38C-020 Zoning-Permit-Application-passive_PAGE-1File No.
ZONING PERMITAPPLICA77ON (§lo.2)
Please type or print all information and return this form to the Building
h5sp actor's Office unith the $rS.Fhng fee (check or money order) payable to the
City of Northampton
1. Name of applicant: Pete Olsen
Address: 6 Gregory Ln Florence MA 01062 Telephone: 978-761-3474
3. Onnerof property: Double Duck LLC
Address. 334 South Mr.w. Northwryton.n Telephone.
3. status of Applicant: Owner _Contract purchaser x Lesa Other (explain)
4. Job Location: 3SC-057-001
parcel la: zoning Maptl ParcaUl Wercup
In Elm street 0 erlct In Central Builnni Diana
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing the of structure/Property: parking Lot
6. Description of PropmsM Use/WorkTroject/Occupation: (Use aWitioial sheets if rccemry):
A two store ogle family home approximately 600 - 2000 see
T. AttacMi PUr¢: sketch Plan Ste run a ErgineerM/SurveyM Plan
B. Has aspecial Permit/Varanor/Filling ever 4 nh alfor/on the site?
NO DONT all x YES IF YES, Bate round:
IF YES: Was the permit mrorKd# the Registry of Dohs?
NO DONT KNOW YES
IFYES: enter Book Page worker Wament#
9W tMsdemnGinabrook,hyofwaterorwetWeI NO x DON)KNOW _ YES_
IF YES, has a permit been or Nto heobtairtl from the Conservation Ccmmision?
Needs to be obtained Obtained ,onto ivucd:
(Farm rmoves On all side)