Laserfiche WebLink
SPECIAL PERIMT Date ................................ 19...... <br /> File ................................ To Building Inspector: <br /> You are hereby authorized to issue a <br /> APPLICATION for SPECIAL PERMIT "Special Permit" for this application for <br /> signature of the Board of Appeals and are <br /> hereby advised that this application has <br /> -- received the approval of the Board of <br /> Appeals. <br /> t .I.,...500ri.e.1.. ......................... <br /> Name if any conditions are written below, you <br /> are requested to see that they are complied <br /> with, and included in permit. <br /> ...N.orthwest...corner....@. .I nterseot i on <br /> Location <br /> Conditions (if any) ...................................... <br /> Or...Rt,..•.Z$...and...r:1A.1.15y....H01e...Roaa. <br /> ....................................................................................... <br /> ................................................................................. .. .. <br /> ....................................................................................... <br /> ..................................................................................... . <br /> ....................................................................................... <br /> ..................................................................................... . <br /> ..........................................................................I............ <br /> Permit granted (....................) <br /> Yes or No <br /> ............. ........................................................................ <br /> Date ................................ 19...... ....................................................................................... <br /> If permit was granted what other permits <br /> were issued by the Building Dept? .................................................:.................. <br /> ToBuild? .............................. .............................. <br /> ..........................................................:......... <br /> (Yes or No) (date) <br /> .................................................................. . <br /> Use & occupancy? .................................................. <br /> (Ye• r No) (date) Boer: ^ Appc_Ls <br />