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SPECIAL, PERMIT Date ................................ 19...... <br /> File ................................ To Building inspector; <br /> You are hereby authorized to issue a <br /> APPLICATION Por SPECIAL PER= "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 /> ............................................ .......................................... ..............................................`...............r:........................ <br /> o <br /> .................. ................................ <br /> ....................................................................................... <br /> ..................................i.............. y .. <br /> Permit granted (.:...:............J , <br /> Yes or No u <br /> Date .........................:...... 19...... ...................................:................................................. <br /> .. <br /> If permit was granted what other permits <br /> { were issued by the Building Dept? .................................. ............................... <br /> CD To Build? <br /> j Z (Yes or No) (date) <br /> .................................................................. . <br /> Use & occupancy? . <br /> (Vpc or No) (date) Board of Appeaa <br />