25C-251 (2) • 25c -25I oo l
I MAY 1 City of Northampton
6 2023 Massachusetts
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INSFE DEPARTMENT OF B.ILDINGINSPECTIONS n
CTIGNE Street MunicipalBuilding
07060 Northampton, MA 01060
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TENT PERMIT APPLICATION v'
(For Tents over 120 square feet)
Permit Fee: $30.00 Check#
� PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: A f f►'1£Y' 5"t Al r I J
Address: 1 5 /4 v>1 )i S ( c s�� IG��Y�CC lglephone: z//3 —
2. Owner of Property: /4 T t4v1 c 5 '1tl 11^" , �{�c h 4 )I 4 1-4,14-10d f h �- 5.GG i 4 {-
Address: 5 I f t I Y C f, • /(/vr71-ti ►^^ ��'r, /$,Telephone: 1/1 ' —5 — 2Z '7
3. Status of Applicant: Owner Contractor
4. Tent Location Address): ,V'4 C CUi/o ( 17 /" tt r q y`vvi(=S
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: ( V ACC 4 v i -co r G I rc u$
Size: % S G O 5 , . / '% 'c, 54 rt. . z 54 t'+
Occupant Capacity: j i t Top yl a 5 qae e3 GG U P 6.h-t- C f
Dates of Use: L iF/23 a 144i 9/9/23
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.
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DATE: 5/3 3 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.