13-038 (40) l�P-�a- IMUS h
City of Northampton 6�'
'. MassachusettsI/��n/
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DEPARTMENT OF BUILDING INSPECTIONS
1 212 Win Street a Municipal Builtl ng
Northamptan' MA 01060
EIVED
TENT PERMIT APPLICATION JUN 1 0 2019
(For Tents over 120 square feet)
WEPT OF BUILDING INSPECTIONS
NORTHAMPtON,MA 01060
Permit Fee: $30.00 Check#. 3S�
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: -
AddreI
phone: .2
J
2. Owner of Property: 7a1.wa
Address: 5 a! ^ Telephone:Ja . n
3. Status of Applicant:_Owner Contractor ('
4. Tent Location Address): 332 ,), VI �✓' J -f
vTM
5. Use of Property: Residential:_ Commercial:_
6. Description of Tent:
Si.: 12 ` h r
Occupant Capacity: 10
Dates of Use: Z
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 beat
of my knowledge.
DATE: 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 authorples.
jbP—ja-jycrj �. a
City of Northampton
Massachusetts
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DBPABTr2NT BUILDING IN3ONS t
elY IYSn 9Ts..ot . Mumcipnl Ruild1Building
Northampton, 1A 01060 E I V E D
TENT PERMIT APPLICATION JUN in 2019
(For Tents over 120 square feet) DEPT OF 6UILbINO INecnONS
NORTHAMPTON.MAsv01060
Permit Fee: $30.00 Check
O PALE/ASE TYPE OR PRINT ALL INFORMATION / 1
1. Nameof Applicant: R1vC- Vedfe,4 ,,��+�1 �1_/7/Q OCLVL � L c,y Sl /
Address: �V N. Y\ �L y ,s /'F /VnHl'ttd6 telephone: ( %tce-
2. Owner of Property:_ jzt uw_4p
Address: Jr ct ... n Telephone: S cl-.n
3. StutisofApplicant: OMmer _Contractor/ p
4. Tent Location Address): 3 � 0 A/ u` : �. ) f 44, -4- 4�t,,
5. Use of Property: Residential:_ Commercial:
6. Description of Tent:
Size:
Occupant Cape*: �
Dates of Use:�� l q (o �iTi
7. ALL INFORMATION MUST BE COMPLETED:PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION
s. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knn/owlll/e^^dg//ee!.r
DATE: APPLICANT'S APPLICANT'S SIGNATURE
NOTE: Issuanceofa ��1��1Penn0 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 perm granting authorities.
b 4&1- I Hoy
City of Northampton
Massachusetts
DBPARTlraNT OF BUILDING INSFSCTIONS
212 Win Strwt a Municipal Building
Kortha ton, M alae° C E I V ED
TENT PERMIT APPLICATION LUN0 2019
(For Tents over 120 square feet) DEPT OF 9UIlO1NG INSPECTIONS
NORTHAMPTON.MA01060
Permit Fee: $30.00 Cheek# W_,Z)
L� 1 (PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Appliccayant:�x� (\i�{r�C�'^Vq �lC�f/' 60 'OKI
Address: DO O ✓"- y\ 1 "IS .74�okr-f Telephone: t!W �)_jk4
2. Owner of Property. f Q.f....4
Addran:.5«-tee_ � Telephone:
3. Status of Applicant: t O ner —Contractor
4. Tent Location Address): -33C
11 Rzd
5. USO of Property: Residential:_ Commercial: 1/
6. Description of Tent:
Size:
Occupant Capacity:
Datesof Use:
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:b &f' 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.