HomeMy WebLinkAboutApplication - 195 BRIDLE PATH 1/14/2010 O F IAORTil
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2010 AN 114 A N 3. 2 9
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PLANNING DEPARTMENT
Community Development Division
11 A QJS A H U'.� F
Special Permit— Watershed Permit Application
Please type or print clearly.
1. Petitioner: o b r Eizc-oLt�t
Petitioner's Address: r-" A"I ooueA 'A4 Vq
Telephone number: 2 1 6 oo- 6�-7 f7 - 3-2-zQ
2.Owners of the Land:
Address: l S e, J(� IP 4tt4 -Alovz fl -, A-yd �—O �45
Number of years of ownership: L4 e 4 JZ-S
3.Year lot was created: ct ?o
4. Is the lot currently on septic or sewer?
If on sewer,please provide date the sewer connection was
completed: 2 00
4
5. Description of Proposed Project: A 4
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q- rn&w-eo, r—t KL,6 I a cg- ov e'V'lb, weir ¢ 4, 6 W 4 ` -Vlh bPTIA-&U A-P-4410-4
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6. Description of Premises: 3 q fK-7 F-;-q,,,t W I M (Irz-1 0-1 11s K Wet"
7.Address of Property Being Affected: I Q G
Zoning District: J. CC>u Q-
Assessors Map:--2ELP r 1044.C.0 0�S Lot#: I L/
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----------Registry-of-Deeds:-Book-#--4+ Pa
8. Existing Lot:
Lot Area(Sq. Ft): Building Height: 3 V
Street Frontage: Side Setbacks: 4 -2q,017.
Front Setback: Rear Setback:
Floor Area Ratio: 'V14 Lot Coverage: Alf 4
9. Proposed Lot(if applicable):
Lot Area(Sq. Ft): 5-q, q11&1 Building Height: 3
Street Frontage: g 5- .51 TZ !-T;Z- (9 Side Setbacks:-I-- co 30
Page I of 2
1600 Osgood Street,North Andover,Bidg.20,Suite 2-36 Planning Dept.,Massachusetts 01845
Phone 978.688.9535 Fax 978.688.9542 Web www.townofnorthaiidover.com
Edited 8/1/07
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Front Setback: S Rear Setback: /.;
Floor Area Ratio:_ Al 64 Lot Coverage: N/A
10. Required Lot(as required by Zoning Bylaw):
Lot Area(Sq.Ft): Building Height: 3 S
Street Frontage: 1 '7 Side Setbacks: 30 '
Front Setback: 30 ' Rear Setback: 30 '
Floor Area Ratio: A114 Lot Coverage: rl/I A
11. Existing Building(if applicable):
Ground Floor(Sq.Ft):_ �2 ;2-So #of Floors: 3
Total Sq. Ft: + 570414th Height:
Use: s f.�tr4{� (� Type of Construction: Lk)
12. Proposed Building:
Ground Floor(Sq.Ft.): 3 q -S0 #of Floors:
Total Sq.Ft. S{��],.S`'- —7 b9 `&,k Height: 32'
Use: S �,v y t, (N l+n W.'a Type of Construction: UJn o t
13. Has there been a previous application for a Special Permit from the Planning Board on these
premises? Flo If so,when and for what type of construction?—,V/4
14.Section of Zoning Bylaw that Special Permit Is Being
f Requested_ �t i 3l0
15. 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 B�_ R�jl s and Regulations may result in a dismissal by the Planning Board of this
application as incomplete.
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Petitioner's Signature:
Print or type name here:
Owner's Signature:
Print or type name here: LC.1A t14 Q R co N
16.Please list title of plans and documents you will be attaching to this application.
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Page 2 of 2
1600 Osgood Street,North Andover,Bldg.20,Suite 2-36 Planning Dept.,Massachusetts 01845
Phone 918.688.9535 Fax 918.688.9542 Web www.townofnorthandover.com
Edited 8/1/07