HomeMy WebLinkAboutAPP w CZC Address: ( 1 01665A( Ff ) 5 r, ( 5 kd Toning Permit #s _{' to7 9)
Map: A 3 Lot: C2 Zone: ao Expiration date: b 1 a q ) 62 Oa0
Town of Montville Zoning Permit""" ///''' ��q
PROPOSED PRO.JE/CT: Summer 1)00 cdl/Cl 7o kit I r c
Property Owner: 6ui .,�4.e f h x [SI Le hei(�//' C(.{,n,7�
Applicant: t * nn-Z,�p��7 r he/GL C��r�L-�� / /
Applicant Addre .: _O__. l-CE1vs-e7/S _. _. _ CT C/ale 6/ ? 7'd
Phone# AGO COY 9S33 Cell# ?6:0 637 2/
Fax# Email: �}ure- �7Q(//�f-e 0hdina// con)t
Provide the following:
/Copy of plans drawn to scale of at least I" — 40' showing: dimensions of lot, lice and location of existing,
proposed structures, driveways sanitary facilities and crater supply, parking facilities, and adjacent streets; distances of
proposed structures from propene lines and uzdands. (A copy of plan prepared by a Connecticut Registered Land
Surveyor may be required).
The proposed project specified above shall not he authorized until an actual Cerfi/icate of Zoning Compliance is issued
by the Commission or its appointed agenl.
The Owner/Agent is responsible for and agrees to:
1. Notify the Commission or its appointed agent of any alteration in the plans. 1.
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 offend held for one(1)year from this date.
I hereby certify that the infor ion provided is true and correct and further attest the proposed project is
authorized by the owner in fee` • 1 am aut • -. ed to make application for a permit for such described work.
Owner/Agent Signature t SS ' j Dade: :I, 90. /9'
• pelicans Signature y�P/l4 {7 / —ale
� •1911kt -aa. lO ate: ST020` /7
/
Commission Agent Date Certi 'ate ening .omplianec CZC)Dater
OFFICE USE ONLY FEE: �'Pj CASs / CHECK# I!
(0
YES N/A
SITE PLAN ❑
WETLANDS PERMIT ❑ 17J---
VARIANCE EVER BEEN GRANTED FOR THIS PROPERTY? ❑ U----
HAS
/HAS BOND BEEN FILED? ❑
CONDITIONS: r �Q4bOCr5 1e-,Lt i44 00IIce
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