32A-138 TENT - LA VERACRUZANA 32f) —13?' '� -ZO2o-I23S-
- City of Northampton
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3 212 Main Street • Municipal Building '.
7.5 • Northampton, MA 01060 rNyy° 1� '
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TENT PERMIT APPLICATION
(For Tents over 120 square feet)
Permit Fee: $30.00 Check #
PLEASE TYPE OR PRINT ALL INFORMATION
OU Name of Applicant: La Veracruzana Telephone: 413.586.7181
OU Owner of Property: City of Northampton
Address:_31 Main Street -Northampton MA 01060 Telephone:
IU Status of Applicant:_X Owner Contractor
1.0 Tent Location Address): In Front of La Veracruzana
Parcel ID: Zoning Map#32- 4 Parcel# 1342' District(s) o p
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property:Residential Commercial. \_
6. Description of Tent:
Size: 10 X 30 Occupant
Capacity: 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: 6/15/2020 APPLICANT'S SIGNATURE`
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.