23D-107 (23) �� �
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CITY OF NORTHAMPTON ?apt.`rr►� — . ll1 i
a fir , D x Map No.. �L7 Lot / a 7
+ ?ZONING PERMIT APPLICATION t ' ` '%r EC 12
Zoning Ordinance Section 10.2 .;' Received: JLfieNo
103 Plan File
O&PT.O-BUILDING INSPECTIONS
NOR-HAMPTON. MA 010Gqq �
Owner 1yL cu �o H�� u� 1� `1 a-u c. Applicant .XJ4'R?' 1 .• f , IS6U(PP
Address ti Fe—n\ < Address 5.?;1 PI AIrk) �g•
Telephone Telephone 5F 7( 36d
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
Past Existing
/7/ % 0/0
Present Proposed
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 0 Other
Li--Business
❑ Individual
❑ Institutional
❑ Regular ❑ P.U.D.
❑ Subdivision ❑ Cluster Other �''. ,` `2)�
❑ Subdivision with "Approval-Not-Required"-Stamp:
5b C) Fes.•.�c-3.
❑ 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 0 No
Environmental Performance Standards: (Z.O. Art. XII) ❑ Yes ❑ No
Plot Plan ❑ Yes Dlqo Site Plan ❑ Yes ❑ No
(S. 10.2) (S. 10.2 and 10.11
Waiver Granted: Date ❑
This section for OFFICIAL use only:
U Kpproval as presented:
❑ Modifications necessary for approval:
❑ Return: (More information needed)
❑ Denial: Reasons:
/0? / 1 -;/,1,-
Signature of A nt f Date Signature of Admi . Officer Date