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SPECIAL PERMIT DaL:. . . . . . . .. . . . . .ti' . . . <br /> File . . . . . . . . . To Building inspe;:tor <br /> Application for Special Permit You are hereby authorized to issue <br /> a "Special Permit' for this aopiica- <br /> tion for signature of the Board of <br /> Appeals and are hereby advised that <br /> this application has received the <br /> , , , , , , , approval of the board of Appeals. <br /> Name <br /> T <br /> f any conditions are written, beloh <br /> , ,, ,, you are requested to see that they <br /> Location are complied with, and included in <br /> permit. <br /> .... . . . . . . .. . ... .. . . . .. . .... . .. . .. . . <br /> . .. . . . . . .. . . .. . . . . . . . . . .. . . . .. .. . . . . <br /> Conditions (if any) .. ... . . .. . .. . . . <br /> . . .. .. . . . . . . . . . . . . . . . . . . .. .. . .. . .. . . <br /> .. .... .... . .. . .. . . . . . . .... . . .. . . . . . <br /> . . ... ... .. . . . . . . . .. . .. ... . ... . . . . . . <br /> . . .. .. . . . . . . . . . . . . . . . . .. ... ... . . . . . <br /> Permit granted ( . . . .. . .. .. ) <br /> Yesor No . . .... . ... . . . . .. . . .. .. . .. . ... . .. . . . <br /> Date .. .. . .. . . . . . . . ..19. . . . . .. .. ...... . . .. . <br /> Ae 1 if permit was graNted what other _ . .. . . . . . . . . . . . . . .. . ... . .. . .. . . .. . . . <br /> permits were issued by the Building <br /> Department? <br /> 1.. . . . . . . . . . . . .. . . .. . . . . .... ... . . . <br /> G To Build? <br /> (Yes or No) (date) . . . .I . . . . . . . . . . . . . . . ... . . . . . . . . . . . . <br /> p n <br /> Use & Occupancy? . . . .. .. . . . . . . . . . . .. . . . .. . . . . . . . . .Board of Appeals <br /> (Yes or No) (dace) <br />