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SPECIAL PERMIT Date . . ..I . . .. . . . .19. . . .
<br /> File .. . .. . . . . To Building Inspector
<br /> Application for Special Permit You are hereby authorized to issue
<br /> a "Special Permit' for this applica-
<br /> tion for signature of the Board of
<br /> Appeals and are hereby advised that
<br /> this application has received the
<br /> , ,, ,, , , , ,, , ,, ,, , ,, , , ,, , , ,, , , ,, , approval of the Board of Appeals.
<br /> Name
<br /> If any conditions are written below,
<br /> ,, , , ,, , ,, ,, , , , , ,, , , ,, ,, ,,, , , , , , you are requested to see that they
<br /> Location are complied with, and included in
<br /> permit.
<br /> . ... . .. ... . . .. .. .. . . . . .. .. .. .. . . . . . .
<br /> Conditions (if any) .. .. .. . ... . . . . .
<br /> . . ....... . .. ... . . .. .. . . . . ... .. . .. . .
<br /> t7 . . . . . ... . .. . . . .. . . . . .. .. .
<br /> h`
<br /> 'tJ .
<br /> Permit granted ( . . .. )
<br /> ` Yes or No
<br /> . . . . . . . .. . .. . . .. . . . . .. . .. . . . . . . . . . .
<br /> Date . . .. . . . . . .. . .19. . . .
<br /> . . .. . . . .. . .. . . .. . . . . . . . . . . . . . . . . . . .
<br /> Ifpermit was granted what other . .. .. . . . . . . . . . . . . . .. . . .. .. . . . . . . . . .
<br /> permits were issued by the Building
<br /> Department?
<br /> . . ... . .. . . .. .. ... .. .. . . .. . . . . .. . . ..
<br /> To Build? . . . . . . . .. . . .. .. . . .. ....
<br /> (Yes or No) (date) . .. .. . .
<br /> .s
<br /> Use & Occupancy? . . . . . . . . . . . . .. . . . . . . . . .. .. . . . . . .. . .
<br /> - (Yes or No) (date) Board of Appeals
<br />
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