Laserfiche WebLink
SPECIAL PERMIT Date . . ..G . . . . . .. .19. . . . <br /> File . .. .. . . .. To Building Inspector <br /> Application for Special Permit You are hereby authorized to issue <br /> a "Special Permit' for this applica- <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 /> If any conditions are written below, <br /> . .. . . you are requested to see that they <br /> Location are complied with, and included in <br /> permit. <br /> . ... . . .. . . 1 . .. .. .. . . .. . . .. <br /> Conditions (if any) .. .. . . . . . . .. . . . <br /> Permit granted ( . . . . . . .. . . <br /> ) <br /> Yes or No . . . . . . . . . . . . . <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) <br /> Use & Occupancy? .. . .. . . . . . . . . . . . . . . . .. . . . . • ' • " . . . . .Board of Appeals <br /> . (Yes or No) (date) <br />