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„ TTy ; <br /> 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 /> f. ...............................................................I......................... <br /> ....................................................................................... <br /> ....................................................................................... <br /> ..............................................................:......................'. <br /> Permit granted (....................) <br /> Yes or.No <br /> ..............:........................................................................ <br /> Date ................................ 19.:.... ....................................................................................... <br /> If permit was granted what other permits <br /> were issued by the Building Dept? <br /> 3 ...................................................:................ <br /> To Build? <br /> (Yes or No) (date) ......... <br /> Use & occupancy? .................................................. <br /> .................................................................. <br /> (Yes or No) (date) Board of Appeals ,. . <br />