32C-020 t
Late Filed with City Clerk:
Date Decision Filed with City Clerk: L J�' 5, 0o9
City Clerk. (si,,,,,1uiel: 177,6V1\-'
Planning Board and Zoning Board Application Page 2 of 2
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* Describe project and relief /approvals needed
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I HAVE discussed my application with my neighbors (highly recommended) Lit
*Indicates Response Required
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Northampton Office of Planning and Development: All information provided is public and will be placed on the web.
http://fs12.formsite.com/hamp/zone/index.html 10/5/2009
P1anrLg Board and Zoning Board Application Page 1 of 2
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Planning and Zoning Boards
Owner First Name * Owner Last Name OR Business Na
* Owner Address 00
* City * State * Zip
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Applicant First Name * Applicant Last Name Business (if applicable):
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*Applicant Street Address
* City *State *Zip OCT 2
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* Phone * E -Mail
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*Assessors' Map(s) and Parcel ID(s) * Parcel Deed Book and Page
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* Work Location *Work Location Post Office * Zoning /Overlay Districts s
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* What PERMITS or AMENDMENTS are you applying for? } w �� �J7 /cG ` C�
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EI PLANNING Special Permit w/ IN'I'ERMEDIA'1'E Site Plan ($200, except flag lots $1,000)
PLANNING Special Permit w /MAJOR Site Plan ($1,000 plus, unless this is an amendment, $0.05 /sq ft
of proposed new building)
Li PLANNING Intermediate Site Plan ($200)
[1 PLANNING Major Site Plan Approval ($1,000 plus, unless this is an amendment, $0.05/sq ft of
proposed new building)
{ APPROVAL NOT REQUIRED Surveys ($250 /plan page)
Li PRELIMINARY SUBDIVISION ($1,000 -Type II or $600 -Type I PLUS $75 per unit)
El DEFINITIVE SUBDIVISION (Greater of $3,000 OR $10 /linear foot of new roadway; $4,600 OR
$14 /foot if no preliminary; $400 PLUS $10 /foot for one lot minor subdivisions; $500 for Amendments)
G ZONING BOARD Special Permit ($200)
Li ZONING FINDING ($200)
L APPEAL OF BUILDING COMMISSIONER - Zoning ($200)
COMPREHENSIVE 40B PERMIT ($500 plus $0.05 /sq ft of proposed new building)
C VARIANCE ($1,000 plus $0.05 /sq ft of proposed new building)
Li 43D Permit (Any Planned Village commercial project)
* Relevant sections of zoning and subdivision regulations 3l
http://fs12.formsite.comfharnp/zone/index.html 10/5/2009