35-041 (7) � ® Crier of Nortf1mllptoll
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DEPARTMENT OF BUILDING INSPECTIONS
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INSPECTOR
212 Main Street ' Municipal Building
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Northampton, Mass. 01060
REQUEST FOR PERMISSION TO VIEW
RECORDS OR HAVE COPIES OF DOCUMENTS
MADE.
DATE: -71-z
FILE ADDRESS: / 1�1 ,- PAGE : PLOT:
NAME: - s�n�! IGUIl ADDRESS & PHONE #: C` it15T GfJ CV
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE ABOVE RE-QUEST WITHIN TEN ( 10)
DAYS OF THE ABOVE LISTED DATE.
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