HomeMy WebLinkAbout21/ ZP 56 iddress: ds.9 5 610,d1 Zoning Permit # os-6
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Map 2 'S Lot 3 "3 Zone 9{n`(U Expiration Date: a I l q
Town of Montville
ZONING PERMIT
PROPOSED PROJECT: ?Q/n„je 2.X\2 c&Q c1c -(3\cL.t w of c ic-- ( (Qc )
Property Owner: UCLijCJ J ()CA() Vl Po +m Gl
Applicant: CC C ()man
Applicant Address: 31 L{ 6).6 (Da iv) (7j
Phone# 0 3 1 o O Fax# Email: rb2c rl ��c�'E"4 ma/Y.4:0/1i
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Provide the following:
Copy of plans drawn to scale of at least 1" = 40' shOWinj;: 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 until an actual Certificate of Zoning Compliance
is issued by the Commission or its 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 (860-848-6753) 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(1)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.
Owner/Agent Signature Date:
Applicant Signature Date: 6--)- 0 - /
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voirg wao,), 7f131 ,8,
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Commissi Agent Date Certificate of Zo ing Compliance(CZC)Date
OFFICE USE ONLY - FEE: Sc, CO CASH / C H ICK . c{7 73
• N/A
SITE PLAN ❑ ❑
WETLANDS PERMIT ❑ ❑
VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY? ❑ ❑
HAS BOND BEEN_FILED? ❑ ❑
CONDITIONS:
H.:Worms TemplateslZoninglZoningPermit.docWednesday,May 03,2017
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