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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.,5s `7 4 J / Alterations
NORTHAMPTON, MASS. 19
� Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage �<
1. Location `'-- Lot No.
2. Owners name. ' 4; j '7 <�'' i�.}' Address. t>/� j a�c?��/[�. �','F
3. Builder's name
Address f,(M41- l� t A— ?- r / l x)11- 12'q r.. (; ..
Mass. Construction Supervisor's License No. Expiration Date
4. Addition L-
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
Size/.�"
9. Garage �' --�5 �� ��`� No.of cars X/
10. Method of heating u JOoal
11. Distance to lot lines
12. Type of roof
i v
13. Siding house - 4
14. Estimated cost,, ,90 <,�
The undersigned certifies that the above statements are true to the best of his, her
knowledg d belief.
Signature of responsible app icanl
Remarks