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HomeMy WebLinkAboutBLDC-25-1 application 1-RECEIVED �t©g YA; t=> .t-c ' v c t, .N. 't I t .` ` !' DEC 26 2024 Office of the Bu ldin ; (_"ommisS ann _8 DING DEPARTMENT 114t: Route 28, South 1'wn m outltq :\ A-42-664------ q91 508 398 ?231 e t, 1260 Fax 508-398-083 NPTTAG.ECSE/ In accordance with the provisions ot'the Massachusetts State Building Code, section 105 I Application for a certificate of use and occupancy permit s Name of Business ritutri, Phone • 1 Type of Business 4-1r3&L011 Email Property Addres>:; ' ._..ICI--- _,._ 50 t,LtS.CY} ��Y1U, S.__.. Unit # - qog_... off,$ *Square Footage to be occupied .._,./4 06) r *attach floor plan Fee: 860 The following department sign oils will be required and will be notified once the application is ' entered into the OpenGov permitting system. �/ X Health Department — 508-398-2231 ext. 1241 X Fire Department Fire Prevention, 96 Old Main Street, 508-398-2212 Othe Built li owners Sigi a tre 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. Of fi(i use onls Zoning District Proposed Use Q Change of Use: Yes vc:l ............... Allowed Use: Y\4 No . ....... APD Waiver: Yes No 1� A `� Building Officials Signature Date c,24 ` S`- ` ZnQ(2 QQ Q -600q -vOQ Q d,-OD BYO rap 9 GI 0 -yr o 51 \A V )0 ly W sod Oh bob ThQQQ --,1/41Qqq �JQ� #k >CK L-C C( 9'7ii 17