38B-006 (32) City of Northampton
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Massachusetts . ',.
DEPARTMENT OF BUILDING INSPECTIONS
--2 r 212 Main Street • Municipal Building tz +
D�lO Northampton, MA 01060 �3` � -
MAY 2 `j 2013 TENT PERMIT APPLICATION
MEPT.OF BUILDING INSPECTIONS
NORTHAMPTON MA 01060 (For Tents over 120 square feet) BY J 3!/°Z0 r Permit Fee: $25.00 Check# O v a'67/6 1
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: s r n Jk C0! e Ir,:c,hvvt
W u
Address: )2fn tJaJ4 S3-ree-4 Telephone: ((IA 6-3 -2-q 3
2. Owner of Property: (h L C. )leg "0C.
Address: Telephone:
3. Status of Applicant: Owner Contractor
4. Tent Location Address): G tvVi I c k /I„I c= CCLt✓ ,}ys•JI,
NYMl1c-t'C: 1 ac a
p`dfCt?i costa, illlef3x t5� "' r`` 1 i ." w�� a ��S�ll,.t 5�.�""wi "_; ., gg `.. ., s°3'.`..£,ri ..
ooF��L�alai! �ielk ILD otsz- )Pt�RrfM k i
5. Use of Property: Residential: Commercial:
6. Description of Tent:
Size: I - 2.o go r ) 40. A 80 ' I-t-)-4
Occupant Capacity:
Dates of Use: frJ\tiy fiAc:y
i�ut�►t.y Mvy 23, Loi3 11:6>
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: S "20- 2c313 APPLICANT'S SIGNATURE 0,v
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._
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6 City of Northampton
309-j s� -
r _s Massachusetts
DEPARTMENT
OF BUILDING INSPECTIONS -
NSPECTIONS L ,"'.'
Li 212 Main Street • Municipal Building 4> L"f
Northampton, MA 01060 1?}f. })�,,
V g _. ®ae
RECEIVED TENT PERMIT APPLICATION
I
MAY2 2013
(For Tents over 120 square feet) 4 P 13
+CPECTIONS Permit Fee: $25.00 Check# g ' ( ( 7
": RTNArM■PTON MA 01060
PLEASE TYPE OR PRINT ALL INFORMATION f
1. Name of Applicant: SiMi'Jk Co Ife)y . R c.LAA koi9-e -io („):3 k,
Address: Jac, 00Jc S3-ree-4 Telephone: (q1-5) 6:9C-24C9
2. Owner of Property: 6 fh I ) , C., ii e5
Address: Telephone:
3. Status of Applicant: Owner Contractor �" f
4. Tent Location Address): S'C2Iye, I4.tl ?afk t I >�tl; �e-11- ' Lii1.i WI Se .`ye X61,
2::\ Li eS 1- S -re c V
zo.el 1D� _'�Ma # ``A A aleweeoa_x k- Fioti is 4"`✓e a s�-._' . _ , '��,>Y�. "T
Cu..- � _,,,c gD' .,p � z t at= Y2s 3, ) -� _
KC2 1 FILLED ,,,_, "T l $tflI MOlaEP:Aatigt- g'.
5. Use of Property: Residential: Commercial:
6. Description of Tent:
Size: I - 20 ' 1.. 20 i I e,%}'
Occupant Capacity:
Dates of Use: S- 33 -203 4 ` - 7-20)3 _
re 61C. I-,,r-j 6 We'j. '�-2.i-2(:IJ kPl IZ. Ir
U� cr a,r1wt7
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: ‘le 'Z9 "20 f 3 APPLICANT'S SIGNATURE aj ) .----;
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._
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