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34-021 (2) ,�PERRMIT APPLICATION CHECK LIST PAGE PLOT OZONE /' "r_'C ES N T DATE ZONING FORM I IO ✓� 2 . PERMIT 3 . OWNER SETS OF"LANS-,'; /PLOT PLAN 5 . N 6 CURB CUT Li 7 . WATER AVAILABILITY FORMS 8 . REMODELING INTERIOR 9 . ADDITION 0 . ACCESSORY STRUCTURE 11 . SIGN / AWNING 2 E - - qb(e l l.` 1 `-� `s 3 . SPECIAL D WITH DEED IF APPLICABLE 4 . UNDER S - CMR 780 FORM A 6 . FILL COMMENTS : r t s „�,. r - zS'� ° �°w nos � a�� 4 �>•*� z ��� ,fit is K � �. ry_ K '°L 'p 5r %, s l . f. N ,r �� 4 S i r ' #yM n tti p W.rr.vr� s ao o A � y O� � �• O • 41P a c b n rw. a t �8. CA s S o o a rt �t y � . rr � c � ' o•� '13 �, x ii7 y ri z S— �1V/ • ro' rl z L o Zr a ! lot cn Gi tz 5 cr. . as 0� ,M ? h a z _ F ' 00 0 Date Filed 7 File No. ZONING PERMIT APPLICATION (510. 2) 1 . Name of Applicant: Address : �/azK Telephone: 0010 H o 2 . Owner of Property: I / Address: 44 Telephone!. ,,LT6 --p7 -1-/ 3 . Status of Applicant: Owner Contract Purchaser Lessee Other (explain ) 4 . Parcel Identification: Zoning Map Sheet# 3`1 Parcel#, Zoning District(s_) (ino ov rla s) Street Address Z , Required 5. Existing o osed by Zonin Use of Structure/Property .+5i dan 4 E/ (if project is only interior work, skip to #6) Building height © f %B1dg. Coverage (Footprint) E Setbacks - front S'70 - side L: R: L: 5y ` R: r3v - rear 16" � E Lot size u Frontage Floor Area Ratio %Open Space (Lot area minus building and parking) Parking Spaces Loading Signs Fill (volume & location) 6 . Narrative Descript 'on of Proposed Work/Project: (Use additional sheets if necessary) ew► 51 emirs Y 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:- Q Applicant's Signature: ��'� /`�� � Cv�tS'�'iv d-•� THIS SECTION FOR OFFICIAL USE ONLY: Approved as presented/based on information presented Denied as presented--Reason: S ecial' Perm' and/or Site Plan Required: i�ng Req ire i Variance Required: gna of Building Ins or � ate NOTE: Issuance of a zoning permit does not rcliove an applicant's burden to comply witii all zoning requirements and obtain all required permits from the Board of Health,Conservation Commission, Dopartmont of Public Works and other applicable permit granting authorities. iel*)- z �..�.� o � ao w o 00 b 14• o' 0 o O � a � f SH o c c. c 8 y b 19 5�. �v, W °• 0 co o o co I�j o CD rt � � a go � x C Q as U, o 0 H co O ' y 0�p fAD s N r� S rO `ALL• CL ~' A 5 x pry+, ::j �• P. B n p ilo 1* P- o 0 h7 "< rr � d ,. M " s 0 Z 5 ` ooh <<CD N G M ,fool" (� � 000 �� = 0 O o O ri Z ~ b � �a a\ Q cn O 0 5 S En CT o ° ° V7 o F' p =$ ,�,�,� M :7 5* N 0 0 � .,r 5 .o v vn n rJQ c !-I) N - CYo. p o y C l� f1 S C. S i G p' ��' O Ln QQ d tz 0 fJQ �• o. o rn � O ti