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SPECIAL PERMIT Date ................................ 19...... <br /> File ................................ 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 /> ....................................................................................... <br /> Name If any conditions are written below, you <br /> are requested to see that they are complied <br /> with, and included in permit. <br /> ....................................................................................... <br /> Location <br /> Conditions (if any) ...................................... <br /> ....................................................................................... <br /> ....................................................................................... <br /> I .. <br /> ....................................................................................... <br /> ....................................................................................... <br /> ................................:....................................................... <br /> ....................................................................................... <br /> ....................................................................................... <br /> Permit granted (....................) <br /> Yes or No <br /> ....................................................................................... <br /> Date ................................ 19...... ....................................................................................... <br /> a <br /> Y <br /> b <br /> W W <br /> �► l V <br /> w ai <br /> IP permit was granted what other,permits <br /> were issued by the Building Dept? ............................... <br /> ToBuild? .............................. .............................. <br /> ' (Yes or No) (date) �.^....... ... <br /> 6— � Use & occupancy? .................................................. <br /> .....................................................P........... <br /> (Yes or No) (date) Board of Appeals <br />