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CITY OF NORTHAMPTON
ZONING PERMIT APPLICATION a WMap No. Lot
Zoning Ordinance Section 10.2 I ey e,e 19W I No. Plan File
_
DEP7 OF BUILDING INSPEctlO
Owner � ?p1 �( r I�f"v''nrJJt N B A 01
Address �,' ' E �� +�I-�' Address
ne Telephone
IMF—
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. Bid. Min. Op.
District f � Area Width Front Side Rear Cover Space
Past Existing % %
Present Proposed % %
Mark the appropriate box to indicate the use of the parcel:
Non-Conform' Lot and/gr Structure. Specify
O Residential 9]Single Family Unit' ; .Multi-Family
❑ Duplex ❑ Other
❑ Business
❑ Individual
• Institutional
❑ Regular ❑ P.U.D.
• Subdivision ❑ 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 ® No
Parking Space Requirements: (Z.O. Sect.8.1) Required Proposed
Loading Space Requirements: (Z.O. Sect.8.2) Required Proposed
Signs: (Z.O. Art. V11) ❑ Yes ( No
Environmental Performance Standards: (Z.O. Art. X11) ❑ Yes ❑ No
Plot Plan ❑ Yes WNo Site Plan ❑ Yes L/No
(S. 10.2) (S. 10.2 and 10.11
Waiver Granted: Date ❑
This ksection for OFFICIAL use only:
Approval as presented:
0 Modifications necessary for approval:
❑ Return: (More information needed)
❑ Denial: Reasons:
Sign re of A9 licant Date Signature of Admin. Off ic� Date
�� � P 2.12 f