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PermitApplication_Carol A and Ernest J. Heon Jr.Permit Application Todav's Date- 07/31/2013 Owner Applicant Carol A and Ernest J. Heon Jr. Carol A and Ernest J. Heon Jr. 326 Chesterfield Rd. 326 Chesterfield Rd. Leeds, Massachusetts 01053 Leeds, Massachusetts 01053 413 - 695 -6131 carol @carolheonreal estate. com City of Northampton department: No Work Location Information How many lots involved in the project: 1 Map / Block / Lots of all lots in project: 15B / 023 / 001 Deed Book of all lots in project: 2127 pg 260 -261 Project work address: 0 CHESTERFIELD RD City / State / Zip: Leeds 01053 Zoning District: Rural residential Application for following Permit Types ❑ Planning Bd. Special Permit w/ Site Plan ❑ Planning Bd. Special Permit w/ MAJOR Site Plan NO Special Permit ❑ Administrative Site Plan Review ❑ Planning Bd. Major Site Plan Approval (No Special Permit), including 40R projects ❑ Subdivision Preliminary ❑ Planning Bd. Special Permit w/ Site Plan for flag lots ❑ Planning Bd. Site Plan (NO Special Permit) ❑X Approval Not Required Plans ❑ Subdivision Definitive with Preliminary Approved ❑ Subdivision Definitive with no Preliminary Approved ❑ Zoning Board Special Permit ❑ Appeal of Building Commissioner - Zoning ❑ Variance ❑ Historic District Determination of Non - Applicability ❑ Historic District (Elm St) Determination of Appropriateness ❑ Subdivision Definitive Amendment ❑ Zoning Board Finding ❑ Comprehensive Permit (40B) ❑ Demolition (Demolition Delav) ❑ Central Business Architecture ❑ West Street Architecture ❑ Wetlands Notice of Intent IF ONLY local ❑ Wetlands Notice of Intent IF state wetlands wetlands 210 Main St., Rm. 11, City Hall, Northampton, MA 01060 (413) 587 -1262 Total Fee Amount: $250.00 Existing Use Residential home Planned Use We are subdividing a 12 acre piece Detailed Project Information Number of Plan Pages:1 Special Permit Description: This is not a building lot permit, just additional land for house. Approval Not Required Description: located on plans Files Uploaded: By typing my name in the signature box, I certify that all the information above is accurate to the best of my knowledge, I am the property owner or have permission from the property owner to apply for this permit. I also grant permission to the City of Northampton to inspect the proposed work Signature: Carol A. Heon Date Signed: 07/31/2013 210 Main St., Rm. 11, City Hall, Northampton, MA 01060 (413) 587 -1262 Fee Information Approval Not Required Plans - $250 /plan page $250