31B-260 (10) FILE I 9 C• 1 J 15
bf1 l 9 199E •
APPLICANT/CONTACT PE Ni - t;
-- ADDRESS/PHONE: -;Zf c=; 11:_.1 r?- .
PROPERTY LOCATION: /( J(C% (.i_//f_<_ i (.- f.�' 1
MAP 3 ,t3 PARCEL: 60—,-;, ZONE (�
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
(ONTT G FO ••M FIT,T,FT) (NTTr L.�
NPP Pn id• , LL� I -,�'- f ,
Building Permit Filled nut
Fee Paid
Type of Cnnctnictinn•
New f nnctr,irtinn
•Remodeling Interinr
Addition to Fxicting
Acreccnry Structure ,
Building Planc included•
owner/Orciupant Statement nr Licence #
3 Setc of Planc / Plot Plan
THE ,LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: ''
L/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
Finding Required under: § w/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
ermit f m Cons ti C scion
Y6
Signature of Building Inspect D
NOTE: Issuenoe of a zoning permit does not relieve en applioent's burden to oomply with all
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other applioable permit granting authorities.
_ i 9 1996 - h�fi'�
File No. 9
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: f 4 0 Y jj fify
Address: `../ Li7K f T F iV'(- E Telephone: =� l C:- 7
2. Owner of Property: F/D /.o /9 i U /2,c)5
Address: / L k E_ Telephone: S- C G i 7 ?
3. Status of Applicant: X. Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: / 6 a i l ci c'20 _/(,/i C ,Z c L d % •
Parcel Id: Zoning Map# • 1 L) Parcel# :LC L District(s): C" /3
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property fit'f S T//9- L /H C 17 4. C� F/— /C_C_
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if ne--essa(y):
RA f n IA L. / r;v l L £_ Z ,� , ru c 1 C E-_
OC) At - C_I-IA/`1(',C c, A 1 tcfv rti fS k"f r
I ' i w ?C''#"\1 ,16 -
7. Attached Plans: Sketch Plan X Site Plan Engineered/Surveyed Plans c cii.
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special PermitNariance/Finding ever been issued for/on the site?
NO X DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES , "
IF YES: enter Book Page and/or Document# •
9. Does the site contain a brook, body of water or wetlands? NO DON'T 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) •
10. Do any signs exist on the property? YES NO X
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES h NO
IF YES,describe size,type and location: S I?) t< m) c i 4-2 r_u I F t L c , 1//nt/'c.
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This column to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnrit
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
•(Lot area minus bldg
&paved parking)
# ,pf Parking Spaces
#''Of Loading Docks
Fill:
."{vol-t me--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my knowledge.
DATE: 0 t , I 6, c, C. APPLICANT'S SIGNATURE l '
Ill' NOTE: Issuenoe of a zoning permit does not relieve an epplioe Ys urden to comply wittx,.ill
zoning requirements end obtain all required permits from the Board of Health, Conservation
Commission, Department of Publio Works and other apptioeble permit granting authorities:
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