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(This form to be filed with the Town Clerk.) <br /> 1 <br /> ....................................................19......... <br /> TO THE BOARD OF APPEALS OF THE OF Wa <br /> a <br /> The undersigned hereby petitions the Board/J'of Appeals 6o— ary-� w-�tev�raa- the <br /> Zoning By-Laws of the 7r',—, of �cQ p_e( r� - r n at premises <br /> � <br /> 1 nn H �'In L1? <br /> in the following respect: <br /> '^' <br /> or any limitation, extension, change, alteration or modification of use, or method of use as <br /> may at hearing appear as necessary or proper in the premises. <br /> State Briefly Reasons for 'Variance. <br /> 77 <br /> �CP � � <br /> Petitimter .....................................................-.......... <br /> By.............------.........-------......---.............................._ <br /> Address ................................................................ <br /> ...._ <br /> Telephone number ...................................... .......... <br /> FORM 1088 ROBEZ b WARM". INC. <br /> J � <br /> c � <br />