HomeMy WebLinkAbout2011-05-17 Application SPR New Dorm 8 Leo
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PLANNING DEPARTMENT
Community Development Division
Special Pei•tttit—Site Platt Review Application
Please type or print clearly.
1.Petitioner: . Z3/2Q4/C5 mac'1-1404 C
Petitioner's Address: T /BOA--D IZ6 4
Telephone number: ,-7? 2 r7 2-J j6 2
2.Owners of the Land: 9126014S �C"/fdfJ
Address: /!(0 0 e5 lee % `Jdmt J 1004
Number of years of ownership: ¢
3.Year lot was created: /5 2
4.Description of Proposed Project:
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5.Description of Premises: e-96 d4p?-Vkt y ip
6.Address of Property Being Affected: / Q G 024—Gy T /2b f C)
Zoning District:
Assessors Map: f 4 Lot#: 20
Registry of Deeds:Book#: Page#:
7.Existing Lot: (Sq.
q `7� a3 4C g g
Lot Area S .Ft): Buildin Height:
Street Frontage: Side Setbacks:
Front Setback: Rear Setback:
Floor Area Ratio: Lot Coverage:
8.Proposed Lot(if applicable): ACC
Lot Area(Sq. Ft):—Ik'�k5 77`4d-,o`t1LrBuildin9 Height:
Street Frontage: /17 /—fie Side Setbacks:
Front Setback: Rear Setback:
Floor Area Ratio: Lot Coverage:
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1600 Osgood Street,North Andover,Bldg.20,Suite 2-36 Planning Dept.,I-iassachusetts 01845
Phone 978.688.9535 Fax 978.688.9542 Web wvnv.tovinolno villa ndover.com
9.Required Lot(as required by Zoning Bylaw):
Lot Area(Sq.Ft): Building Height:
Street Frontage: Side Setbacks:
Front Setback: Rear Setback:
Floor Area Ratio: Lot Coverage:
10. Existing Building(if applicable):
Ground Floor(Sq.Ft.): #of Floors:
Total Sq.Ft.: Height:
Use: Type of Construction
11.Proposed Building: &,f &o 5 F"'
Ground Floor(Sq.Ft.): #of Floors: Z.
Total Sq.Ft. /Z o v v Height: 9 el"eTe 7—
Use: /Z 4 Z Type of Construction: 4 660
12.Has there been previous application for a Special Permit from the Planning Board on these premises?
If so,when and for what type of construction?
13.Section of Zoning Bylaw that Special Permit Is Being
Requested N!9
14.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: ^ "+,5 � -7� �.2 c �G ales S �'Clbo �
Print or type name here: -��/1� -�v 1i4 z5C
Owner's Signature:
Print or type name her .
15.Please list title of plans and documents you will be attaching to this application.
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1600 Osgood Street,North Andover,61dg.20,Suite 2-36 Planning Dept.,Mossuchusetts 01845
Phone 978,688.9535 Fox 978.688.9542 Web w%,vi.tawnoinorlhottdover.con3