32A-155 RECORDS REQUEST 04InAMpTO
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'mii:' . DEPARTMENT OF BUILDING INSPECTIONS 0111,
212 Main Street ' Municipal Building
Northampton, Mass. 01000 ow'
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
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DATE: �J�'�`/ �� PAGE: 6 PLOT:
FILE ADDRESS: / 7-n" 1
NAME: ;47!n /7 4e.�7Dx_ ADDRESS: /) C c n
PHONE #: 1y'j "-A---''/'5QJ ,
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN ( 10) DAYS OF THE ABOVE LISTED
DATE.