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HomeMy WebLinkAboutBLDC-23-110 0 M N U -J CO i yt) o C L �r C co 4 V N N N N N N C p.N N N N _N N Z :' `7 7 7 `0 co Cla OS CO N a o � - - .9. ow I— a = ') z n o.o W o �a `o � � E oEo. icti > o • X0 y o W Z °' a ALL. CI O " a o 0 0 u c n y0 o)OCI) O CO L _ Q .y (13 "aQIllo..1 J CD tt CO 0. o � Oo 00 y 0CD OV m � am .o cC N C C C Y N N 'C ,C cc U 0 o m en = a C ti'a " '' _ ._ = _ C 0 � o )- — o o U. 1 1 Q Q. Y Y .0 U. _ t� Y22 -f6m .- w Q (4 C co C Z Q 3 co.O r CY O C O ,. N 0 4 = Z H N °'c � Fgi o N cc W Q O L 'W+ � O N Ncco V Q Fw- Y '"" -CC 00 Z m O f4 N 0 .0 ct z -� N Q' 7 c Za Z �rooa _LU Xrn ti m o O � `o c 4- J h J 0 O •h N u • Lu C Q 3 .0 z c y ° z gg O 4itU fT a.o , f- a� °' o c a °- o c a�i awa °r.° pi3T w = O a c 0 c a c U o (D flu QQ = c.) 1O c §. COiimom '- .2 O t g. 1 own of Yar t B:u'�' i Department 1146 Route 28, South Yar h� r`E � *t{ 0 e1. 508-398-2231 ext.1261 Use and 4c a .�,: , ` up,, `,,,�# jt°it, pplication In accordance with the provisions df heAlassacTi i4tis State Building Code, section 105.1 Application for a certifica Pp se and occupancy permit il rName of Business L 1 6d..,. e ri ", SSe/C-- Phone # 0 -3(2-29D9 --' Type of Business `f (j.ikr- Email;.. I f/ rPC<<i, , I I , I- ./ Property Address C�-5� R4. 6/4itiOcl`ri1� eri-- Unit # 2, (ate( *Square Footage to be occupied PO 0 *attach floor plan Fee: $6-40 The applicant is required to obtain approval sign-offs from the following departments as checked off below: R 2 oz3 D ealth Department - 508-398-2231 ext. 1241 ' DEC 11 Fire Department- Fire Prevention, 96 Old Main Street, 508-398-2212 i:7- 'ILDING DEPARTMENT By. Other -- AL,,- '' ' \' - ' . S)kLthA 4tg 5 Building owners Signature Applicant Signature Please note: this permit is for use and occupancy only. 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 only** r ' Zoning District j\ Proposed Use Al 1\ Change of Use: Yes No _� Allowed Use: Yes d\ No APD Waiver: Yes No N/A A\ Building Officials Signature Date `` Updated 3/21 13 L/f 3 -06 /A ' lit r C -©1.arfcvv , or C � � oat H # Z L; Ill - e ll 11 —4-4 1 { 3 2 - —i 4 i ta /Ili 1 j .s+YL7 a M 3 # y Its { A el 1i Q ! i1 ....... us _MI 9 L 111 i =J 01 Tt � � � 41 f.-1111 mama 6_1�_1-1 C p f ___ Jl� t L a-4-4-- 12 i • f till i i B i 3 < '4IT 3W 3 1 4 i' r 11 AdOO j , X - Oa `I K I o I 3 3 0 rI V I I . 13 3 0 NV s V s ON . O N aa0O XdOO 'I V I O 13 3 0 - 7..1.,,L, 3 I 3 3 o ION NV s ION 4 . . N O T N O T A N A N _ O F O. C I C I L 11 F aF'"I" C'? A L r �s. i �C O Y ...• (� il4,,,,, N p f( N 0 / , A II A N y ', O �'' O P y A L 10 F T C T A 4 g 3 I1I COPY / E C r 1, ! i i i Itill Ili LI! jt1. • c • 1 i --I^flf , 1-o S. II! l I • � 1111111• 1 ' reI g, r. I 11 if . c iII Iiiii [ . R I ir,. �c ll cr �t I III ;#. rr=1x-• -i _ il - li ill- r? _sue•is � C 15.:: 41 I �� j iiii 1 ,t �. © w .i �: GI 111 11 III • i f i I I t CI , r~i 1 _ Ali II P ili Ills .Z ` i ^ I t C R Itil ; ' II it: ��2 I -�� II 1Ilir id-rf� t ,y �!yV .. c_ • i 1. a o .... I Ill -- �� I► '1 tug '' II p 111 "!a IN t i IP ..w• P. i:1 It J f )•a[stfil d 3 1! _,_________________ # i. t t l —i----- - a �.'a.• sa• I" W - • ro• as w k9 ... ..dam