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SPECIAL. PERMIT Date ................................ 19...... <br /> File ................................ <br /> 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 /> •• Massasoit Realty Trust Appeals. <br /> c%o...Philip..A..'. Ro-11-ins......................... <br /> Name If any conditions are written below, you <br /> are requested to see that they are complied <br /> Two adjacent parcels, East of & with, and included in permit. <br /> frontingonRout.e...28.........................:................................... <br /> Location <br /> Conditions (if any) ...................................... <br /> ..............:........................................................................ <br /> ....................................................................................... <br /> ....................................................................................... <br /> ....................................................................................... <br /> ..................................................................................... . <br /> ....................................................................................... <br /> ..................................................................................... . <br /> Permit granted (....................) <br /> Yes or No <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 /> Use & occupancy? .................................................. <br /> ...................................I.............................. . <br /> (Yes or No) (date) Board of Appeals <br />