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2002 - Business Signage Zoning Permit
2- .____------ ZONING -- ZONING PERMIT IT IS THE APPLICANT'S RESPO SIEIILIITY/TO FURNI THE FOLLOWING INFORMATION: PROPERTY LOCATION ' l (�/` / / MAP 73 LOT PROPERTY OWNER 410 //T ,..„( ii-J/ CONTRACTOR /07'A7 i j. CONTRACTOR LICENSE# CONTACT ADDRESS 319' /v (j ;87 /7 TELEPHONE / -\E1- hC \-UC- ZONE�� LOT AREA?' STRUCTURE AREA A v HEIG �C Or NATURE OF REQUEST/PROPOSED USE "1/7 / g'P1 tc L!N 4-- -R, i., A SKETCH,OR PROVIDE TWO COPIES OF PLANS DRAWN TO A SCALE OP AT LEAST I"C 40'SHOWING*DIMENSIONS OP 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 PROM PROPERTY LINES AND WETLANDS. 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 OP COMPLIANCE IS ISSUED BY THE COMMISSION OR ITS APPOINTED AGENTS. Office use only YES N/A SKETCH PLAN OR GRADING PLAN fa 0 HEALTH DISTRICT APPROVAL 0 Ed STATE HIGHWAY PERMIT E LANDS PERMIT E AS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY 0 E HAS BOND BEEN FILED El FEE El CASH/CHECK# El ZONING PERMIT NUMBER c 0 - as 1 OR ❑N/A EXPIRATION DATE \O}3 1O \ THE APPLICANT IS RESPONSIBLE FOR AND AGREES TO: 1. ADHERE TO ALL THE APPLICABLE REQUIREMENTS OF THE ZONING REGULATIONS. 2 FURNISH ALL NECESSARY INFORMATION AND DOCUMENTATION TO PROCESS APPLICATION. 3. NOTIFY THE COMMISSION OR ITS APP• ' AGENT OF ANY ALT 'ON IN T ` PLANS. 4. CALF FOR FINAL INSP � i AND -QU ' RTIF.- ATE OF COMPLIANCE BEFORE ISSUANCE OF C. O. ,-- APPLICANTS SIGNATURE ,1l�1�� /" /i,I'I � DATE: / _(P D, MI 7141'i-1411 F:A1-.`''' DATE 10124b©66 -:ZGI'C£i .0,, kDATE J7��/ Z COMMISSION AGENT CERTIFICATE OF COMPLIANCE THIS SIGNED PERMIT AUTHORIZES THE APPLICANT TO PROCEED TO THE BUILDING DEPARTMENT FOR ANY REQUIRED PERMITS THE SIGNED CERTIFICATE OF COMPLIANCE IS NEEDED PRIOR TO A CERTIFICATE OF OCCUPANCY BEING ISSUED BY THE BUILDING INSPECTOR CONTACT THE ZONING OFFICER (848-8549) AT LEAST 24 HOURS BEFORE CONSTRUCTION BEGINS AND UPON COMPLETION OF PROJECT TO ALLOW ZONING OFFICER TO INSPECT LOCATION. REV 6/29/99