55 Damon Deny 1 of 2File# BP-2019-0291
APPLICANT/CONTACT PERSON POYANT SIGNS
ADDRESS/PHONE 125 Samuel Barnet Blvd. New Bedford (800) 544-0961
PROPERTY LOCATION 55 DAMON RD -DUNKIN DONUTS
MAP 18D PARCEL 026 001 ZONE GI{lOO)I
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
SECOND )I (iN
If \'F flo rJT CU(lf) CAA\
l;.B~ sr(i,~ fc{{fv"t'
ENCLOSED REQUIRED DA TE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ILL UMIN A TED DIRECTIONAL -SIGN B
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION P~SENTED:
__ Approved~ Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§ _________ _
Intermediate Project: ___ Site Plan AND/OR ____ Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: § 3 5°0 -), ~ ( M)
Finding ____ _ Special Permit _______ Variance* ___ _
___ .Received & Recorded at Registry of Deeds Proof Enclosed ____ _
__ Other Permits Required:
___ Curb Cut from DPW ___ Water Availability ___ Sewer Availability
___ Septic Approval Board of Health ____ Well Water Potability Board of Health
___ Permit from Conservation Commission ___ Permit from CB Architecture Committee
___ Permit from Elm Street Commission
___ Demolition Delay
/~
Signature of Building Official
____ .Permit DPW Storm Water Management
Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health, Conservation Commission, Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards ofMGL 40A. Contact Office of
Planning & Development for more information.
' 11 . ALL INFORMATION MUST BE COMPLETED: PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
12. This column to be filled in by
h B "Id" D t e u1 mo eoartment.
Existing Proposed Required by
Zoning
Lot Size
Frontage
Front:
Setbacks:
Side: L: R: L: R:
Rear:
Building Height /0/1 'I
Bldg Square
Footage
% Open Space:
(Lot area minus bldg and
Paved parking)
# of Parking Spaces
# of Loading Docks
Fill: (volume & location)
13. Certification: I hereby certify that the infonnation contained herein is true and accurate to the best
of my knowledge.
DATE, ?;jtf..5-APPLICANT'S SIGNATURE %.~
Page 3 of3
~ ~,i,V I !Jart ~ Pey'~ 'I-13 tt f, ~
Applicant's Email Address (required)
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.