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(eIco <br />°t• #170 APPLICATION FOR PERMIT <br /> To camomenTH OF MASSACHUSEM <br /> HEPAr'IIm of PUMC W0198 <br /> 100 BASHUA STREET <br /> BOSTON, nWACHU VM 0210 <br /> — Cctobsr 12, 1978 <br /> ToKalleher <br /> District Rlighkay Engineer <br /> P.O. sox 111 <br /> �:i"dls2e3vi�c�it�$3+k� <br /> Dear Sir: <br /> The undersigned, 2M a==AAA AM FSA OA AARW... ........ IV CWAM (CAPE ..... DIV.) <br /> .. ..... <br /> ,� .g ,hND T,ELfDH1UNE.Ct L............thereby makes application for permission <br /> to •F2i�YAI,i..C3P75•(e1).BOLE.A`E.STd..�k3t .�EQI@.PSPSr.} Z STATE�BYfiHWAY Rom a8..Mast :.... <br /> ................................................................................ <br /> ................................................................0........................ <br /> .............................00..........00.......................0........0.....00........ <br /> �Co of Toren Grant returned tfren received) <br /> ......... .. .............................................0.............0..............0. <br /> ...........................................................0............0.........0..0.0. <br /> .....................................................................00...............000.1 <br /> on the State Highway in the MWArom of ..D3wAM. ............Auto aLrt g�_ .28 ...... <br /> New Bedford pas and Edison i�E VomPz�r <br /> Sign here ............y.....................0.00...........0 <br /> Distribution Planning <br /> Nailing Address ................. .............................. <br /> New England Telephone <br /> Right of Way Agent <br /> Telephone Ho. 0...........0.0.............0......000.......... <br /> If this Permit is to be issued to ty one other than a municipality or stility <br /> company, the application mast be signed by the owner of the abutt party or sa1A <br /> owner mast indicate his approval of this applisat by s lar <br /> 0000. .. 0000.... . . .. <br /> s a cation, in duplicate, is be orwarded toa WAristEn`inser is <br /> your ares,* <br /> Ise rown a side for addreesse of District Offices <br /> HMD-008 <br />