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SPEC.%,_ eLMIT Date . .. . . . . . .. . . .19, . . . <br /> n <br /> File .. . . . . . . . To Building Inspect i <br /> C <br /> Application for Special Permit You are here bya thorized.to iss <br /> a "Special PIR, Ti for, this ' piic <br /> tion for signature ofzsthe B o <br /> Appeals and are hereby advi th <br /> this application has receiv th <br /> ,, , , , approval of the Board of -Appeal . <br /> Name <br /> If any conditions are 'wri n' ov, <br /> ... . , you are requested td-see' - a they <br /> Location are complied with, and included in <br /> permit. <br /> ... . . . .. .. . . .. .. .. . . ... .. .... . .. .. . . <br /> . .. . . .. . .. .. . .. . .. . . . .. . .. .. . .. . .. . . <br /> Conditions (if any) .. . .. ... . ... . . . <br /> Permit granted ( . .. . .... . .) <br /> Yes or No <br /> . .. .. . . . . . .. . . .. . . . . ... ... . .. . . . . . . <br /> Date .. ... .. . . ... ... .19. .. . . . . . . <br /> . . .. . . . . .. . . .. . . . .. . .. . ... . . .. <br /> 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) Bua-d of Appeal ; <br />