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32A-255 (121) CITY OF NORTHAMPTON ZONING PERMIT APPLICATION a a Tax Map No. Lot e Zoning Ordinance Section 10.2 Received: File No. Plan File Owner Applicant Address Address Telephone 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 Area Width Front I Side Rear Cover Space 1 Past Existing LA R - i; !� "� � � � Cot 1 2 °m I �° Present Proposed �� b ��» �° % Mark the appropriate box to indicat the use of the parcel: ❑ Non-Conforming Lot and or Structure. Specif ❑ Residential ❑Single Family Unit E* ulti-Family ❑ Duplex El Other �Business ❑ Individual ❑ Institutional ❑ ❑ 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 ErNo Parking Space Requirements: (Z.O. Sect. 8.1) Required Q Proposed f OU Loading Space Requirements: (Z.O. Sect. 8.2) Required Proposed Signs: (Z.O. Art. VII) ❑ Yes o Environmental Performance Standards: (Z.O. Art. XI 1) ❑ Yes o Plot Plan V'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: Signature of Applicant Date Signature of Admin. Officer Date