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TOWN OF MONTVILLE CONNECTICUT - CERTIFICATE OF USE AND COI-1PLIANCE
9
Dated: X23
penmission is hereby g ~ ranted to use the facility located on 30>y io CoWST - as a S~
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, ~ an. in c,
in ac corclance wii{i H,e eclication for a zoning pegnit gate -
.with the Zoning Regulations for the Town of Montville, Connecticut•nm'ssion, Town of,CJtontville
Zoning and Planning C
Connecticut
-~y r~ Corn-n;
Agent for-ieZoning langi a P
~e reci irn` of this Cerlificate accepts this Certificate on he o condition that a finfete.S tiileons
Tl P r,-ns to ccmply with a1) cppl
crwmr or as representing the owner, cg
ontvilleand the Stem Str,`u`'s cf t''le Stcte cf Connecticut tecarding farting the use, of usa
of the Town of fv1
occupancy and type of activity to b^ in`titt'`ed• It forthe 'ur e aer w Certificate cf Use and
of the facility for which this Cer;ificcte t; being i..~~..d d~..s r.'' - clearly
l
Compliance
licant ester iswanc0 cf tha Zoning Permit are to G.• c
NOTE- Chcr,ges gmnt`dse a and Cornp{iance.
specified in [he Ceriificaie of U~
J0WNOFMONTVILL
f
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Permit No. Y Date 1
y~ ,-O _
~
-Estimated Cos Fee
t -
A9 U Address T Tel e.
Owners
Address 4A-rYli~- Tele. SA-vy-te
Contractor, ~
1 R Zone No.
Location of Building
Additions & Alterations (Including moving, demolition, sign erection)
i0-)(-
New Building - Type of Construction _
Type of Heat Fireplace
Size
No. Rooms Breezeway
No, of Stories _
Garage Use
No. Baths `
I hereby certify that the proposed construction will conform to the applicable zoning reg-
ulations of the Town of Montville and the Basic Building Code of the State of Connecticut ,
and that all statements herein contained are true and correct.
` Approved
Signed
Date Building Inspector
Inspections For:
Footings
Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved Rejected_ ;igned_
t MONTVILLE, CT.
ZONING PERMIT
EXPIRATION DATE:
DATE SUBMITTED ~~1 f PROPERTY LOCATION INCLUDING ASSESSOR'S MAP
PROPERTY OWNER J
AND LOT NUMBERS APPLICANT'S ADDRESS /TELEPHONE NUMBER} A~L~kur ti
APPLICANT (9 SUBDIVISION NAME
ZONE LOT AREA BUILDING HEIGHT
SIGN AREA IF APPLICABLE
TOTAL FLOOR AREA OF STRUCTURES AFTER DEVELOPXNr l~ ~X t~to
NATURE OF REQUEST/PROPOSED USE:
This application, and two copies thereof, including plans drawn to a scale of at least 17=40' showing dimensions of lot,
and accessory structures, d r i v e w a y s , SgniPa-
the size, area, and location on the lot of existing, proposed, principal
facilities a n d water and adjacent streets. Distances o f structures f r o m property lines m o supply, parking facilities, requests (under 500 cubic yards)
centerlines of public roads must also be indicated. In the case of fill orafor tiospecifes uses most also be
dimensions of. fill area and cubic yards mast be included. Any othex regulations
complied with. A plan prepared by a Connecticut Registered Land Surveyor may be required.
The applicant guarantees that all the applicable requirements of the Zoning Regulations will be adhered to. In addition,
ent of any alteration in the plans. Application for
the applicant agrees to notify the Commission or its appointed a ~ above is hereby made, the use of which shall not be authorized
Certificate of Use and CAmpliance for the use spec fit, This permit
until an actual. Certificate of Use and Compliance is issued by the Commission or its appointed
applicant to proceed to the Building D partment for any requisite permits.
authorizes the app
Commission Agent- - Action/Date
PLAN
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