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30A-081 RECORDS REQUEST 1,511AMP7, 0 oy tQ.t t1 of Noxtt ampton ► /, _uG:!d _IEW '_. J AR I/it (i o �fGlassacllusette iaAi: DEPARTMENT OF BUILDING INSPECTIONS , 1- INSPECTOR 212 Main Street ' Municipal Building 'O,M—�• ." Northampton, Mass. 01060 um Francis X. Sienkiewicz REQUEST FOR PERMISSION TO VIEW RECORDS OR HAVE COPIES OF DOCUMENTS MADE 6 7� �677, a,?/ sw/sP DATE: PAGE PLOT: FILE ADD SS: /"' :._) ----:—'Sc-L';'/-1) vec� NAME• mew a/r.e2i P 'c � ADDRESS: l ' /I -"L /r� PHONE # : . UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE ABOVE REQUEST WITHIN TEN ( 10) DAYS OF THE ABOVE LISTED DATE.