35-023 (7) 4r
CITY OF NORTHAMPTON ?°4�
ZONING PERMIT APPLICATION i �,.. t ; 'Tax Map No.3 Lot
Zoning Ordinance Section 10.2 ed: le No. Plan File
NOR
Owner Applicant
Address z-e•-��. A '� Address
Telephone J� �- -�`'� 7 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. Bid. Min. Op.
District Area Width Front Side Rear Cover Space
Past Existing % %
Present Proposed % %
Mark the appropriate box to indicate the use of the parcel:
❑ Non-CDntQuning „+a door���ecify
4�J Residential ❑Single Family Unit ❑Multi-Family
❑ Duplex ❑ Other
❑ Business
❑ Individual
❑ Institutional
❑
1:1 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 ❑ 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. VII) ❑ Yes ❑ No
Environmental Performance Standards: (Z.O. Art. XI 1) ❑ Yes ❑ No
Plot Plan ❑ 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:
7*1 -2,
Signature of ApplicapA Date Signature of Admin. fficer Date