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13-038 (41) City of Northampton Massachusetts k DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 SEC IV ETENT PERMIT APPLICATION Ll NOV 14 2019 (For Tents over 120 square feet) DFpT nF�Uf! er it Fee: $30.00 Check # NORTHAt"li,I pN.1 P 1CpFC-r A 01G60 (PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: i �/C r V a- 2 y Co -04 Address: 330 Nf`ilit ,S 4,% a� lea � '4lephone:LU-(2) S� `C' "��y J67 2. Owner of Property: S*,,,.tip► Address: Telephone: 3. Status of Applicant: Owner Contractor {� /� 4. Tent Location Address): 33 Q /,� • �h 5 ( /V� � "�'A�� / �M Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Use of Property: Residential: Commercial: 6. Description of Tent: i Size: z o , X Q Occupant Capacity 3 U Dates of Use: /( 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: 1 t /'4 APPLICANT'S SIGNATOR 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. +}�� � / /{ QUI a r°`� ,.,;,c=y;a a� �, ." ;r t• t., hf'l_`... a�� , �•'�Z� ....' lust)` i:3,.,I,P P }`� 1 ,.:� ": -Wjo llII i t�• c7t XJIUE t.ed t'�:aRatrlf" • ; ;�:;tri;M'?.is)M�= ;,`�k,� � A,. ._. l �r ,i3. ( ,riiL`{111 Cfi14i?,� ;�3`3j j�36';ilyralJJ�[IQU f;C.UjRjl,0,q t: '�', liy,S7f;8'1►1q tO WC,peal { c.M .,j 'iiUVi hi �4 'l'taEiS��r� f tr T !'t i y'i:K UL Lt. 1 - r var � � k JEV -.t. IT bEYWII Vbbricvivov l .�.�,� d: '"`r �j'� =�4 `I t ^.,f � � `��l ti�'pdG'r►f�y1�K. �`�6f�;:�:�,}t•, ��� �� } '���.� .,��fi` �c� �, � � ,.a•��� .:�v�W i; %a;:rt�tvtr�. �ia�:�c.:c.rt�.�� ` < ;