17C-214 TENT PERMIT I City of Northampton
J Approved 6-8-20 LoAa",AV;hR§-+,tts
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DEPARTMENT OF BUILDING INSPECTIONS '_
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212 Main Street • Municipal Building Q b�
Northampton, MA 01060 � .
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s � TENT PERMIT APPLICATION
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t (For Tents over 120 square feet)
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t Permit Fee: $30.00 Check # �
ON � PLEAS
E TYPE OR PRINTALL INFORMATION
i. Name of Applicant: i_„' =�
Address: tlG `��•, Telephone: }a
2. Owner of Property: 6r)n �
Address:�:a C2'- ),
� �,,� Telephone: 4�l� •�,�• .'�'�'��><
3. Status of Applicant: Owner Contractor
4. Tent Location Address), 6L
Parcel ID: Zoning Map Parcel# 2-14- District(s)_OD
(,TO BE FILLED IN BY THE BUILDING DEPARTMENTI
5. Use of Property: Residential:_____ Commercial _
6. Description of Tent:
Size:
Occupant Capacity:_ ,` , "�} � �r;� �
Dates of Use: L '
ALL INFORMATION MUST BE COMPLETED: PERMIT CAN BE DENIED DUEj TO LACK OF INFORMATION.
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8. Certification: I hereby certify that the information contained herei his rue and accurate to the best
Of my knowledge.
DATE: 6 ''
ems_ 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 Commiss* Department of Public Works and other
applicable permit granting authorities. r'
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