22B-111 TENT City of Northampton
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TENT PERMIT APPLICATION
N\ , , (For Tents over 1201 square feet)
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Permit Fee. $30.G0 Check #.�90. _._...
(Waived for restaurant outdoor seating
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U U NS PLEASE TYPE OR PRINT ALL INFO TI AI
ddress, AAA 0 t r� °
2 Avner Pro y ........... . .. A .
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(TO BE FIU.ED IN BY TIME BUII DIN ,OLPARTIAENT)
5. Use of Propp-rty Res dentjal Commercial Il
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5 Desm;Aion of Tent; {
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Size
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Bates of Use: foo " f t jf,
ALL INFORMATION MUST BE COMPLETED; PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION,
a. Certification:t hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
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DATE: C� 0 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 Warks and other
applicable permit granting authorities.