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,I�ASDAt((Iidt(Id
m DEPARTMENT OF BUILDIXG INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
***PLEA `E KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER***
DATE:---- r— PAGE: PLOT:
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FILE ADDRESS :
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NAME: �� ADDRESS : IO -SLe. Cn \Lr�n�
PHONE # : to
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN ( 10) DAYS OF THE ABOVE LISTED
DATE.