17C-073 at
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i
Date Filed �' File No.
ZONING PERMIT APPLICATION (§10.2)
1. Name of Applicant: KLCkM_D 1j;?_U&GC:ES
Address: R �fWFIE D Auj-:: Telephone: c� - B?(ay
2 . Owner of Property: 1,)r_&Nct, 1C 1
Address: (i3F -�FCrj Telephone: 5- N - -7-74(p
3 . Status of Applicant: Owner Contract Purchaser
"( Lessee Other (explain: )
4. Parcel Identification: Zoning Map Sheet# ' arcel#�,
Zoning District(s) (include erlays) �--
Street Address
Required
5. Existin Proposed b Zoning
Use of Structure/Property
(if project is only interior work, skip to #6)
Building height
%B1dg.Coverage (Footprint)
Setbacks - front
- side
- rear
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 'Ex n 5 .n 1 ,- amdl�—
�
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:. C)Cj-" NO[ Applicant's Signature: e--L;'
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
THIS SECTION FOR OFFICIAL USE ONLY:
Approved as presented/based on information presented
Denied as presente
son,for D
ignat of Building Tlispector Oate
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.
SRO-3380'Date Filed 1 C� 3 �I � File No.
ZONING PERMIT APPLICATION (510.2)
1. Name of Applicant: KL -D U S
Address: ��(zF� 1�,UL ff
L::�L2 �c.,e, Telephone: i4 - S?(Cl C7 —
2 . Owner of Property: NcV -��aw
Address: l,;9'6 3Fp(o6 Telephoner . -7:2 lv
3 . Status of Applicant: Owner Contract Purchaser
'-( Lessee Other (explain: )
4 . Parcel Identification: Zoning Map Sheet# 1�L arcel#�,
Zoning District(s) (include lays)
�(,
Street Address � P _
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
- side
- rear
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)., g X Lo 9GM-- ;,-, Lx,p nu hamdmak-_
v > 7 I c n wc3 T r .► pGL cam, _� 6U.�
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 c-N2tA Applicant r s Signature:
— — — — — - - TIN FF 16-SE — — — — — — — — — —
THIS SECO FOR OICIAL SE ONLY:
d as presented/based on information presented
as presente
son,for D
ignat of Building spector ate
NOTE: Issuance of a zoning permit does not relieve an applicants burden to comply with all zoning requirements and obtain all required permits
from the Board of HeaM,Conservation Commission,Department of public Works and other applicable permit grarrting authorities.