38B-006 (111) City of Northampton �Z�h
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS iFss4Wr `T
212 Main Street a Municipal Building
..a Northampton, Md 01060
388- OC)
TENT PERMIT APPLICATION
10 ? 3 (For Tents over 120 square feet)
Permit Fee: $30.00 Check# Sq7
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PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant Smith College Richard Korceniowski
Address: 126 West Street Telephone: (413) 585-2458
2. Owner of Property.
Address- Telephone.
3. Status of Applicant_Owner _Contractor
4. Tent Location Address)'. 126 West Street- Lunch Tent in Parking Lot
For Commencement and Reunion Events
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5. Use of property: Residential._ Commercial:_
6. Description of Tent:
Size: 20'x 30'Tent
Occupant Capacity.
Dates of Use Friday, May 17th, to May 28th, 2019
Inspection Friday, May 17, 2019 before 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. q (^/
DATE: S — I Z� I I APPLICANT'S SIGNATURE \iti.����--
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 perk granting authorities.