34-023 (8) THE COMMONWEALTH OF MASSACHUSETTS
� a - x-53
BOARD OF HEA TH
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No... .
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Maps dux..... Ton trlut gtt f amit
Permission is hereby granted........ .
to Construct ( or Repair ) Individual Sewa�9}}spo System
at No.....`^� .._...I. .... ... ...1`'z`...:...
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Street
as shown on the application for Disposal orks Constri• =gin Permit s.3 ..` Dated.... ,- '.cL, .........
S
lloaWof Health
DATE............... .k.....�.......�f.3...............
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS