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SPECIAL PERMIT Date . . .. . .. . . ...19.. .. <br /> File ....... .. To Building inspector <br /> You are hereby authorized to issue <br /> APFIlcation for Special Permit 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 /> . ... ........ .. .. <br /> , ,,•, approval of the Board of Appeals. <br /> .. .... <br /> Name <br /> If any conditions are written below, <br /> ': ...,..r. .et <br /> .. .... .... ..... .... <br /> . .. you are requested to see that they <br /> Location are complied with, and included in <br /> permit. <br /> .t. .. ... ....... .. .. .... .... <br /> • .• Conditions (if any) <br /> .... . �,r.,... . . .................. <br /> ................. ..... . .. .. ........ <br /> . :,.. . .� <br /> ...................... <br /> .. ........ .... . . . ... .... . . . .. . .... . <br /> ........ ........ .. .. .. . .. . .. .. ..... <br /> Permit.granted (... .......) <br /> Yesor No . . .... ........... .... . . .. . . ........ <br /> Date .. ...... .....19.... . ......... .. .... . . .... . . ... .. .... . . <br /> If permit was granted what other •••••• ••••• " """ """" <br /> permits were imed by the Building <br /> Depart�ent? , <br /> ...... .......... . . .... . .. . ... ...... <br /> TO:041[. ? : .....•. . • ... • .. <br /> (Yes orNo) (date) .,,..... <br /> • x <br /> Use & , cu anc ? ........ ........... .. ...... . . .. . . .. . . ..... <br /> Or, P y Board of Appeals <br /> .,,� � (Yes or No) (date) . <br />