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29-060 (3) G'3 Gr ir-ar PERMIT APPLICATION CHECK LIST PAGE W7 PLOT GO ZONE UPI A�w`s YES NO DAT 1 . ZONING FORM APPLICATION li Q 3 (7Q- 2 . PERMIT APPLICATION 3 . OWNER OCCUPANT STATEMENT LIC J IF NOT 07 4 . 3 SETS OF PLANS LOT PLAN eCch 5 . NEW CONSTRUCTION 6 . CURB CUT 7 . WATER AVAILABILITY FORMS 8 . REMODELING INTERIOR 9 . DITIO 0 . ACCESSORY STRUCTURE 11 . SIGN AWNING 1 2 . PERMIT FEE - CHECK ONLY - MONEY ORDER 13 . SPECIAL PERMIT REQUIRED WITH DEED IF APPLICABLE 14 . UNDER SECTION 127 - CMR 780 15 . FORM A 16 . FILL COMMENTS• ' e x Z D ecfz� gl . t v e { o � c � � CA � � ✓." r 0 of Al v ,I e IN) CJ A4 N 1 �j � � IQ S9S OC6Z1 t:way Z.OW StS1r•ett(009)t paMOSOy 91461 d ild t199013'USAtN MON`#AV 6aug4m Ste"9ul twx)m Put IU04 0961 2 11EL Nth s + N 1 G xx N /6 ' xx Ida LZ ids av a 37) . Z'TOTAL i l3 i 6 PRO Pase+o DeLk `/O er r _ 0 _ �O l GA ISTd[Y :r �q�. a, v J ,c:1w W 1 e i, b 0 i O� �• Z 0�.`�ZQI}9'� i G/LRAI.t! TE"feA CE . C®, ° m ��a//I& ® « 3 g 7 /\E �� © \ g = . . | 'A 'f � a o 0 a o . °\ r' ? 3 0 ■ . » ■ ; _ / 222 . > \ $ $ - \ / \ / � ] z j 0©4 §2 -n § § m _ - g 0 C ° > - � \ \ \ \ 2 m 22 \ \ \ � ) ) ƒ 9 iTi \ < � ° 7 % 2 / -0 \ ? / ° o 7 , : - / § ƒ < - w \ 5 \ � � m . z y \ § - - z < / / ( - z £ }o % < � /. z 0 > 0 i } / / . �� § R § y , .>q 0 > \ © \ § > M i ® a 0 E F§ I I*-« / E -n 0 . I o o / / » Cl) K m 0 m z m q § f § O �• C � d `d O tro" a Z y O w ro x0 z � o Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations a NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair Garage 1. Location 63 6 iy T Lot No. 2. Owner's name '�Xll-fd Zd 19 Address 63 Gr/,C.o.-,✓ T.CiC 3. Builder's name (Zl o�J r I�%D2E7�CL• p,� • Address X08 ff"" x-o Mass.Construction Supervisor's License No. Expiration Date 4. Addition isx as /,,nc 5. Alteration 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 "ZZ-E `sir - .V,- 12. Type of roof 13. Siding house 14. Estimated cost:. 6-02%,/2� The undersigned certifies that the above statements are true to the best of his, her knowledge and belief. -� Sig of respon applicant �7 q Remarks PR •Y7 Date Filed (0%3 rjot File No. �9- G O ZONING PERMIT APPLICATION (510 . 2) U R N/W 1 . Name of Applicant: Aw4leex) 4wq Address : /n3 t;.:7j,e.&,oI Telephone:� 3o?3 2 . Owner of Property: Address: ��,� Telephone: S m-g- 3 . Status of Applicant:k/Owner Contract Purchaser Lessee Other (explain ) 4 . Parcel Identification: Zoning Map Sheet#.2Y Parcel#_dr Zoning District (s) (include overlays) &/f./O. Street Address G9 r!ro n T �- Required 5 . Existina Proposed by zoning Use of Structure/Property (if project is only interior work, skip to #6) Building height %B1dg, Coverage (Footprint) Setbacks - front 7&7 - side ;c tiZi 5 ire l/ �S - rear Zj 5 � Lot size Frontage Floor Area Ratio %Open Space (Lot area minus building and parking) Parking Spaces Loading signs Fill (volume & location) 6 . Narrative Description of Proposed Work/Project: (Use additional sheets if necessary) 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 : Applicant Is Signature: _ THIS SECTION FOR OFFICIAL USE ONLY: r/ Approved as presented/based on information presented Denied as presented a n f Denial : -2 igna a of Bui Inspector D to NOTE: Issuanoe 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. -0 q� 0 f ,W�`T .�'a. 0 �. i - ,�G` K! .��,,--,,��",'�,"X t VIA I Yom, � - ,-�� �'," .-� I , ," F : � , 1 , "- fitot:i�Zot I� �� ­i �', 1� I �i ",AM 3. r%ms's.as'."'S ,k s yM ,�a"- _____ I I 11�'�i ���__t,,, ­_�f,� � 1i �,,-,�-:��,,­, , 11i , - - , -­ ,,I- ,,__ '� , , �� , , I I � ,, , , --,,,, �, ,� - , I � "f _,, I � . , , .,p � I .1 I � I - I I --�, _��7:�:�:,-­­,­,�,- -­ o ��%comi �,, 44" "­ AN I " "MY -a P $" y, b+� � I I � , "' '," �i, _' , � ­,­ -- �� 1, —, 1 00_:,��,:_ " �I ,,��,,_ -�poll I in 1 _ - r .: F F f �xry �, r zf '"�1 S ' a ✓_ a N n , Y 8 fl}_ £ , F. �" ° d � i �= 4 y 9 r 1 y r `rs � 4 � , I � r# �.:_ ._ ,�_' �.. it �/ a. 4. _ 3s '' n AFT .' 4 f , k �... 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