31A-065 (3) City of Northampton
jt Massachusetts se
DEPARTMENT OF BUILDING INSPECTIONS
fk 232 Main Street • Municipal Building -??
esek,c,?4,- Northampton, MA 01060 Lh. iSN
TENT PERMIT APPLICATION cj J
(For Tents over 120 square feet)
Permit Fee: $30.00 Check # 57 o f!C/
&- 17.1399
q� PLEASE/ ` f�
WEE CR PRINT ALL INFORMATION
1. Name of Applicant I FL COIle3C, cLJ�� X017EAi1 Wyk,
Address_ We}
11(0 } Aire , J Telephone CI13i) 5tb� 2LI
2 Owner of Property:
Address: Telephone.
3. Status of Applicant Owner Contractor
4 Tent Location Address). I erlurgckt5e head}
.7.ks.,k Owick.
`.V1 -Day Ilhyard+ + CaMmevtcer.( . - 2ojI
Parcel ID: Zoning Map# - Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Residential Commercial.
6 Description of Tent:
Size. 11/4:1,uc t,r of 1e4)" (SCAelJct. ; MAI' I rJ
Occupanl.Capacity: t l
Dates of UseL1201 1y� ) C , 2 31k
?laic TarrJ. 'K``Y Icit ,201} JV 1Y-ua (Ae:=),
7. ALL INFORMATION MUST BE COMPLETED:PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
8. Codification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: ,y_ 1 5 - 201 } APPLICANT'S SIGNATURE (/,'
NOTE:Issuance of a permit does not relieve an applicants burden to comply with all zoning requirements
and obtain all required permits from the Conservation Commission, Department of Public Works and other
applicable permit granting authorities.