Laserfiche WebLink
SPECIAL PERMIT Date . . . . . .. . . . . .19. . . . <br /> .r� <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 /> .. . .. . 1 .. .. .. . . .. . . .. . . ... . .. . . you are requested to see that they <br /> Location are complied with, and included in <br /> permit. <br /> ... . .... .. .. . . .. . . . . .. . . .. .. .. .. . . . . <br /> Conditions (if any) . . . . . . .. .. . . . . . <br /> .. .. . . . .. . . . . . . . . . . . . . . . . . . . . . <br /> . . .. .. . . ... . .. .. .. . . . .. . .. . . .. . . ... . . . .... .. . ... .. . ... ... . .. .. . . . . .. . . . <br /> Permit granted ( . . .. ) <br /> Yes or No <br /> Date .. . . . . .. .19. . . . <br /> If permit was granted what other . . .. . . . . . . . . . . . . .. . . . . ... . . . . . .. . . . <br /> permits were issued by the Building <br /> Department? <br /> . ... . . . . . .. . . . . . .. .. . . . . . . . . . . . . . . <br /> To Build? . . ... . .. . . . . .. . . ... . .. . <br /> r3 (Yes or No) (date) <br /> Use & Occupancy? .. . .. <br /> �� - (Yes or No) (date) Board of Appeals <br />