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FOgM NO.3 //
B UILDIN~ PERM IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLE~ON OF THE WORK AUTHORIZED]
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23~34 Z
Permission is hereby granted to:
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Counh/Tax Map No. 1000 Section ..... ~ ............ Block ...,,,~,, .~,,, ............ Lof No ..... ,,,~, ,,~,,. ..............
pursuant to application dated //../..,.~ ................................. 1 9....~...~..''~'
................ and approved by the
Building Inspector.
Fee $..../.~....~'.. ......
Building Inspector
Rev, 6~30~80