17C-215 (5) „ ,... .
Al
CITY OF NORTHAMPTON
s e x Map No. ' .^_. Lot 2
ZONING PERMIT APPLICATION im 2.0
Zoning Ordinance Section 10.2 Received: e No. p2? Plan File
Owner < C�i�-Q/�c� �CJC'CJ�I (�/�/"'f�/� —A p pT scant
Address
��°A��/ Address 19 e-
� _7-�`
Telephone ����'� /°� 7 Telephone J_K 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. Bid. Min, Op.
District Area Width Front Side Rear Cover Space
Past ts Existing 7,3159 —70 163 I �' �3 G — 7 t /o , o
Present(S- 5 Proposed 7q P I % %
Mark the appropriate box to indicate the use of the parcel:
❑ Non-Conforming Lot and/or Structure. Specify
Residential ❑Single Family Unit ❑Multi-Family
❑ Duplex ❑ Other
Business 7
❑ 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 Xo Site Plan ❑ Yes No
(S. 10.2) (S. 10.2 and 10.11
Waiver Granted: Date ❑
This section for OFFICIAL use only:
Y] Approval as presented:
❑ Modifications necessary for approval:
❑ Return: (More information needed)
❑ Denial: Reasons:
Signature of Applicant Date Si ture of Admin. �� ate
TI E PR�NT L PRE.,