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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 /> Appeals. <br /> Gilmore G. Gessner, Trustee <br /> .............................Naa" .me....................................... If any conditions are written below, you <br /> are requested to see that they are complied <br /> with, and included in permit. <br /> off Rte. 28 at Wags Road, Map ....... <br /> Location <br /> Conditions (if any) ...................................... <br /> 81, part of parcel #1 <br /> ............................................................................. .........................................................................I........... <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 /> i <br /> To,Build? .................... ......... <br /> (Yes or No) (date) <br /> Use & occupancy? .... . . .............................. . <br /> . . ..................................... <br /> (Yes or No) (date) Board of Appeals <br />