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ZONING PERMIT
ASSESSOR'S MAP NUMBER lO 3 LOT NUMBER 1/3 /3/?:
EXPIRATION DATE ///
ZONING PERMIT NUMBER
APPLICANT A P-/V NJpe123-,2Yekr-,415
APPLICANT'S ADDRESS / /N90):549r /(,v,e j`J(yriJ)'Gvl cT TELEPHONE NUMBER -7-0/4/5
PROPERTY OWNER /`- 6/1-.)(:))/,'/'
LOCATION S7 /4'ef/,1 4t e LOT AREA ZONE
BUILDING HEIGHT 5/ / ' 2Y9 '/a PROPOSED FLOOR AREA 3 yQ
NATURE OF REQUEST/PROPOSED USE C,'L//n'/ 7,,;,�/ a1 _V/in,
HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY 7 YES 7 NO HAS BOND BEEN FILED? j1 YES NO
SKETCH BELOW OR PROVIDE TWO COPIES OF PLANS DRAWN TO A SCALE OF AT LEAST 1': 40' SHOWING: DIMENSIONS OF THE LOT. THE SIZE, AREA.
AND LOCATION OF EXISTING, PROPOSED, PRINCIPAL AND ACCESSORY STRUCTURES, DRIVEWAYS, SANITARY FACILITIES AND WATER SUPPLY, PARKING
FACILITIES, AND ADJACENT STREETS; DISTANCES OF PROPOSED STRUCTURES FROM PROPERTY LINES. IN THE CASE OF FILL OR EXCAVATION REQUESTS
(UNDER 500 CUBIC YARDS), DIMENSIONS OF FILL OR EXCAVATION AREA MUST BE INCLUDED. A PLAN PREPARED BY .A CONNECTICUT REGISTERED
LAND SURVEYOR MAY BE REQUIRED. THE PROPOSED USE SPECIFIED ABOVE SHALL NOT BE AUTHORIZED UNTIL AN ACTUAL CERTIFICATE OF USE AND
COMPLIANCE IS ISSUED BY THE COMMISSION OR ITS APPOINTED AGENTS.
THIS PERMIT AUTHORIZES THE APPLICANT TO PROCEED TO THE BUILDING DEPARTMENT FOR ANY REQUIRED PERMITS.
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THE APPLICANT AGREES TO:
1. ADHERE TO ALL THE APPLICABLE REQUIREMENTS OF THE ZONING REGULATIONS.
2. NOTIFY THE COMMISSION OR ITS APPOINTED AGENT OF ANY ALTERATION IN THE PLANS.
3. CONTACT THE ZONING OFFICER )848-8549) AT LEAST 24 HOURS BEFORE CONSTRUCTION BEGINS TO ALLOW ZONING OFFICER TO INSPECT
LOCATION.
4. CALL FOR FINAL INSPECTION AND REP ' CERTIFICATE OF COMP NCE BEFORE ISSUANCE OF A C.O.
i ! 01'
APPLICANT'S SIGNATURE / __ )ATE // /a/(?(79_
THE LETTERS NA (INDICATING 'NOT APPLICABLE') SHALL BE NOTED IN LIEU OF A ZONING PERMIT NUMBER IN THE EVENT THAT 4 ZONING
PERMIT FOR THE PROPOSED USE IS NOT REQUIRED,
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COMMISSION AGENT :ATE