38A-061 (25) 3 Y,4-, 0<
City of Northampton
Massachusetts
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DEPARTMENT OF BUILDING INSPECTIONS �g
212 Main Street • Municipal Building N(�
Northampton, MA 01060 SSV........ tf
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6 X019 TENT PERMIT APPLICATION
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DFaT OF (For Tents over 120 square feet)
NORTNgn�^DING INSPECTIONS
ON.PAA 01G60
ermit Fee: $30.00 Check #
PLEASE TYPE OR PRINT ALL INFORMATION
1. 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): Equestrian Center(Stables)-Front of Building
178 Rear West Street
5. Use of Property: Residential: Commercial:
6. Description of Tent:
Size: 2-20'x 20'and 1-9'x 10'Tents
Occupant Capacity:
Dates of Use: Tuesday, November 5th, 2019
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Inspection Tuesday, November 5th, 2019, After 34$0 AM
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: I 1019 APPLICANT'S SIGNATURE GJ)
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.