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HomeMy WebLinkAboutLHPR- 270 - Application (Checklist Amended 5/15/19) TOWN OF COHASSET Planning Board 41 Highland Avenue Cohasset, MA 02025 Tel: (781)-383-4100 x5127 FAX: (781) 383-1561 FORM 11 – APPLICATION FOR LARGE HOME REVIEW DATE: To the Planning Board: The undersigned herewith submits the accompanying site plan of property, including floor plans and elevations, located in the Town of Cohasset for Large Home Review under the requirements of Section 5.5 of the Zoning Bylaws of the Town of Cohasset and the Large Home Review Rules and Regulations of the Planning Board of the Town of Cohasset, Massachusetts. 1. Record Name of Owner: ______________________________________ Address: ______________________________________ 2. Name of Applicant: ______________________________________ Address: ______________________________________ 3. Zoning Classification ______________________________________ 4. Assessor’s Map: __________ Plot(s): _______________________________ 5. Deed of Property recorded in Norfolk County Registry of Deeds in Book ______________, (page) __________________________________________ 6. Location of description of property sufficient for identification: _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ Total Residential Gross Floor Area ____________square feet 7. Telephone Number: _____________________________________________ Cell Phone Number: _________________ FAX Number: _______________ ___________________________________ Signature of Owner/Applicant 3 Leo and Sara Meehan 270 Jerusalem Rd, Cohasset, MA Nancy Sadecki, RA Meyer & Meyer, Inc., 396 Commonwealth Ave, Boston, MA 02215 R-B 17 024 508-333-6716 857-299-7591 8,517 SF Yellow brick home 38072 369