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DEPARTMENT OF BUILDING INSPECTIONS � ?y
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
REQUEST FOR PERMISSION TO VIEW
RECORDS OR HAVE COPIES OF DOCUMENTS
MADE.
DATE:
FILE ADDRESS: Cy L I 1 I I I PAGE: PLOT:
NAME: ADDRESS & PHONE #: /w; f ` �`S �� ' 13 LIZ
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE ABOVE REQUEST WITHIN TEN (10)
DAYS OF THE ABOVE LISTED DATE.