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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
***PLEASE KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER***-
DATE: 3 c� PAGE. �` PLOT: j
FILE ADDRESS:
NAME: �Gau��S �CC�Cw c ADDRESS: 22.La3 R z-E--r
PHONE # :
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN ( 10) DAYS OF THE ABOVE LISTED
DATE.