32A-138 TENT (3) (329- l3'
City of Northampton
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i' AI,'i DEPARTMENT OF BUILDING INSPECTIONS 9 '
�=%> 212 Main Street • Municipal Building .A.
Northampton, MA 01060 14.
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1 MAY 1 1 7 / TENT PERMIT APPLICATI N
2022 i
(For Tents over 120 square fe t)
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Permit Fee: $30.00 Check #
PLEASE TYPE OR PRINT ALL INFORMATION
I
1. Name of Applicant: PCc nillQ JT�.D ) r''u L f
LL`^'I C� /7-0A-)Jr'-9 <-
Address: 2 3 /'',t,-) Sr re C t AJO7-f tio-s j2 Jr Telephone: //.J -Id`f—or ‘6
2. Owner of Property: ClG- ;4 4 a r p // ,
Address: 6 L"(9 'p..i c 4 /!1f e/e� Telephone:
3. Status of Applicant: X Owner Contractor
4. Tent Location Address): A-4 14, LO f iUvrf ✓17 2 ( A" i S T.
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Residential: Commercial: '}\ Zrti
6. Description of Tent: 6�\ ,
Size: G/U / 'r So ( 0.1
Occupant Capacity: /�d ('`Gin t Or)"7
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Dates of Use: s//2/2 Z. — /0/.?//21._
7. ALL INFORMATION MUST BE COMPLETED; PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
8. Certification: I hereby certify that the information contained here!rl Is true and accurate to the best
of my knowledge. :>,,...2:?5e Z
DATE: ' ) Z 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 Works and other
applicable permit granting authorities.