PermitPG2Section 4. ZONING
All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing
Proposed
Required by Zoning
This column to be filled in by
Building Department
Lot Size
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Frontage
Setbacks Front
Side
Rear
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Building Height
Bldg. Square Footage
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Open Space Footage
(Lot ares minus bldg & paved
arkin)�O
# of Parking Spaces
Fill:
volume & Location
A. Has a Special Permit /Variance/Findin ever been issued for/on the site?
NO 0 DONT KNOW YES
IF YES, date issued::
IF YES: Was the permit recorded at the ReVistry of Deeds?
NO C) DONT KNOW YES 0
IF YES: enter Book Page and/or Document #
H
B. Does the site contain a brook, body of water or wetlands? NO 10 DONT KNOW 0 YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained 0 , Date Issued:
C_ Do any signs exist on the property? YES 0 NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO
IF YES, describe size, type and location:
E. Will the construction activity disturb (clearing, grading ex vation, or filling) over 1 acre oris it part of a common plan
that will disturb over 1 acre? YES (0 NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.