29-535 (3) t�
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
Francis X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
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DATE: PAGE: PLOT:-
FILE ADDRESS:
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NAME: ADDRESS:
PHONE # : z
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED
DATE.