32A-138 TENT 3 R / 3 ? zona- )2-
City
City of Northampton
Massachusetts
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} z Approved 6/9/20 Louis Hasbrouck
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Q.co ' TENT PERMIT APPLICATION
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Q3 1 (For Tents over 120 square feet)
Permit Fee: $30.00 Check # /t
PLEASE TYPE OR PRINT ALL INFORMATION
1. Marne of Applicant: fir-4 t t t,/
Address:,.- 4 ,3� �r t.l� �"T�y,�� A
2. Owner of Property A , C-P�
Address: yve—er- Pit Telephone: i..3
3. Status of Applicant:xOwner Contractor 4e–,&LASS e e
4. Teat Location Address): � ,
8 00
5. Use of Property_ Residential: Commercial.
B. Descriptions of Tent: �f / �
Size:.... )CYO,t 4 9 V t_�i/�5,�,�1 e 6,Y Slct
occupant Capacity: t} .
Dates of Use: Il� � ,�`t3 /�va.4�.
7 ALL INFORMATION MUST BE COMPLETED:PERMIT CAN BE DENIED DUE TO LACK OF lNFORMATiON
8. Certification: I hereby certify that the Information contained herein is tru ad accurate to the best
of my knowledge. �Jsj �•� Y� �5.,}�.�U�K, *.
DATE: � APPLICANT'S SIGNATURE
NOTE: issuance of a permit does not relieve an applicants burl to com*with all zoning requirements
and obtain all required permits from the Conservation Common. Department of Public Works and other
amficable,permit granting authorities.
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