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TOWN OF 1401VTVICCE
CONNECTICUT _
CERTIFICATE OF USE AND CONPLI
Permission ANCE Np• aa_=Q
faciIit is hereby granted to Dated:
Y located on
66 Of
n accordance to use o / with the
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Connecticut, and in compliance application for as a
with the Zonin a Zoning Permit
9 Regulations f dated
ZONING AND PLANNING Cpl or the Town of Montville,
ISSION, TONjy OF MONTVILLE, CONNECTICUT
The recipient of gent t e
as the owner or this Certificate or oning an
and regulations of accepts 9 omnission
regardin the Town of representing the owner Certificate
understood the use Montville and the to comply with on the condition
that occupancy and t the State all a that he
does re any change of Ype Of activit Statutes of the pPIicable ordinances
quire a new Certificate uof °f the facility to be instituted, State of Connecticut
NOTE: Changes Use and Compliance for which this Certificate furthermore
specified granted is being
in the Certificate applicant after issued
Use and Compliance Ce of the Zoning permit are
to be clearly
I
R~ TOWN OF MONTV I LL '
.c7
BUILDING DEPARTMENT
AFOR'BUILDING PERMIT
Permit No. 19AT4SS' Date 44AIJ 10 630
Estimated Cost 3cx7~ Fee
Owner OKr; _ i~2~. Address ~lv ec 1 cooc~ W.Tele.
Contractor A4,-.,,s Address ~y *t-iw c~~~ c~. Tel e. YF a I-
Location of Building Zone No.
Additions & Alterations (Including moving, demolition, sign erection)
~aX~yJ ne~~s
New Building - Type of Construction
Size Type of Heat Fireplace
No, of Stories No. Rooms Breezeway
No. Baths Garage Use
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.
Signed J Approved 72
Date Building Inspect
Inspections For:
Footings
Framing
Rough Wiring
Electric Service
Rough Heating
Fireplaces
Other Misc.
Final Inspection for C.O.
Approved ! Rejected Signed _
Z O N I N G P E R M r T
ZONING PERMIT NUMBER
r
EXPIRATION DATE: ,
DATE SUBMITTED x9 92 C
10
Applicant: v r~'
Applicant's Address 1r✓ 1~~~R F~~!~ Telephone No.
Property Owner: " .Zl
Property Location. ^2c~~~~ , Assessor s Map No. Lot No.
Subdivision Name:
Zone: 1 Lot Area Building Height:
Total -Floor Area o Structure after Development-
Sign Area (If Applicable):
Nature of Request/Propos
This zoning permit and two copies thereof shall include plans drawn to a scale of at least 1" = 40' showing dimension
of the lot, the size, area and location on the lot of existing, proposed, principal and accessory structures, driveway
sanitary facilities and water supply, parking facilities, and adjacent streets. Distances of structures from property
lines and centerlines of public roads mast also be indicated. In the case of fill or excavation requests (under-500
cubic yards), dimensions of fill or excavation area must be included. Any other specific uses must also carply with
the zoning regulations. A plan prepared by a Connecticut Registered Land Surveyor may be required.
The applicant guarantees to adhere to all the applicable requirements of the zoning regulations. In addition, the
applicant agrees to notify the Commission or its appointed agent of any alteration in the plans. The use specified
above shall NOT be authorized until an actual Certificate of Use and Compliance is issued by the Cccammission or its
appointed agent. THIS PEWIT Al 13RIZES THE APPLICANT TO PP&-EED TO TYE BUILDING DEPARTFOff FOR ANY REQUIRED PfINTS
fit
ction Date pp scant
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LOCATION Or PROPOSED STRUCTURE OR USE
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BUILDING LINE DIMENSION (WIDT1