11A-057 RECORDS REQUEST �°15r°ti
.A=,14_40434 w ki;t (tif z f Nvx#l�ttmpthrt 11712EMi2
*=,�,_; is a Alas ancllusrUs _ '_
�' �` DEPARTMENT OP BUILDING INSPECTIONS _t==f
INSPECTOR 212 Main Street ' Municipal Building
\ I;;.w
Northampton, Mass. 01060 41.1
Francis X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
***PLEASE KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER ***
DATE: rxY c h / ) 1 cl 4' PAGE: PLOT:
f
FILE A RESS : ` �1 1 �Dr\ C DM 1 \
NAME: N I CJYIC“ei �t�VekUO1ADDRESS : # 'e--- V 1r11nT1,1t Dr „
PHONE # : S ,).
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN ( 10 ) DAYS OF THE ABOVE LISTED
DATE.