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32A-271 TENT City of Northampton y 1iassachusetts .y ` DEPARTMENT CN BUILDING INSPECTIONS 212 Main Street o Municipal Building 3, ca Northampton, MA 01060 II-ry - �A'‘ RECEIVE' 1 I TENT PERMIT APPLICATION II! MAY - 2 I 2022 (For Tents over 120 square feet) 4 DEPT.0FBUILC)INGINSPECTIGN; Permit Fee: $30.00 Check # (-3(e ,G NO!3TNAMPTQN.MA 01060 PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: (_,' GU dt O GUerc o Address: I Fp(I Ck9Q c+i m Oat-let 0,PfDA MO a4relephone: 1 3 SI fr (c . 13 2. Owner of Property: C(Gud D (5'U- C\ .(( Address: ��S N Fv1N 01 FCC i N)ten-Q MA oi('celephone: LA k3 S M 2 945 3. Status of Applicant: X Owner Contractor 4. Tent Location Address): 13“die. SEcee+l m trf�^corlo )A AAA CID 0 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: (�� (� (1 'r Size: I,0 T1 �y �v - 0�11� 100 `` e V 2 Occupant Capacity: ��t �^ 2 Dates of Use: 6' l` 10 3 . 112 - S-�12.1 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: lc 122 APPLICANT'S SIGNATURE NOTE: Issuance of a permit does not relieve an applicant's burden t comply with all zoning requirements and obtain all required permits from the Conservation Commission, Department of Public Works and other applicable permit granting authorities.