32C-165 TENT i3P-Zo2o--l 2 4 Lq
City of Northampton
Massachusetts
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DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building SJ6 C�
Northampton, MA 01060 X,p .-�....
TENT PERMIT APPLICATION RECEIVED
(For Tents over 120 square feet) JUN 1 6 2020
Permit Fee: $30.00 Check #
DEPT.OF BUILDING INSPECTIONS
NORTHAMPTON,MA01060
PLEASE TYPE OR PRIN ALL INFORMATION
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1. Name of Applicant: I vG (,UIv ou `j'Y�Tt oN
Address: ��S `/_'__ 44P�tsl�644;P cC�T Telephone: 1y07Y7
2. Owner of Property: ( 5 _e
Address: Telephone:
3. Status of Applicant: Owner Contractor
4. Tent Location Address):
Parcel ID: Zoning Map# 2 G Parcel#I to S District(s) Oct
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Residential: Commercial: x tIl
6. Description of Tent: /
Size:
Occupant Capacity:
Dates of Use: Carl (it
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 ac ate to the best
of my knowledge.
DATE: APPLICANT'S SIGNATURE
NOTE: Issuance of a permit does not relieve an applicant rden 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.