HomeMy Public PortalAboutApplication_201403100832565310PERMIT APPLICATION FORM
Planning Board and Zoning Board of Appeals
149 Main Street
Watertown, MA 0247
(617)972-6427
m uw, u ate rtoRT-m a.gov
TO BE COMPLETED BY STAFF
Case Nu er �� Notice to Applicant: An application may be denied for outstanding
�' taxes or charges to the Town (JVatertown Ordinance, Chapter
❑ Fees received e X6'II). Upon deeming the submittal complete, the application will -
_7 e t ¢ed/filed 4Lthe Town Clerk's office by DCD&P, S f
❑ Complete submittal:AOMG Date: 3
awn Treasarer's Approval (As regaimd by Ch. 4O. Section 57)
TO BE COMPLETED BY APPLICANT
Site Address:
List application requests below:
Special Permit (SP) Variance (V)
Site Plan Review (SR) SP/SR
Special Permit Finding (SPF)
For an amendment to previous relief, provide case #s:
SR (Site Plan Review) meeting date, if required:
D,32
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Parcel ID #s:
Zoning District: _ 1 d
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Petitioner(s): Robert P0.0.YIl0e 'LM0riaNhe 1�erlak Phone: 07- lal;- 3 (va(o
Address: 232 t --1,\c oc R�, i.t.)af,P_A-�Q1,s1V1
rn ERLAK F-rEmail: QPAFl2LBFR r
ea.)6l,LFS[6'x
Signature(s): r2�1,(yy�r U�U'jaq2
ti ld;C- Date: 1 Cb'I a() (+-�
Owner(s):fAnG 9 Pn o)16RS
Phone:
Address:
Email:
Signature(s):C-
Date: F4,2dntl
Agent:
Phone/Email:
Other Contacts:
Phone/Email:
The Petitioner must be the fee simple owner or hold sufficient "interest" in the subject property (in which case evidence most be pro-
vided as to the nature of the property interest and the fee owner shall co-sign this application. For legal entities such as corporations,
LLC, etc, list the type and legal status of ownership, the name of trustees/officer members, their affiliation and contact information..
NATURE OF REQUEST
Applicable Sections of Zoning Ordinance (Specify Section(s) ofthe ZONING ORDINANCEf om which reliefis sought):
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Brief description of the project as it relates to the zoning relief requested —Include existing dimensions, proposed dimensions,
and any non -conformities that exist:
ED U
THIS APPLICATION MUST BE SUBMITTED IN PERSON TO THE ZONING OFFICE
The ZONNG ORDNANCE can be jmmd online at iw % _ -.