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DEPARTMENT OF BUILDIXG INSPECTIONS
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INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
REQUEST FOR PERMISSION TO VIEW
RECORDS OR HAVE COPIES OF DOCUMENTS
MADE.
DATE: 3� �
FILE ADDRESS: PAGE: PLOT: `
ADDRESS &
NAME PHONE: ;�,� l v.�v,�
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE ABOVE REQUEST WITHIN TEN ( 10)
DAYS OF THE ABOVE LISTED DATE.