HomeMy WebLinkAboutApplication - - 350 GREAT POND ROAD � 0 003, b000O
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PLANNING DEPARTMENT
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Community&'Economic Development Division
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Special it—Watershed P
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Please type or print cle ly.,
1. Petitioner* 41 )7-':0/))2.42 C
Petitioner's Addr+ ss.:
Telephone number rail" -L2 .
.Owners of the
s:
Number of years of ownership
.Year lot was created:
. is the I ot currentl n s pti t seer?
If sewer, please,provide date the sewer r onn ti ni was,
completed:
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51. Description of Prop osedl r e t. LI-1111
:2i:L: -a CLV_LL;� z n S" Z"
,Description of Premises:
11
.Address of Property Being Affected- 35
Zoningistrl t�
Assessors Lot
Registry oft Deeds: S 3G/ Page M. 3 3Z
8. Existing Lot:
Lot Area Sq, Ft): uilding eight
Street 'r ntag Side Setbacks
Front Setback: Rear Setback:
Floor Area R ,tl : Lot Coverage.-
9.
Proposed Lot(if applicabl w
Lot Area (Sq.Ft): Building Height:
Street Frontage: Side Setbacks:
Page of 2 A
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120,Main Street, Planning Dept., North Andover, Massachusetts 01845
Phone .6 . 53 Fax 978.688.,9542 Web www.northandoverrna,
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Front Setback: ___ Rear Setback:
Floor Area Ratio: Lot Coverage:
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10.Required Lot as required by Zoning Bylaw :
Lot Area(Sq.Ft): Building Height:
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Street Frontage: SideSetbacks:
Front Setback: Rear Setback:
Floor Area Ratio: Lot Coverage:
11. Existing Building(if applicable):
Ground Floor(Sq. Ft,): of Floors:
Total S . Ft.: Tight:
Use: Type of Construction:
2. Proposed Building:
Ground Floor(Sq. Ft. : of Floors:
Total Sq. Ft, eight:
Use: Type of Construction:
1 . leas there been a previous application for a Special Permit from the Planning Board on these
premises?
If so,when and for what type of construction?
14.Section of Zoning Bylaw that Special Permit is Being
Requested
. Petitioner and Landowner signature( :
Every application for a Special Permit shall be made on this form, which is the official form of the
Planning Beard. Every-application shall be filed with the Town Cleric'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 Mules and Regulations may result in a dismissal by the Planning Board of this
application as inornplet
Petitioner's Signature:
Print or type name here:
Owner's Signature:
Print or type name here:
1 . Please list title of plans and documents you will be attaching to this application. .
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12 Main Street, Planning Dept., North Andover, M assechusetts 01 r
Phone 978.688.9535 Fax 978.688.9542 Web www.northandoverma.gov