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31D-018 <G/� City of Northampton V Massachusetts k DEPARTMENT OF BUILDING INSPECTIONS J 212 Main Street • Municipal Building Northampton, MA 01060 TENT PERMIT APPLICATION b `� 2019 A(1G (For Tents over 120 square feet) DEPT OF ermit Fee: $30.00 Check # ©Urr_DrN�;rNSP — �SLf& NORTHAMPr0^ NS p p DONS PLEASE TYPE OR PRINT ALL INFORMATION t 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) 164 Green Street-Tyler House Lawn Summer Programs BBQ 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: 2 - 9' x 10' Occupant Capacity: Dates of Use: Thursday, July 25th, to Thursday,August 8th, 2019 Inspection Wednday, July 24th, 2019, Anytime ZS 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: 'T " Z�)S 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.