25C-251 (94) •
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City of Northampton
Massachusetts ® r
d.
ti k DEPARZTENT OF BUILDING INSPECTIONS
` -� 212 Mun rthamt o , MAMunicipal Building
„mg- Northampton, MA 01060
TENT PERMIT APPLICATION 1� �N
(For Tents over 120 square feet) `-/
Permit Fee: $30.00 's I Check# L
;,J'D .
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: I n `'e �t�>`nrc� i l ri (eN,_ G-
Address: 5^I i� F? S-1--R.Ee 1 �
I% It s-4I'e -1It. `S
Telephone: Li 13 IIO c( a ae 7
2. Owner of Property: �^tNee.25 -te '1An.L'Li Oarriricz AGR.. e4c So Che{I
Address: $Y'STt^C. Telephone:
3. Status of Applicant: I.--Owner Contractor
4. Tent Location Address): {7a-7 2 p 11-1-Pr
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
✓ 2n>; U�
5. Use of Properly: Residential: Commercial. RE'CS 1 r& it x 1- m UI s,G
6. Description of Tent: adamapcoLTh<e' y ok BG -
Size:
61211f II', ao t\ — Beek („'sKOtr'a
/AC- t Jo 0 iskao Bca2
Occupant Capacity:
• vse: •�3 /� L ✓.& A`3O — �a.G f k Shed
1�7t.54 30
7 as INFORMATI.N MUST BE COMPLETED: PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
r .
niffcation: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge. (� p
DATE: r/„.2 //c APPLICANT'S SIGNATURE 510-0.- FCtU- .- t
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.