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APPLICA1hION FOR A ZONING PERMIT, TOWN OF MONTVILLE, CONNECTICUT •
� • To be filled out by Applicant - 1 original and Igg. carbon copies
PLEASE USE TYPEWRITER -
Date c , , 1988.
The undersigned hereby applies to the Zoning and Planning Commission for a permit to COWS T/Zt1c.Y
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La.a%n i,i tsaa r—ra vyct i y m / V f L•I_ L �a If �• C t-( TE RI:1 [ F= F- D
Name of Subdivision H1 I—I- TO P G S 77i-7-WS Lot No. 't 8
Assessor's Block No.f7AP I/ , Assessor's Parcel No. /(7 .4' .2-9
Name of (Owner) (i4getrt) e..,HR(S7/f MO/1S (C—. , Address /t)E(_e_) I. Ott)-06N,1
Size of Building in ft. : Front overall 40 , Depth overall 2..ci , Area C7,60 sq. ft.
No. of stories Height in ft. / 6 , No. of rooms , No. of bedrooms o7..
No. of bathrooms I , Zoning District Rpt '0 , Area of Lot. 71 OOtsq. ft. , Lot frontage ft.
Lot Width 0-6500 ft. , Front Yard Depth .6-0 ft. Rear Yard Depth /DO ft. , Side Yard Depth 50 ft.
Purpose of building and/or use is (.5 /N61 /...c.- 5 j 0 E- Ne L-
Water Supply to consist of (EYE L, I-. Sanitary facility to consist of $r p •r/c_
S YS .T , Date of Sanitation Officer approval
Remarks _,�► i. ' . M..
12.1D 2-PC @ S) cis N`iskwa d~"cia •/0"
I hereby agree to conform to all requirements of the Laws of the State of Connecticut and the
Ordinances and Regulations of the Town of Montville, and to notify the Zoning and Planning
Commission of any alteration in the plans for which this permit is being asked. I furthermore agree
that the agree that the above described facility is to he located at the proper distance from all
street lines as required by the Zoning Regulations or any other applicable local and state ordinances
and regulations and it- is understood that the facility upon completion will be used in compliance with
the Zoning Regulations of the Town of Montville.
I hereby apply for a Certificate of Use and Compliance for /Q S / R}(3G L. F1I7r1111- Y
�D •aC E described in the above application for a
permit. It is my understanding that the facility can not be occupied until a Certificate of Use and
Compliance has been issued by the Zoning and Planning Co
ssion.
Signed + `
Oaml �€) (Agent
Tel . No. ffqc-f -70
Approved by Zoning Agent4 Date 2/Z4AZ-
Zoning Permit No. 5` — •r' issued.
Disapproved by Date •
Reason
1C/10/70