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ZONING PERMIT NUMBER f -(/v OR ON/A EXPIRATION DATE
APPLICANT V13. �� / AC 5 /
APPLICANTS ADDRESS" &5 PictsC 4-)e; ��ii/�i✓74 i TELEPHONE -/b 5
PROPERTY OWNER {CYCA1n✓Z r(1 5"-t C�
LOCATIONS /`8 �i P�'L1 &j"V 4C& LOT AREA ° X lS C) ZONE 1
ASSESSOR'S MAP NUMBER I f _LOT NUMBER
BUILDING HEIGHT ett\C 140 L/3 PROPOSED FLOOR AREA 'r`'r
) 7
NATURE OF REQUEST/PROPOSED USE SL A1C t( t'a ry -P
SKETCH ON REVERSE OR PROVIDE TWO COPIES OF PLANS DRAWN TO A SCALE OF AT LEAST 1" =40' SHOWING: DIN
LOT, THE SIZE, AREA, AND LOCATION OF EXISTING, PROPOSED, PRINCIPAL AND ACCESSORY STRUCTURES, DRIVE
FACILITIES AND WATER SUPPLY, PARKING FACILITIES, AND ADJACENT STREETS; DISTANCES OF PROPOSED STI
PROPERTY LINES. IN THE CASE OF FILL OR EXCAVATION REQUESTS(UNDER 500 CUBIC YARDS), DIMENSIONS OF FILL
AREA MUST BE INCLUDED. A PLAN PREPARED BY A CONNECTICUT REGISTERED LAND SURVEYOR MAY BE REQUIRED
USE SPECIFIED ABOVE SHALL NOT BE AUTHORIZED UNTIL AN ACTUAL CERTIFICATE OF COMPLIANCE IS ISSUED BY THE
ITS APPOINTED AGENTS.
SKETCH PLAN OR GRADING PLAN L'7Y ❑N/A
SEPTIC PERMIT bA T ES ON/A
STATE HIGHWAY PERMIT OYESN/A
WETLANDS PERMIT DYES /A
HAS A VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY OYES 0
HAS BOND BEEN FILED OYES /A
FEE PAID 0 CASH11�CHECK#0O ❑N/A //
� .fJY iu���co'1 �' c�'v` �cr�, 1,c1���^ 0 �`",� .)1-7,---(
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 ZO
INSPECT LOCATION.
4. CALL FOR FINAL INSPECTION AND REQUEST CERTIFICATE OF COMPLIANCE BEFORE ISSUANCE OF A C.O.
APPLICANTS SIGNATURE DATE: 3 cv
Ar-hrrtip___At-Y6a1-4-•-• VI/17
COMMISSION AGENT DATE