38B-006 (36) y . - City of Northampton
Massachusetts fw "' +.
' 1 DEPARTMENT OF BUILDING INSPECTIONS , 4
„fi" '' 212 Main Street • Municipal Buildingf�
*fie Northampton, MA 01060
RECEIVED
14 title TENT PERMIT APPLICATION
pE PT OF
NORTHAMPTON cir, 010 0 (For Tents over 120 square feet)
NORTHH�dPTON,MA��00O
Permit Fee: $25.00 Check#
iiPLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: SS rn �^ Co Wye ko f�eh•ro l„)J
Address: s -rao-4 Telephone: ern) 6-3s-°2gc5
2. Owner of Property: c3 U\ P. C., I1 egg
Address: Telephone:
3. Status of Applicant: Owner Contractor 1�
4. Tent Location Address): rf��� t �i 2 ij I70�+.,Q.
Ns CIS, (3:hed-
`3'.^" y. �,,�."^c.,,°e fit, 3 may- ,5 i rc„_£,F.,�'�^"-1
garcel�ID 4Zo.nmgKiNWL6 �M1 3wxP2r-RE, "I.. 3t"'r";'", cuStAgg ,7i ;s ..,a- i ?,r.. 'M _,
ittliallF gma l dAtEi gurift0ICti0EPI R ME:RO
5. Use of Property: Residential: Commercial:
6. Description of Tent:
Size: 2- ct ) 10 N\-ar y.k iJ ten}S C C,�,�,:�•17�1�
Occupant Capacity:
Dates of Use: AA!) to 22, 20)3 —4 At^ju4.}- Z C,20i3
jt 4c 1 , B.)c?,.1. Au,ykoi- 21 Lo13 4C)-c'"
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: C -Itf- 2013 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._
oK
/, Q( City of Northampton
t4 , �� g)i Q
"7ç Massachusetts e
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DEPARTMENT OF BUILDING INSPECTIONS it t` rlt
212 Main Street a Municipal Building `Y
Northampton, MA 01060
Em-. J'
TENT PERMIT APPLICATION
puB 19 2.013
(For Tents over 120 square feet)
ING INSPECTIONS
DErNOFTHAIdPTON:t'�p01060 Je.
Permit Fee: $25.00 Check#
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: m 1.)-IN Co I1eye ,haitA ho r2-en.1U W j
Address: )2c, LJO..ra S'J-Tee.4 Telephone: `C8."2(1c9
2. Owner of Property: c3(1'1 i -L C. 11 egg
Address: Telephone:
3. Status of Applicant Owner Contractor i
4. Tent Location Address): 5ceii Gyp-.
G Giu , e r .
b.a t o 4∎r1,),,..-
17 16 ton n o waumtriP i arm er s"a-'_?'',{°vw mw�-r°-;. nvaam -
((TOB-FI ealt B1'T limUILDNMEP'ARICArd
5. Use of Property: Residential: Commercial:
6. Description of Tent:
Size: - /t)
Occupant Capacity:
Dates of Use: *RA-3ua I al].0 t 2.c? 13
`4,5 in3 3-' �� L�l 3 f: ) !".i.)-4.
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: 8-1U "ZOi3 Od\---; '
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 ommission, Department of Public Works and other
applicable permit granting authorities_ / /'
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