32A-183 (6) 'CHAMP
04' TO
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DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass, 01060
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
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NAME: mwr mss ADDRESS: Sr
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THE ABOVE REQUEST WITHIN TEN ( 10) DAYS OF THE ABOVE LISTED
DATE.