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a <br /> NNE <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 /> .................................:........................................................ <br /> ....................................................................................... <br /> i <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 /> To Build? .............................. <br /> (Yes or No) (date) <br /> Use St occupancy? ....................: .................................................................. <br /> , <br /> (Yes or No) (date) Board of Appeals <br />