31A-324 (3) City of Northampton
Massachusetts a�
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DEPARTMENT OF BUILDING INSPECTIONS
21Y Mein Street a Municipal Bui Id-, 5 lr
Northampton, MA 01060
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TENT PERMIT APPLICATION
Q o o (For Tents over 120 square feet})
w c „< Permit Fee: $30.00 Check#
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r PLEASE TYPE OR PRINT ALL INFORMATION
W fApPlicanf Smith College Richard Korzeniowski
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ms`s 126 West Street Telephone. (413) 585-2458
2. Owner ofProperty:
Address. Telephone:
3. Status of Applicant:_Owner _Contractor
4. Tent Location Address). 8 Paridise Road- President's House
Presidents SSW Commencement Reception
Parel Zoning:MdP# k`"Pe[ca19{'fr' fDisliiFt(§) "
ITO REFILLED IN el BUILDINO.DEPARTMENT)
5 Use of Property: Residential_ Commercial_
6. Description of Tent.
Size. Number of Tents Connected
Occupant Capacity.
Dates of Use: August 16, 2018
Inspection August 16, 2018 before 12:00 (noon)
7. ALL INFORMATION MUST BE COMPLETEDPERMIT 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.
( i
DATE: ,7 - 1) ' 20d APPLICANT'S SIGNATURE
NOTE: Issuance of a penult does not relieve an applicant's 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.
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