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DEPARTMENT OF BUILDING INSPECTIONS
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INSPECTOR 212 Main Street O Municipal Building '>
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North,,unpton,MA 01060
FAX THIS TO: 413-587-1272
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
*PLEASE KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER*
DATE: / a 0 MAP: ✓ BLOCK:
FILE ADDRESS:_
NAME:_ AWLS a-s:V �: N s
ADDRESS: 8 A r2D.,�Z-r Tr�%c�° �U IVO'R'1��VA`k `r01U
PHONE #:
UNDER MASS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE
ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED DATE.