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DEPARTMENT OA BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Man. 01060
Francis X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
***PLEASE KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER***
DATE: po ,, PAGE: PLOT:
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NAME '\c ADDRESS: 1[5(°63-1-Z-9 �* ` 4
PHONE # : �< - CC-?-:43
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN ( 10) DAYS OF THE ABOVE LISTED
DATE.