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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 /> ...................name....................................... If any conditions are written below, you <br /> are requested to see that they are complied <br /> pp with, and included in permit. <br /> Location <br /> Conditions (if anyj ...................................... <br /> ....................................................................................... <br /> ....................................................................................... <br /> ......................................... ............. <br /> T <br /> H <br /> ....................................................................................... <br /> Or �' • ._.................................................................................. <br /> ....................................................................................... <br /> G Permit granted (....................) <br /> a I Yes or No <br /> .0 3 <br /> Date ................................ 19...... .......................................................................... <br /> If permit 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 /> ...........I..........._ .—....................I......... <br /> . .. <br /> (Yes or No) (date) Board of Appeals <br />