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m DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building °+M
INSPECTOR Northampton, Mass. 01060
Francis X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
DATE: '
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NAME:- "c�.�-�DDRESS
PHONE #
MEET
UNDER MASSACHUSETTWRTENL( 10)WDAYSVOFTTHERABOVETLISTED
THE ABOVE REQUEST ITHIN
DATE.