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DEPARTMENT OF BUILDIXO INSPBO77ONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
Francis X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
DATE: I PAGE: PLOT: `� A
FILE DRESS: �
NAME' ,C o�f t e�' ADDRESS (�r�
PHONE # :
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN ( 10) DAYS OF THE ABOVE LISTED
DATE.
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DEPARTMENT OF BUILDIXG INSPECTIONS
INSPECTOR 212 Main Street • Municipal Building
Northampton, Mass. 01060 Y
Francis X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
DATE: l PAGE:-- r r PLOT:
FILE ADD E 'L
NAME: ADDRESS:
PHONE # :
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UNDER MASSACHUSETTS -GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED
DATE.