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17C-128 (5) 4 I I c !I CITY OF NORTHAMPTON ZONING PERMIT APPLICATION ' 'x 4 Tax Map N Lot Zoning Ordinance Section 10.2 " iCetVt'd:'yt�7 9 p File No. ' Plan File Owner -- 1- _ ���_� , 11,1�Q_� ____-_ __-_ _. _, .., Applicant--•--.-D--Q��--�'2-=-�1r -__�____ Address __�SL � �-� 1 _- flEC --- Address Telephone._____- .� ; Telephone _- f1 _--- ------- -- This section is to be filled out in accordance with the "Table of Dimensional and Density Regulations: (Z.O. ARTICLE VI) Zonis I Use ! Lot Front Depth ____ Setbacks Max. Bld. Min. Op. g ___ ___ . -__--- District Area Width Front Side Rear Cover Space Past existing I - - - - _------------ +- i PresVe 'Proposed % % Mark the appropriate box to indicate the use of the parcel: Non-Conforming Lot and/or Structure. Specify Residential C_'Single Family Unit Multi-Family I I Duplex [_-' Other Business Individual Institutional Cl Regular Ci 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 7 No Parking Space Requirements: (Z.O. Sect. 8.1) Required _ Proposed _oading Space Requirements: (Z O. Sect. 8.2) Required Proposed -_ Signs. (Z.O. Art. VII) 1 1 Yes Lj No Environmental Performance Standards: (Z.O. Art. XI 1) i Yes ❑ No Plot Plan ; Yes ' 1 No Site Plan I_i Yes r] No iS 10.2) (S. 10.2 and 10.11 Waiver Granted: Date CJ This sect' for OFFICIAL use only: Approval as presented: Modifications necessary for approval: Return: (More information needed) Denial: Reasons: - -- -__ - _ ------ Signature of Applicant Date S nature of Admin. Office Date ivit�owf 54 _.�-