25A-082 (6) Assessor's Map -
11. List/of Abutter n/ Add/r�ess n Sheet No. Parcel
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�ry 7717 ces Application Number: �n
i `ReC d h � cked Filed Fee Pd. Recd. ZBA Maps) Parcel(s)
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r7FDate By pate Date Amt. Date ey Date
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57K1,,{1 P g RE Y MADE TO THE CITY OF NORTHAMPTON ZONING BOARD OF APPEALS:
1. Name of Applicant J S � ,
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Address "il lL
2. Owner of Property -JJ
'. Address / �'T%f.�.�x
' 3. Applicant is: �bwner; El Contract Purchaser; ❑Lessee; ❑Tenant in Possession.
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4. Application is made for:
t XVARIANCE from the provisions of Section page of the Zoning Ordinance of the
City of Northampton.
1 ❑SPECIAL PERMIT under the provisions of Section page of the Zoning Ordinance
of the City of Northampton.
❑OTHER:
5. Location of Property. being situated on
the side of Street; and shown on the Assessors' Maps,
Sheet No. Parcel(s) .
1 6. Zone U
7. Description of proposed work and/or use; Au
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8. (a) Sketch plan attached; XYes ❑No
(b) Site plan: ❑Attched El Not Required
9. Set forth reasons upon which application is based:/-()
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10. Abutters (see instructions; list on reverse side of form).
12. 1 hereby certify that information contained herein is true to the best of my knowledge.
Date-AA 11L'Z2 Applicant's Signature �` �r
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CITY OF NORTHAMPTON
ZONING PERMIT APPLICATION 11map No. 4,5-19 Lot F_)�
114 FEB. I islat I Plan File
Zoning Ordinance Section 10.2 Rec.ei.ve PRNo.
Telephone �,ff6 f,., Telephone
This section is to be filled out in accordance with the "Table of CVrnmnm|ona| 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
Mark the appropriate box to indicate the use of the parcel:
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Residential V�|nQ|e Family Unit []K4u|ti-Family
OOmphex OOther
OBuo|ness
• Individual
• Institutional
[]
O ��ubm O P.U.D.
Subdivision
O [%uster OOther
• Subdivision with "Approval-Not-Required"-Stamp:
• Planning Board Approval:
L] Zoning Board Approval (Special Permit 10.9: Variance)
[] City Council (Special Exception S. 10.10)
Watershed Protection District Overlay: (Z.O. Sect. XIV) 0 Yes C�(No
Parking Space Requirements: (Z.O. Sect. 8.1) - D
,djpW Required Proposed --
Loading Space Requirements: (Z.O. Sect. 8.2) Required Proposed
0grs' (Z.O Art V||) OYes O NV
Environmental Performance Standards: (Z.O. Art. XI 1) 0 Yes C,511,N o
Plot Plan Yes 13 No Site Plan Yes 0 No
Waiver Granted: Date 0
This section for OFFICIAL use only:
[] Approval ampresented:
.0 Modifications necessary for approval:
[] Return: (More information needed)
ADenia|: Reasons:
014XInatufe of Applicant 'Ad Date
Date Signature of min. Officer
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