32A-162 TENT PERMIT City of Northampton
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Massachusetts &?�' c;l
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( q DEPARTMENT OF BUILDING INSPECTIONS ,
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T,,,.,, 212 Main Street • Municipal Building &
Northampton, MA 01060 Jsyjy--3+ ��,
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TENT PERMIT APPLICATION
FEB - 7 2023 (For Tents over 120 square feet)
Permit Fee: $30.00 Check # (a6,
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' 1 PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: W V
Address: .� Tele one:
2. Owner of Property: �(, � ,h ( �6 \v"` 1 Picdc
Address: 'T 3 i-k�.�f LZ...,, ' - . 'VI0 - ephone: lU£ (, - �q) 1 6 1
3. Status of Applicant: Owner `� Contractor /I c it CC-Oki) �-O NVYIQ.-{ceS
V op -E dST 4i�3- sq--73 7
�'� _ ( w�a,tn-)4. Tent Location Address): � 7j 1. t�Q.,.�
c.i\t,,S6-4"
1\10 �`r* -{-m AAA- d ro GCS
Parcel ID: Zoning Map# Parcel#_ District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Residential: Commercial: J 01.A.-Va., -(.- N.
6. Description of Tent:
Size: `2- 1 X .'2 o l GC) 0 Qc± . i ?rove gaita(OkAllYt ArkfAl t5
Occupant Capacity: P Q Q � f 'I�^ �`-'
Dates of Use. PV( n 62 oL
1
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.
DATE: (9 ( I I _C)( S APPLICANT'S SIGNATURE ,0l k , th • -,
NOTE: Issuance of a permit does not relieve an applicant's burden to comp y with all zoning requirements
and obtain all required permits from the Conservation Commission, Department of Public Works and other
applicable permit granting authorities.