17C-207 a
b .',__'.'�,L?i Gr �UZ"•L'.�r `y.c��C;'iG'vS ... ,�.,,. '='
212_14-a in SL et al iJii.T1'.c al BuildIt
Nort�ziccr,NL—_ 01060
/ 7C � V07
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: �'I�7 MAP: BLOCK: 6
FILE ADDRESS: 6c( 2� LazZan LQ. 7(/Ja ice..
NAME:
ADDRESS: e"p— 'Aa (< � a 0,or I a Q(-8I c
PHONE 7#:
UNDER MASS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE
ABOVE REQUEST WITHIN TEN (1 D) DAYS OF THE ABOVE LISTED DATE_