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Please type or print clearly.
1. Petitioner:,
Address: _
Telephone number:
2. Owners of the Land: Allen Trust - Robert A. Brown
Address: 2+2 Andover Street, Andover, MA 01810
Telephone number: 978-475-1958
Number of years of ownership: 22 years
If a,,plicant is not the owner, please state interest in property:
3. Request for a Special Permit under Section 10 3 of the North Andover Zoning
Bylaw to Construct a Single. family dwelling on approximately
5.6654 acres of land located on Bradford Street .
4. Location of Property: Bradford Street, North Andover
Zoning District: R-1
Assessors: Map: 62 Lot : 23
Registry of Deeds: Book V 1276 Page ff:: 188
5. Existing Lot:
Lot Area (Sq.Ft.): 246 ,786+- Building Height: 35 Ft.
Street Frontage: 520 Ft . Side Setbacks: L-125 Ft, R-230 Ft .
Front Setback: 210 Ft. Rear Setback: 250 Ft .
Floor Area Ratio: N/A Lot Coverage: N/A
6. Proposed Lot (if applicable):
Lot Area (Sq.Ft.): Building Height:
Street Frontage: Side Setbacks:
Front Setback: Rear Setback:
Floor Area Ratio: Lot Coverage:
7. Required Lot (as required by Zoning Bylaw):
Lt
o AreaS .Ft.
( q ). 87120_ S F Building Height:
Street Frontage: 175 Ft Side Setbacks: 30 Ft .
Front Setback: 30 Ft . Rear Setback: 30 Ft .
Floor Area Ratio: N/A Lot Coverage: N/A
8. Existing Building (if applicable):
Ground Floor (Sq. Ft.): # of Floors:
Total Sq. Ft.: Height:
Use: Type of Construction:
9. Proposed Building:
Ground Floor(Sq. Ft.): includerofFloors: 2 1/2
-garage
Total Sq. Ft.: 9 ,494 Height: 35 Ft .
Use Single-Family Type of Construction: Brick/Wood
10. Has there been a previous application for a Special Permit from the Planning Board on
these premises? No If so, when and for what type of construction ?
11. Petitioner and Landowner signature(s):
Every application for a Special Permit shall be made on this form which is the official form
of the Planning Board. Every application shall be filed with the Town Clerk's Office. It
shall be the responsibility of the petitioner to furnish all supporting documentation with
this application. The dated copy of this application received by the Town Clerk or
Planning Office does not absolve the applicant from this responsibility. The petitioner
shall be responsible for all expenses for filing and legal notification. Failure to comply
with application requirements,as cited herein and in the Planning Board Rules and
regulations may result in a dismissal by the Planning Board of this application as
incomplete.
Petitioner's Signature:
Print or type name here:
Owner's Signature:
Print or type name here: Robert A. Brown
Allen Trust
Contact Person: Jeanette Hines, GrahamBoston Group
978-535-9063, 978-590-3250(cell)