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17D-059 (2) CITY OF NORTHAMPTON y ZONING PERMIT APPLICATION s Tax N(ap?1o. L�t Zoning Ordinance Section 10.2 Received: File No. Plan File Owner ��)O)u, ((y <y �< ` lC Applicant �Ll _ CJ / L Address �� � �� �����-� � Address Telephone t;� `t; �? J y- `L4 IP;, Telephone _ "t Z j L2 16 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 7 T (,,f Past Existing i„� -..�r��� :5� 1 Present / Proposed % % Mark the appropriate box to indicate the use of the parcel: ,Non-Conforming Lot and/or Structure. Specify � 7 I Residential ❑Single Family Unit ❑Multi-Family ❑ Duplex ❑ Other g Business !�) F F I c. it ❑ Individual ❑ Institutional ❑ El Subdivision Regular ❑ 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. X11) ❑ 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: Signature of Applicant Date Sig ature of Ad ' `_Offkpr Date THE PRINTING t%%5S