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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 /> LARRY NICKULAS this application has received the <br /> ,. , , , approval of the Board of Appeals. <br /> Name <br /> MAP 2 , Parcels 118 and 127 If any conditions are written below <br /> , , ,, , you are requested to see that they <br /> Location are complied with, and included in <br /> Off of Pimlico Pond Rd. and permit. <br /> .. .. . . .. . .. . .. .. ... . . .. . .. .. .. .. . . . . <br /> John EwerRpd,, , 3Ree, , , Conditions (if any) .. .. .. .. . . . . . .. <br /> . ... . .. . . .. . . .. .. . . . . .. ... .. . .. .. .. .. <br /> . . ... . ... . .. . . . . . . . .. . .. . . . .. . ... . . <br /> . ... .. . ... . .. . . . ... .. . ... . ... . . . . . . <br /> Permit granted ( . . .. ) <br /> Yesor No ... ... .. ... . . . . . . .. ... . ... ... . .. . . . <br /> Nr" <br /> X Date .19. <br /> $y ¢ If permit 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 ' 1 <br />