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SPECIAL PERMIT Date . . .. . .. . . ... .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 /> B�xlnei t..E. .GuzdOn.,..jr.. . . .. . approval of the Board of Appeals. <br /> Name <br /> If any conditions are written below, <br /> Industrial Drive you are requested to see that they <br /> .. .. ... . .. . . . .. . .. . . . .. . <br /> Location are complied with, and included in <br /> Map 88 , Lot 25 permit. <br /> . ... . .. .... . .. .. .. . . .. . . .. .. .. .. . . . . <br /> ... . .. .. .. .. . .. .. . . . . . . .. . . . . . . .. .. . <br /> Conditions (if any) . . . .. . . . . . . . . . . <br /> . . . .. .. . .... . .. .. .. . . . . .. .. .. .. .. .. .. <br /> Permit granted ( . . . . . ... . .) <br /> Yesor No . . . . . . . . . . . . . . . . . . . . <br /> Date . .. . .19. . . . . . .. . . . . . . . . .. . . . . . . . . .. .. . . . . . . . . . <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 /> Use & Occupancy? .. . .. . . . .. . .. .. . .. . .. . . .... . .. . .. .. . . . . . <br /> . (Yes or No) (date) Board of Appeals <br /> w <br /> c� <br /> l <br />