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iq'T • DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municip'al Building . ,
no Northampton, Mass. 01060
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
* ** * *PP KEEP THE E DO UMENTS IN CHRONOLOGICAL ORDER * **
DATE: ' �J'f / 72- P AGE : / � D PLOT : //
FILE ADDRESS:
/6) , ) al nern Al
NAME:
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444 .T rd ADDRESS : f / ? A %A-/
i `' / ( 4/1
PHONE. #:: ,)
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED
DATE.