HomeMy WebLinkAboutAPP w CZC LIS 81 ` - ci_
, Expiration Date Si 2.1 14612- Zoning Fsouit# a 11- O 13
Fee SC.
Town of Montville
ZONING PERMIT
IT IS TIM OWNERS/AGENTS RESPONSIBILITY TO FURNISH THE FOLLOWING
INFORMATION:
ature of Request/Proposed Use: fl b 434 (nr ou r).& c)C?b I / Ar-er_IC I.tvI (V"-''t J
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Property Location: Lj 5 1 J i CL, )t r r C4 C--e— Map /1 Lot 11 Zone P-yv
Property Owner I.C3)el a` A vi rt t,1(Y— 17.eek..I
1 Applicant
Applicant Address
hone# Liw 1— al a\ Fax# Email
Provide a copy 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
nature of request or proposed use specified above shall not be authorized until an actual Certificate of
Compliance is issued by the Commission or its appointed agents.
The owner/agent is responsible for and agrees to:
1. Furnish all necessary information and documentation to process application.
2. Adhere to all the applicable requirements of the Zoning Regulations.
3. Notify the Commission or its appointed agent of any alteration in the plans.
4. Contact the Zonin. Officer 848-8549 x-379 at least 24 hours before construction be.ins and u1on
completion of project to allow Zoning Officer to inspect location.
5. 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 that the proposed
work is authorized by the owner in fee and that I am authorized to make application for a permit for such
described work.
n encs signature / J ��� 11
er/Ag g (7 -e J2`S h
‘"),11", G,MDate: 3(' /I/ Y1k- Date /(r
ommissio gent Certificate of Compliance OC)
OFFICE USE ONLY
YES N/A
Cash/Check#
Site Plan ❑ ❑
Wetlands Permit ❑ ❑ 1
Has a Variance Ever Been Granted For This Property? ❑ ❑
Has Bond Been Filed ❑ ❑
Rev. 4/07