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23D-060 File No. .0('.P9 =—isEp Lti) ZONING PERMIT APPLICATION (§10 . PVT OF BUILDING INSPECTIONS NORTHAMPTON,MA 01060 PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: No (2. T—f( vt 07- 'N �re-kJ Er I kl G- Address: % J O NS) 3 )_/�(RV I E?.v 7�V�j NId�Telephone: ,SS' —O 6 q L1 2. Owner of Property: M (CI4AEL PO N NE LL Address: g R1V P1(�S I DC (11 lta ki Telephone: —(813 3. Status of Applicant: Owner 1-6ontract Purchaser Lessee Other(explain): 4. Street Address: a f2iVE2S/DE DR(ye fv021 ffH-MP ION. (a3 P, Qot59f100 _ Parcel Id: Zoning Map# Parcel# �� �� District(s): �[ ei:3 (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Existing Use of Structure/Property R'e5 JCE 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): CL ANC- Di U5> V/20M Ru5rDqvcE TO QV/41;€R /1EETINGE{OuSE) t,Jl'ti4 Ci-(URci-( �r�oFT(Ce51 SuNV 5ct p doL RonmS) LTG. ! 2eSENi DW LING (5 No mcdNr0(2G(,( ((1�C� 7. Attached Plans: Sketch Plan /Site Plan Engineered/Surveyed Plans Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files. ,26 8. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO v ? DONT KNOW YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO V DONT KNOW YES IF YES: enter Book Page and/or Document# 9. Does the site contain a brook, body of water or wetlands? NO V DONT KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained ,date issued: (FORM CONTINUES ON OTHER SIDE) FILE # 960289 APPLICANT/CONTA T ERSON: 4G�;G1" ADDRESS/PHONE: C� OIa-S PROPERTY LOCATION: o?/ j-t4( MAP c,.),3J) PARCEL: /0 ZONE C.1 THIS SECTION FOR OFFICIAL USE ONLY: • PERMIT APPLICATION CHECKLIST Ty ENCLOSED REQUIRED DATE - 7ONTNC FORM FTT,I FT? 0TTT i? 1 f."(4d---C Fee Pair) Rnilding Permit Filled not Fee Paid Type of C'nnctrnctinn• New C'nnctrnrtinn Remodeling Interior Additinn to Existing Accessory Strnctnre J3nilding'Plans Tnrinded• nwnerIflrrtpant Statement nr licence 1 3 Sets of Plans I Pint Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: Approved as presented/based on information presented Denied as presented: Special Permit and/or Site Plan Required under:§ PLANNING BOARD ZONING BOARD / Received&Recorded at Registry of Deeds Proof Enclosed__ t/ Finding Required under:§ cZ3-agw/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability - Septic Approval-Bd of Health Well Water Potability-Bd Health Permit f Conservation Commission igaature f ding for Dat NOTE:issuanoe of a zoning permit does not relieve an epplioants burden to comply with all _ zoning requirements end obtain all required permits from the Board of Health, Conservation Commission, Department of Publio Works and other applicable permit granting authorities.