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SPECIAL PERMT Date ................................ 19...... <br /> File ................................ <br /> To Building Inspector: <br /> You are hereby authorized to issue a <br /> ` APPLICATION for SPECIAL PERMIT "Special Permit" for this application for <br /> P 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 /> r are requested to see that they are complied <br /> with, and included In permit. <br /> i ................................................................................... <br /> Location <br /> Conditions (if any) ...................................... <br /> ........................................................................................ - <br /> ....................................................................................... <br /> ............................:........................................................... <br /> • ..................................................................................... . <br /> ....................................................................................... <br /> ......................................................:.............................. . <br /> 1 <br /> y J <br /> Perplt granted (....................) <br /> Yes or No <br /> ....................................................................................... <br /> Date ................................ 19...... ....................................................................................... <br /> ` - 1 <br /> If permit was granted what other.permits <br /> were issued by.the Building Dept? <br /> ToBuild? .............................. .............................. <br /> (Yes or No) (date) <br /> Use & occupancy? .................................................. <br /> .................................................................. . <br /> (Yes or No) (date) Board of Appeals <br />