32A-155 RECORDS REQUEST City of Northampton
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J. 212 Main Street • Municipal Building a:
0"--- Northampton, MA 01060 F, _i1''�
Phone: 413-587-1240 Fax 413-687-1272
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
PLEASE RETURN FORM TO THE BUILDING DEPARTMENT
DATE: / /� ( 2Q 23 MAP: ,, BLOCK:
PROPERTY ADDRESS: 4 4 7 + r 0 . -`7
ANY SPECIFIC INFORMATION YOU ARE SEARCHING FOR?
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REQUESTOR NAME: 4 VL °'j 5o0 L-4 C
ADDRESS: lC\ MetikJ {-riiA. (-w
EMAIL: S c'`ti`ej Soo 1 -S rn c�i) , C v w,
PHONE#: 21 / 3 - / -- 3 S'
UNDER MASSACHUSETTS GENERAL LAWS PART I, TITLE X, CHAP. 66, SEC. 10, WE HAVE THE RIGHT TO
MEET THE ABOVE REQUEST WITHIN TEN (10) BUSINESS DAYS OF THE ABOVE LISTED DATE.
UNDER FEDERAL LAW, STAMPED PLANS AND DRAWINGS MAY NOT BE COPIED IN ANY FORM WITHOUT
PERMISSION OF THE ARCHITECT.
REQUESTS ARE OFFICIAL DOCUMENTS AND BECOME A PERMANENT PART OF THE FILE, AND ARE
SUBJECT TO PUBLIC VIEWING