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Northampton_ApplicationForPermit_20190122124738_guestPermit Application Toda 's Date: 01/22/2019 Owner Applicant Bill Willard Inc Just Healthy Inc 1010 Ryan Rd 56 Colborne Rd Northampton, MA 01060 Boston, MA 02135 518-369-0542 bill@justhealthy.org City of Northampton department: N Work Location Information How many lots involved in the project: 3 Map / Block / Lots of all lots in project: 35 / 028 / 001 Deed Book of all lots in project: 1134/226,1157/444,1583/727-729,5844/272 Project work address: 1010 RYAN RD City / State / Zip: Northampton 01060 Zoning District: WSP, SC Application for following Permit Types ❑Planning Bd. Special Permit w/ Site Plan ❑Planning Bd. Special Permit w/ MAJOR Site Plan ❑Administrative Site Plan Review ❑Planning Bd. Major Site Plan or 40R Approval (No Special Permit) ❑Subdivision Preliminary ❑Subdivision Definitive IF NO Preliminary ❑Zoning Board Special Permit ❑Appeal of Building Commissioner -Zoning ❑Variance ❑Historic District Determination of Non - Applicability ❑Historic District (Elm St) Determination of Appropriateness ❑West Street Architecture ❑Wetlands Notice of Intent, Abbreviated NOI or ANRAD, IF state wetlands ❑Wetlands Request for Determination OR Resource Delineation ❑Wetlands Certificate of Compliance request ❑Planning Bd. Special Permit w/ Site Plan for flag lots ❑Planning Bd. Site Plan (NO Special Permit) ®Approval Not Required Plans ❑Subdivision Definitive IF Preliminary approved ❑Subdivision Definitive Amendment ❑Zoning Board Finding ❑Comprehensive Permit ❑Demolition (Demolition Delay) ❑Central Business Architecture ❑Wetlands Notice of Intent IF ONLY local wetlands ❑Wetlands Amendment ❑Wetlands extension 210 Main St., Rm. 11, City Hall, Northampton, MA 01060 (413) 587-1262 Fee Information Approval Not Required Plans - $250/plan page $ 500 Total fee amount: $ 500.00 Existing Use gravel pit Planned Use N/A Detailed Project Information Number of Plan Pages: 2 Special Permit Description: N/A Approval Not Required Description: AS SHOWN Files Uploaded: Supporting Information: Comprehensive (40b): Drainage Information: Traffic Information: Plan Sheets: 18.023.epl.rev03_81X plan-3 Middle 100sc (1).pdf Wetlands Information: Approval Not Required: Autocad: Tiff or PDF: Historic Information: By typing my name in the signature box, I certify that all the information above is accurate to the best of my knowledge, I am the property owner or have permission from the property owner to apply for this permit. I also grant permission to the City of Northampton to inspect the proposed work Signature: David R Enberg Date Signed: 01/22/2019 210 Main St., Rm. 11, City Hall, Northampton, MA 01060 (413) 587-1262