HomeMy WebLinkAboutAPP w CZC r— : Address: / ) -,-- 2 ism Zoning Permit #: -Ø --
515" Lot 7 Zone Expiration Date: 2//i 8/17
Town of Montville
ZONING PERMIT
PROPOSED PROJECT: /: '. o.Z .►_
Property Owner: 1.rCYJ . -t
Applicant _S 4 vjiP
Applicant Address: in CPI,y r- ye_
atS, (� ` Fax# Email: `��kt, E "it
Provide the following:
Copy of plans drawn to scale of at least 1"=40 Showing:dimensions of lot, size and location of existing,
proposed structures, driveways, sanitary facilities and water supply,parking facilities, and adjacent streets;
distances of proposed structures from property lines and wetlands. (A copy of plan prepared by a Connecticut
Registered Land Surveyor may be required).
The proposed project specified above shall not be authorized for occupancy until the Certificate of Compliance
is issued by the ZEO or Commission appointed agent.
The Owner/Agent is responsible for and agrees to:
1. Notify the Commission or its appointed agent of any alteration in the plans.
2. Contact the Zoning Officer(860-848-8549 x-379)at least 24 hours before construction begins and
upon completion of project.
3. An E&S bond may be required prior to compliance sign off and held for one year from this date.
I hereby certify that the information provided is true and correct and further attest the proposed project
is authorized by the owner in fee and I am authorized to make application for a permit for such described
work.
1:4
Owner/Agent Signature
Date: l" AA& 2 d b
— _//� 31AOdA
131 i7
Co ssio • ,•a Date Certificate of C phance(COC) Date
CE USE )ALY
YES N/A
-Easlrl Check#
Site Plan 7 ), 9 2 ❑ 0
Wetlands Permit 0 0
Has a Variance Ever Been Granted For This Property? ❑ 0
Has Bond Been Filed 0 0
H:\Forms Templates\Zoning Permit Rev10-16-15.doc