31A-324 (9) uyfi
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City of Northampton
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Massachusetts
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DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 010608 1ti
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D TENT PERMIT APPLICATION
(For Tents over 120 square feet)
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�1c (�'� Permit Fee: $30.00 Check #
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PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Smith College Richard Korzeniowski
Address: 126 West Street Telephone: (413) 585-2458
2. Owner of Property:
Address: Telephone:
3. Status of Applicant:_Owner Contractor
4. Tent Location Address): 8 Parldise Road - President's House
Presidents Fall Party
Parcel ID: .Zonjng.Map#
(TQ RE;,F,ILLED,-;IN BY THE BUILQINC,pEPARTMENT)
5. Use of Property: Residential: Commercial:
6. Description of Tent:
Size: Number of Tents Connected
Occupant Capacity:
Dates of Use: September 14, 2018
Inspection September 13, 2018, After 12:00 (noon)
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: 9-10 - 201 APPLICANT'S SIGNATURE
NOTE: Issuance of a permit 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.