32C-311 (2) Zoning/Planning Application: Do NOT leave this page until it prints!!! http://fs12.formsite.com/fs12_app/ForrnSite
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Zoning /Planning pplication: Do NOT leave this page until it prints!!!
¢ r a t t Owner: Jerome Szawlowski
".: Address: 25 Ilenry St. , Northampton, Massachusetts 01060
Applicant: Jerome Szawlowski /[pipe: 75]
Address: 251Ienry St. , Northampton, Massachusetts 01060
413 -586 -3286, smtswaz @comcastnet
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 ALREADY posted the required sign on the property.
4. The OWNER has authorized the City to nsp -ct this • op. ty
Applicant signatu • Owner Signature �. / 1Y/le"
Work , t ampton 01060
M'T . .k6786 Page33, Zoning: URC(100)
Irmit(s) Requested: APPROVAL NOT REQUIRED Surveys ($250 /plan page)
Regulations: Reduction of dimensional and Density Regulations
Project Frontage reduction for existing 3- family and frontage reduction for proposed new single family
home.
PERMIT CRITERIA (IGNORE "pipe," it refers to permit uhaFe-nr3rip f `" ^y `.
Finding criteria =.� \\ ` �
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Appeal of Building Commissioner tong
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Comprehensive 40B Permit
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c 196
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Variance Application:
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Special Permit and Site Plan Criteria:
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Requested Site Plan Waivers:
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CITY CLERK USE: Submitted_ /_/09 Uearscvc 09
Application must include fee and (except for ANRs) $40 check made to "Daily I Iampshire Gazette"
INti IRUCl'IGNS to file your application
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1 of I 10/21/2009 11:56 AM