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SEC , Date . ...� : ... . . ..19. . . . <br /> File <br /> To Building Inspector; <br /> Application for Special Permit You are hergby authorized to issue <br /> s ; ar Speciai ;P )mlt!,for this applica- <br /> tion .for signatureof.: the Board of <br /> ~ Appeals and. are hereby advised that <br /> this application has`;:;received the <br /> .. . . .. .. . approval ofthe Board of Appeals. <br /> Name ,i 4 ..v At4„- <br /> anoa4f, ynjtjdns <br /> are written below, <br /> . . . . . .. . . .. . ... ... .. .. .... .... <br /> sa.. :you are requested to".-see that they <br /> Location arecompliedwith, ;and included in <br /> Permit <br /> Conditions (if any) . :. . . .. . .. : . :. <br /> . . .. .. .. ... . . .. . .. <br /> °,. <br /> ,f •.. ., . . 1'. .. .. . . .. .. .. . . . <br /> r% <br /> ` Permit granted <br /> Yes�or No <br /> ..... ....... . ...... .. . .. . . .. . . . . . . <br /> Date . ..... . .. ::19.... <br /> P <br /> If permit was granted what other. ... . . • ••. . . . . .• •• • • <br /> permits were issued by the Building <br /> •° R' Department? <br /> To Build? ,.; <br /> No) (date) ;, , <br /> i. � • <br /> {� J, Use & Occupancy?. .. . . .. . . <br /> i .t (Yes orBoard of Appeals <br /> .No) (date), <br /> L <br />