HomeMy WebLinkAboutAPP w CZCAddress: / 15 j I Ll3Ct. CA(wade Zoning Permit# p/7 - -6m0
Map: I Lot:I Zone:f 110 Expiration date: I;g Igddo
Town of Montville Zoning Permit
PROPOSED PROJECT: {,e J Cyan llllC (N\ / rnoAL)I 0-e
Property Owner: hK:5 2 \ec&()v.Q,.
Applicant: \& (leo_. 2Sne.,01,02_
Applicant Address: i i 9 r)ip(t4,1 pWG,C') (.x.cc4V,,LQ
Phone# (j(AO-co(25- Y03-.S. Cell# c,, Q
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Fax#b(o0 -VII-414059 Email: 0a v.e..a 5bC..Ci ) bo-(2.ele..-T
Provide the following: ,Q
5-it Y1o v. iwi-4,12.4. - `"`eGGYe ct tola.5144,
Copy of plans drawn to scale of at least 1" = 40' ShOWiilk: dimensions of lot, size and location of existing,
proposed structures, driveways, sanitaryfacilities and water supply,parkingfacilities, 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 authorizeduntil an actual Certificate ofZoning 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 (860-848-6779) 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 V--=-. lb/N.J.,— Date: 9. d 3 - ) C'1
A plicant Signature L.Cis•-- £-L - _. Date: -cc.5- 1
C.X'," L)668 .(x.k q \z\I cj (la, i 13,i )cdz
Commissions 4gent Date Certificate ofZonint Compliance(CZC)Date
Ol/I !CE USE ONLY FEE: ti. 1 I 0• V O CASH / CHECK# riGk 1 co
S N/A
SITE PLAN
WETLANDS PERMIT L
VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY?
CONDITIONS:BOND BEEN FILED? 1 . cfi, \A•7 ^ K% \
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H•1Forms TemplateslZoninglZoningRermitAPPRev1,j14-2018.doc ev.11/14/2018 u
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