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DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01000
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
***PLEASE KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER ***
DATE: � PAGE: �-� PLOT:
FILE ADDRESS:
NAME: { k ^s�.k ADDRESS : J q0-1� �L Ed MF,
PHONE # :E -e�9
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN ( 10 ) DAYS OF THE ABOVE LISTED
DATE.