32a-246 City of Northampton
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DEPARTI NT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building r.?
-•\ Northampton, MA 01060 ,/,,,Pt'• jl�`�
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RECEIVED TENT PERMIT APPLICATION
' t ,. a y 2 2016 (For Tents over 120 square feet)
1oF811113n 'NSp`cTIo"S 'ermit Fee: 530.00 Check #____KLifi__
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�p� PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: VI/L lc-. — -(4 • yl< t�'
Address: 3� ( C L S` . Telephone: Lt l3 2'2-c'7(c>
2. Owner of Property: C OLS c �k-tr�i-1 p�.-.,�,,��11
Address: v Telephone:
3. Status of Applicant: Owner Contractor
4. Tent Location Address): (--c.....n„A. tic-9 -
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Parcel ID: Zoning Map# Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEDARTMENT)
5. Use of Property: Residential: Commercial:
6. Description of Tent:
Size: 0 X30
Occupant Capacity: .. V.peorrk
Dates of Use: 7' J?( f
7. ALL INFORMATION MUST BE COMPLETED: PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
8. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: 7. (2--' ( APPLICANT'S SIGNATURE N •
NOTE: Issuance of a permit does not relieve an applicant's burden to comp Se all zoning requirements
and obtain all required permits from the Conservation Commission, Department of Public Works and other
applicable permit granting authorities.
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