HomeMy WebLinkAboutBLDC-23-43 CO Q
\
0
m
\ t
I.
I . §
a. \ ,*ii
ssO
` .
�1 •
• j CO co / \
0N 0N \ N ?
i% \ \ Q $
C0 / 03
% E ) } / /
EEEE «
'a > t CD aS
Z CO 3kk3 `
Ckf
Q = £�
L } Qo
Z O.
w 8 \ G . . .
E E . § [ c
) iti
\\\
/ \ � §
SA ueL
p c a.3 880
c c
2 \ / / \ 00
S / §f
-I y k/ \
0 @m *
Cu ` §/
� Cu } 0
0CDs.
J k 0
of
m gg § %$
o = l
E g = . ° % _ � ;aa
« � u . \ 02 / 222 \]/
. u - � § � g ce E± � 20
O / / �O. � � � ) �\/
. 2e � =
2 < U / � )$
o . ak «
2 § Via ,
- < f $ o /
/ j /\ k
IX LU
\ \ % \ 2kf
� e � 4 / &
0 ± // / m § 9 ` y
ƒ cc co E ƒ k%$
m co § a o o 0 3
� k233 $ ƒ/i
0 \ \ #
0 i 7 §/
W \ • \/%
O. I- Ck / § K \ (\
& } \ § § \ \ \f k/
o o a .2 o c act •= o o & & t
° � ƒ S . I Q § @ r Q & t I / > ) +
� \fit � � 2 w t — : m +% = = � c
2 c # a _ Co ` c = c a a) 2
, o ■ a - ■ § o 0 f i Q % » § % $
` % \ • u o « # - = u 1 . S. E / ± ± d § ` °
H t
: -; 'RECEIVED C i .4 it'S-.
Alk 03 2023 Town of Varro11141#9# Department
r_itiit'ROire#28, outh Yar lel. 508-398-2231 ext.1261
,5'. , C
L
—JO * •
Use and ,ea i . pplication
mA 'Cri eSE/l) i
In accordance with the provisions crfite-iel A,....61..54047,....' 's State Building Code, section 105.1
.,;'
• Application for a certifica se and occupancy p3smit
RA-41(0,5-/wo 1 cz_c- t:;,&/4-
If AI P
Name of Business -4, , y- ,' "'"42 i - Phone #Type of Business ',---,5--- ) / ,--/
Property •'
, , ( --, i Li1- /-
,•- Unit #
-. *Square Footage to be occupied fi- *attach floor plan Fee: $60
,
The applicant is required to obtain approval sign-offs from the following departments as
checked off below:
X Health Department—508-398-2231 ext. 1241
X Fire Department— Fire Prevention, 96 Old Main Street, 508-398-2212
Other
(.----.,
P-:9-e5` ed6,12- Zan,ft- Trustee 1313 Main Realty Trust
i ' ' SKI
' i i..'
Building owners Signature
vipplicant Signature
Please note: this permit is for use and occupancy gniy. Any work requiring a building permit
will require a licensed contractor to submit an additional application with all the required
information based on the scope of the project.
**Office use onl **
Zoning District Proposed Use Change of Use: Yes No
Allowed Use: Yes2(No
APD Waiver: Yes No N/A
WI Officia s Signatu e
ate \Updated 3/21
J---b GL-- BUI KiaDU) E e rv)a 1 I. eoko _
rl
1 a 1 A KM 014-'1I
s..
4
. ._ -„5
I
s
1
0
0
eij
5
1
N. /' §
Kr Id
's yiCE, A R.eA
i
y
'4� 3 .. 1
,y r 6 i