16A-002 TENTS (2) City of Northampton
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.i� 1414 DEPARTMENT OF BUILDING INSPECTIONS y
jrl 212 Main Street • Municipal Building ' . „a
Northampton, MA 01060 J' , "3'^`
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iv&' TENT PERMIT APPLICATION P
°Fa 9 <90 (For Tents over 120 square
o �J feet 9
y�R7ftigM ti(3 i
O�r�SpFc Permit Fee: $30.00 Check # 1 ) $
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PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: I}-)(tS Euen r-1'--OD
O L545
Address: 1(g Hnrir19-cr\ f\Ue NIA-) Telephone: - Li59 o1O 1\
2. Owner of Property: To 1r N Of. Nprj-Y10 Pi-On
Address: p� 1() 1M(nfl ,St- <<1 offyiffi+ eli)n mirk 01 0(0 I Telephone: ,ti 13 - - 4100
3. Status of Applicant: Owner X Contractor
4. Tent Location Address): LOC]C e PCMC'.
300 ry i•ArA.c, S - F\os enre >MPc i Oro (a
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Residential: Commercial: X(
6. Description of Tent:
Size: L5) 10`X10 I Os) t0`x AO') (3) 2(jx,40') ( I) 1dx '-10 ( 1) ao' xQC'
Occupant Capacity:
Dates of Use: O ky hoar - / aWf aoaA
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.
I
DATE: S Z / APPLICANT'S SIGNATURE
NOTE: Issuance of a permit does not relieve an applicant's burde 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.