HomeMy WebLinkAboutApplication - 80 SAILE WAY 12/19/2003 YI
Town of North Andover Planning Board
Application for Watershed Special Permit
Please type or print clearly.
1. Petitioner: �^' S'�-e
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Petitioner's Address: O ` 6Y;
Telephone number:� n 0 l y n '
2. Owners of the Land: v �t
Address: U7 j&,CM.1) q--41 V �� ®I
Number of years of ownership:— /lay o CE)
3. Year lot was created:
4. Is the lot currently on septic or sewer? Sc-La-)e-'a-
If
on sewer,please provide date the sewer connection was completed: o 0
5. Description of Pro osed Project: V� pv ri
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6. Description of P e 'ses: �3 a, `J C n ` Sr N L�
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7. Address of Propert Bei g A fected 80 �: (,� l(� . a
Zoning District: e3� ON f.•:2,
Assessors: Map: Lot#
Registry of Deeds: Book#: Page#:
8. Existing Lot:
Lot Area(Sq.Ft) 2(e6 sp BuildingHeight
Street Frontage: M Side Setbacks:
Front Setback: Rear Setback:
Floor Area Ratio: Lot Coverage: 57 171
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9. Proposed Lot(if applicable):
Lot Area(Sq.Ft) Building Height
Street Frontage: Side Setbacks:
Front Setback: Rear Setback:
Floor Area Ratio: Lot Coverage:
Q,:A
10. 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:
11. Existing Building(if applicable):
Ground Floor(Sq.Ft.) #of Floors:
Total Sq.Ft. Height:
Use: Type of Construction
12. Proposed Building:
Ground Floor(Sq.Ft.) #of Floors:
Total Sq.Ft. Height:
Use: Type of Construction
13. Has there been a previous application for a Special Permit from the Planning Board tSe
premises? S If so,when and for what type of construction? C./ o /' /h' r.
14. Section of Zoning Bylaw that Special Permit Is Being
Requested "li �3
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 Board Rules and Regulations may result in a dismissal by the Planning B oard
of this application as incomplete.
Petitioner's Signature:
Print or type name here:
Owner's Signature:
Print or type name here:
16. Please list title of plans�anndv documents you will be attaching to this application.
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TOWN OF NORTH ANDOVER,
LIST OF PARTIES OF INTEREST: PAGE / OF
SUBJECT PROPERTY
MAP I PAR #I NAME ADDRESS
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ABUTTERS:
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Cotified D / l 8 Cwt fled by------ D --
rd of Asse r North Ando er t.
CERT. BY :
DATE: