25C-170 (2) 71
CITY OF NORTHAMPTON jG "
ZONING PERMIT APPLICATION s T Map No. Lot /
• JOY 1 1 1987
Zoning Ordinance Section 10.2 Received: JNo. Plan File
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Owner
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Address? �> C )f�,1 b Address ME 0461 AJAR—
Telephone � � Telephone t y
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 Side Rear Cover Space
Past t Existing % %
Present Proposed % %
Mark the appropriate box to indicate the use of the parcel: �A�; "
❑ Non-Conforming Lot and/or Structure. Specify
❑ Residential []Single Family Unit AMulti-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. 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:
Signatu of Applicant Date Signature of Admin. Officer Date
P DINT P