23A-032 TENT Jun 10 20,06:55a 1812 Paint and Body,Inc. 413-584-9338 p.1
City of Northampton
rpt ry 14assach-aSetts c
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F DEPAR2'SNT of SD3LD-TNG Z'�SPEC2=ONS 4
21.2 Main 6txeet • Municipal Building 5��.,1,7�
.� 1;ortnampton, � OlOSO
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� � Approved 6110/20 LouisHasbrouck
' TENT PERMIT APPLICATION
(For Tents over 120 square feet)
Check#_
Permit Fee: $30.00
o ps or restaurant
(1N faivfe�foutdoor seating)
PLEASE------{TYPYPE 0 RIh1 i'R..�LLG�iN�ORSJ�ATtO^i om. �
1. Name of p,pplicant:_—_.�_n'—���.. __.._.-------.._
--Tetep one-f
Address:__ —-- --
2. Ovuner o`Property:^_
_ �-{
D
___-----_ Teiephona._
Address:_?' f — --
3. Status of Appiicant:?`owe,ler ---COntractar
4. Tent Location
�
parcel#Q
Parcel 1D: Zoning Map# 2c_PA_RCTi1stEric3tT
t4BEFILEDINBYTHET
- Residential:_ Cornme"cia1:�
5, Use o�Prope:*.{:
E, pest iption a'Tent: rr
i _
Size: Q'
Occupant Capacity:
gales of Use:— _
,4LL INFORMATION MUST BE COMf't-E7ED:PERIAIT CAN BE DENIED DUE TO LACK OF iNFORMA710N.
7.
g• Certification. I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE'[ � �• APPLICANT'S SIGNAT;3R7�--
-- - :
No-m: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 0;Pubjf'c WCAS aru 011A,F
applicable permit granting authorities.
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