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�� pT OM 30 owl 1--W NORTHAMPTON MA 01060 IS
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Maui Street ' Municipal Building e,M
Northampton, Mass. 01060
REQUEST FOR PERMISSION TO VIEW
RECORDS OR HAVE COPIES OF DOCUMENTS
MADE.
DATE:
FILE ADDRESS:,, Cu�� l�:�SI,�G PAGE: c,3(o PLOT: j
4
NAME: ADDRESS & PHONE #: _
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UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE ABOVE REQUEST WITHIN EN ( 10)
DAYS OF THE ABOVE LISTED DATE.