35-179 (18) CITY OF NORTHAMPTON
ZONING PERMIT APPLICATION " ' A Map No. 3 Lot 1
Zoning Ordinance Section 10.2 R ivle ::F1.ly'No. C�l Plan File
Owner r
�� IU �� d _ " MA 110"M C^' /
Address < <�L U Q Address i A �1
Telephone oer-3- S ( Telephone
This section is to be filled out in accordance with the "Table of Dimensional and Density Regulations:
(Z.O. ARTICLE VI)
Zoning Use Lot Front Depth Setbacks Max. Bld. Min. Op.
District �J j Jr .. Area Width Front I Side Rear Cover Space
Past Existing
Present Proposed
Mark the appropriate box to indicate the use of the parcel:
❑ Non-Conforming Lot and/or Structure. Specify
®"Residential 119Single Family Unit ❑Multi-Family
1, s `�A El Duplex ❑ Other
❑ Business
❑ Individual
❑ Institutional
El Subdivision ❑ Regular El P.U.D.
❑ Cluster ❑ Other
❑ Subdivision with "Approval-Not-Required"-Stamp:
❑ Planning Board Approval:
• Zoning Board Approval (Special Permit 10.9: Variance)
• City Council (Special Exception S. 10.10)
Watershed Protection District Overlay: (Z.O. Sect. XIV) ❑ Yes E� o
Parking Space Requirements: (Z.O. Sect.8.1) Required Proposed
Loading Space Requirements: (Z.O. Sect. 8.2) Required Proposed
Signs: (Z.O. Art. VII) ❑ Yes ❑ No
Environmental Performance Standards: (Z.O. Art. X1 1) ❑ Yes 6-wo
Plot Plan ❑ Yes ❑ No Site Plan ❑ Yes ❑ No
(S. 10.2) (S. 10.2 and 10.11
Waiver Granted: Date ❑
This section for OFFICIAL use only:
❑ Approval as presented:
❑ Modifications necessary for approval:
❑ Return: (More information needed)
❑ Denial: Reasons:
ZA e of Applicant Date Signature of Ad in. Officer Date
P OP