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HomeMy WebLinkAbout205-27 I ZONING PERMIT � t a IS THE APPLICANT'S RESFONSI} MITI' TO FURNISH THE FOLLOII /INFORMATION: Pit / PROPERTY LOCATION 'l h �O cw) uby 614- dec. `� ' MAP LOT 8 " COO _� ek /TAALj1 �leSkl PROPERTY OWNER CONTRACTOR j c e fin S 01�eq 5��l p CONTRACTOR LICENSE# l(�j 38 �[ CONTACT ADDRESS IN 4 1 l TRS S\ 0t✓4i C(A .O(D.T 1 v` TO O TELEPHONE CQ"4- 8©S- TO�/ ZONE LOT AREA STRUCTURE AREA / HEIGHT NATURE OF REQUEST/PROPOSED USE dJ `bm C //�l L-S,n eri T[/Al Sl r y leqrko,D A SKETCH,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 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 OF COMPLIANCE IS ISSUED BY THE COMMISSION OR ITS APPOINTED AGENTS. Office use only YES N/A SKETCH PLAN OR GRADING PLAN El ❑ HEALTH DISTRICT/WPCA APPROVAL ❑ ❑ STATE HIGHWAY PERMIT ❑ O WETLANDS PERMIT ' ❑ ❑ HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY ❑ CI HAS BOND BEEN FILED X, 4.J ( 0�' 04 17 ❑ FEE dO ❑ CASH/CHECK# ❑ ZONING PERMIT NUMBER 0 UC."' Q C1 OR El N/A EXPIRATION DATE 0 6. ^ CDC' 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 APPOINTED AGENT OF ANY ALTERATION IN THE PLANS. 4. CONTACT THE ZONING OFFICER (848-8549 x-379) AT LEAST 24 HOURS BEFORE CONSTRUCTION BEGINS AND UPON COMPLETION OF PROJECT TO ALLOW ZONING OFFICER TO INSPECT LOCATION. 5. AN E&S BOND SHALL BE POSTED PRIOR TO COMPLIANCE SIGN OFF AND HELD UNTIL ONE YEAR FROM THIS DATE � _ APPLICANTS IGNATUR% - �i1 , ' `sem�� DA ,) --d e" •da i # DATE - OS 7 `jw.e.c DAT,46 '0 l� COMMISSION AGENT CERTIFICATE OF COMPLIANCE (COC) 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 eun A reStas.0 a 6\-01 REV. 5/28/03