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SPECIAL PERMT Date ................................ 19...... <br /> File ................................ To Building Inspector: <br /> You are hereby authorized to Issue a <br /> APPLICATION for SPECIAL PERNIIT "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 /> .............................................:i:,......................::......... <br /> ....................................................................................... <br /> ................................................... . <br /> ..................................................................................... . <br /> ....................................................... .... .......................... <br /> Permit granted (....................) <br /> Yes or No <br /> Date ................................ 19...... ....................................................................................... <br /> If'permlt was granted what other permits <br /> were issued by the Building Dept? .................................................................... <br /> To Build? .............................. <br /> ......................................:............................. <br /> (Yes or No) (date) <br /> Use & occupancy? .................. <br /> (Yes or No) (date) Board of Appeals <br />