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32C-142 (3) rt 4. , 0 CITY OF NORTHAMPTON Z I R ONING PERMIT APPLICATION a MapNo._ Lot . ! Zoning Ordinance Section 10.2 Me eive 4 No.� Plan File D UI DLPT. Of BLING INSPEC" NS caner N1 . of d d r e s s 7 ✓� _0 L d d r e s s alephone Telephone his section is to be filled out in accordance with the "Table of Dimensional and Density Regulations: (Z.O. ARTICLE VI) oning Use Lot Front Depth Setbacks Max. Bld. Min. Op. istrict Area Width Front Side Rear Cover Space r ast Existing I S�o�j `•`/5 f`� J c 1CI4 0c) % S % resent Proposed lark the appropriate box to indicate the use of the parcel: ❑ Non-Conforming Lot and/or Structure. Specify Residential ❑Single Family Unit WMulti-Family qetwu._164 ❑ Duplex ❑ Other B-business ❑ Individual ❑ Institutional El Subdivision ❑ Regular ❑ P.U.D. ❑ Cluster ❑ Other 19'Subdivision with "Approval-Not-Required"-Stamp: ❑ Planning Board Approval: ❑ Zoning Board Approval (Special Permit 10.9: Variance) ❑ City Council (Special Exception S. 10.10) /atershed Protection District Overlay: (Z.O. Sect. XIV) ❑ Yes "0 arking Space Requirements: (Z.O. Sect.8.1) Required -L Proposed Jading Space Requirements: (Z.O. Sect.8.2) Required Proposed Igns: (Z.O. Art. VII) ❑ Yes 8-No nvironmental Performance Standards: (Z.O. Art. XI 1) ❑ Yes P-No lot Plan p/(es ❑ 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: T� 7 FY Signature of A PKcant Date Signature;of Ad in. Officer Date rHJ_mi�,W►ncss