Laserfiche WebLink
SPECIAL PERMIT Date . . ..I . ... . . . .19. ... <br /> File ... .. . . .. <br /> ` To Building Inspector <br /> You are hereby authorized to issue <br /> Application for Special Permit a "Special Permit' for this applica- <br /> tion for signature of the Board of <br /> Appeals and are hereby advised that <br /> US CQ VR this application has received the <br /> /. . . . . . , ,, , ,, . .b.,, ,, , , , , approval of the Board of Appeals. <br /> Name <br /> If any conditions are written below, <br /> `� ti •' � , S'Ayou are requested to see that they <br /> e <br /> Location a complied with, and included in <br /> ti �, permit. <br /> .. <br /> t + ,� Conditions (if any) .. ... . . . . . . . . <br /> .. .. .. .. .. . . . . . . . . . . . . .. . . .. .. . . . . . . <br /> i- . . .. . .. .. . .. ... . .. .. . .. .. . .. . . . . .. . <br /> r,/ . . . .. . . .. . . .. . ... . . . .. .. .. . . . . . . . . . <br /> Permit granted ( . .. . . .. . . . ) <br /> Yes or No <br /> .. .. . . . .. . .. . . .. . .. .. . . . . . . . . . .. . . . <br /> Date . . . . . . . . . . .. .19. .. . <br /> _- . . ... . . . .. . .. . . . . . ... . . . . . . .. ... . . . <br /> If permit was granted what other • • •• •• • • • • • •.. . . . . . . .. . .. .. . . . . •• • • • <br /> permits were issued by the Building <br /> Department? <br /> . ... . .... . . . . .. . . ... . . . . . . . . . . .. . . <br /> To Build? . . . . <br /> .. . . . . . . . . . . . . . . . . <br /> (Yes or No) (date) . . .. . . . . . . I .. . . .. . .. . .. . . . . <br /> Use & Occupancy? .. . .. . . . . . . . .. . .. . . . . . .. .. . . . . . . . . . <br /> - (Yes or No) (date) Board of Appeals <br />