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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 /> xame - 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 /> ....................................................................................... <br /> .................................................................................. <br /> ......................................................:............................... . <br /> Permit granted (.............'......J <br /> Yes or No <br /> .................................................................. ................... <br /> Date ................................ 19...... ............................................:.......................................... <br /> If permit was granted what other permits <br /> were issued by the Building Dept? .................................................................... <br /> To Build? <br /> (Yes or No) (date) <br /> Use & occupancy? .................. .. .. .................................................................. . <br /> (Yes or No) (date) Board of Appeals <br />