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Zoning /Planning Application: Do NOT leave this page until it prints!!! Page 2 of 2
Pipe: 21U]
]pipe: 1851
On CLERK (SE: i (09 l) ,/11 _ ;u') / .
Application must include fee and (except for <ANRs) 540 check made to 'Daily H 1 /4, am! shire
INSTRUCTIONS to file application
View Resuh s
http: / /fsl2.forrnsite.com /fsI2 app /FormSite 11/5/2009
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- 4 , Zoning /Planning Application: Do NOT leave this page until it prints!!! Page 1 of 2
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Owner: 'pipe: 11 City otNorthampton
Address: City Hall, Northampton, _Alassachusetts 01116(
Applicant: 1 \1) .Adams /PV Habitat
= Address: 140 Pinc Street, Florence, \1 issacliusetts (11062
413 586 5430, ed(t)pioneervaIILV habit ii 0H
I represent under the pains and penalties of perjury that:
1. The information in this application is correct
2. Two copies of the application (EXCEPT for _ANR plans) have already been delivered to DPW.
3. I have _ALRF_ADI' posted the required sign on the property.
4. The O\ \'NI R has tuthoIi7 ity to inspect this property
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\pplicsult signature: t Owner Signature: C �'
¶rtrk I:acatton: 59 '$erot Street; I*lorence 01062
Map ID: 17D 471 -00t ed: Book 4685 Page 81, Zoning: URB
Permit(s) Requested: APPROVAL NOT REQUIRED Surveys ($250 /plan page)
Regulations: 350b
Project: Revised ANR plan for Garfield Ave Extension
PERMIT CRITERIA (IGNORE "pipe," it refers to permits you have not applied for.)
Finding criteria
[pipe: 2451
[pipe: 246] __
Appeal of Building Commissioner
[pipe: 252]
Ipipc 118! o ,t
Comprehensive 40B Permit r
[pipe: 1971
[pipe: 196]
Variance .Application:
[pipe: 249]
[pipe: 2511
Special Permit and Site Plan Criteria:
pipe: 2531: [pipe: 821
pipe: 2541: [pipe: 87]
pipe: 255]: [pipe: 91]
pipe: 2571: [pipe: 96]
pipe: 256]: [pipe: 1021
pipe: 258]: [pipe: 1051
pipe: 2591: [pipe: 1001
pipe: 1561
pipe: 2611
pipe 1981
pipe: 1991
Requested Site Plan \VWaivers:
http:// fs12. 1 /fs12_app /FormSite 1 1/5/2009