31A-324 (8) City of Northampton
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Massachusetts Aid i.
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•1 • S x2Epn&THENT OF BUILDING ZxSPSCTTONS
232 Main Bthamp M4<tA euil.ding �- CD
\ I.[P Northampton, MA 01060 siav .yry\'i
TENT PERMIT APPLICATION
(For Tents over 120 square feet)
Permit Fee: $30.00 check # art Cke 7 3t
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PLEASETYPEOR PRINT ALL INFORM)ATPON
5 1. Name of Applicant nl th C0 Ile�`1C 6 L e i? tALik
Address. I .21.(po (J t IP4.€ 4 Telephone: �y�3� V yz 5 Zy 5 t�
2 Owner of Property
Address: Telephone.
3. Status of Applicant Owner Contractor
4. Tent Location Address)_ ' 1c IMIPM I a I iwC.
8 (.110)c_ jc e.
Parcel ID: Zoning Map# , Parcel pDishict(s),
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Residental. Commercial ��
6. Description of Tent q � -
Size. � -24.)h�i 4e..1 a �3 - 11` 0 4P.n)'T (GI". �'t�� \---r".7
: I
Occupant Capacity: *kg
Dates of Use 7Mn.( . I71', Z("„`IR h. A .c. 1 201 4
11r1.r ispo.l Nl•.y CV', 201} .the: It Lt (n.P.)
7. ALL INFORMATION MUST BE COMPLETED;PERMIT PAN 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�
-7�
DATE: 3 "I0-281 T APPLICANTS SIGNATURE I
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.