2 . Owner of Property- Address : 42 -Ld y z = Telephone: 3 . Status of Applicant: ---Owner Contract Purchaser Lessee Other (explain: ) )n: Zoning Map Sheet# 3Q Parcel# ,If include overlays) C Required ExistinGr aroposed by Zoning )perty �� interior work, skip to #6) )otprintT,, -ont Lde L: R: L: :ar area minus -ng) Loading Signs Fill (volume & location) 6 . Narrative Desc457L >ption of Proposed Work/Project: (Use additional sheets if necessary) J�E(psr2r.OA &J�C� l,��c,Jr rZ-CX x tJ 1 r r � z�CML- r.I&� ��y,[� i�JTIf►?a s�L ./I4Uo1,QL_ � �TL����o,t 2,3-v Tfrlo �3�iJGJ 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. �J Date: /��y_ /f9� Applicant's Signature: 'C� - - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — THIS SECTION FOR OFFICIAL USE ONLY: tX Approved as presented/based on information presented Denied as presented--Reason: Special Permit and/or Site Plan Required: nd ' ng R i Variance Required: ignat _ of Buil ector Dat 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. i e'11- cD A pq �•� 0 co � C) 0 00 -11 s• � �' � � Wig• � � � °° ai a g o °° rl n u V r,' a ff. ED to A• �f y Aj O co ul N � ga � owe H yam : CD mss o00 aQ Ul CA s �N v o �d G1 � W p' �7 LQ IQ Im ao b 5 s ap IrQ QQ 0 ro s L9nz: i