1980, 12-10 Permit: 80-3689 InspectINSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMARKS: /
/.7/O/fo id„ cZ : Yt� mce � %�
�- 5` = So ����
e;.f.�ap 1. _. .
..... _ 1N'MEiv1
APPLICANT: COMPLETE NUMBERED SPACES PRESS HARD TO MAKE 3 COPIES
, ooe ft
, 'R.2
2LddJILL,
2/04264#ilQ41.
14/A.E.
WI/ACTON
LEGAL DESCIIPT1ON - SEE ATTACHED
ON
21P
/9 0G
O
ZIP
PNONP
PARCEL NUMSERR 3.3,5"4,3 -d9d4'
,Lor4 Eeex 4
DA Rad RST.jrs5
Aciumi ;M Ment in Fool /
porn .14 / 1;a11m /dJ I�Eu d JJ
fN•ol P.rm / IlQCrMR «I
2� M !=,M R..
Or.. ON* O A«•e.
..4 CNANO[ OF tam ITC M.H.1. Q
0 NOW 0 ALT. 0 wow. 0 APL. 0 000. O N
OTFR
0 DLO.
[ 0 PLIAS. 0 MECH. 0 POOL
PE
7. OF
WORN
•
Type Con. r iew«na
uwllen IOmuey Ann M to. FL
Main
ru« a �. WOW
oon FPO.. Pawn.. I i in_s«Nlwl
ZIP0E0140 Pa.
;Iwo.
MP. 042 1 No. sl«M• o, gpe
dP�n 1 Owulnl.
CERTIFICAT..IE•+R.wi�.f/!, PAL .4. ►bIRK6
M EXEMPTION Ir JR I I X
[nem. 0111. 'Location (Oleo
' D CRIaE WORN
1l �,
;Ou e( OA. LCC RIC WATER nEA
w
laamu
1 1 hereby c.rt.ly I hat 1 hada to.d and exioniut<1 Ihn •0pl,C.11•.,..e'O 1.0, I NOTICE" provisions included
IW[IM side, J.Id Nnnw Ih. Wog 1n he n.a.:I•':l ...•,n0l . p.. •,..,..0 adenomas governing this
0101 nl *role will he COrnpli.d 004' 010100, .0.elhnll hn o... , .nol. eL•
, IMrmlt Cols n01 ult urn1
t0 rove autootlIT 10 00111l1t 04 Cliorol 100 IRti.n,M1t Ut'.
.•Pllating CV0sI.11CIIOn 0' the
p.ltorm.ng of construction. SEE REVERSk SIDE FOR REOu1NLIl1'Noel I h1
/ )n
��t GATE OF APPLICATION '(-/.S'vQ S. V/•i1 nlE .lf. (/
�1 4. •. ream AFMIOVAL/ SPECIAL CONDITIONS:
NAME DAT(
+
Enr 'nein
F..t Morin.
«, —
Pant i..m....
Own 40114
Pubic ONN.I. OL
PERMIT IS NON I,::s' '.I t 1<ABLE
VSE 0001
FEEECOILECTIO
8Mg E
Numbing
1L0.
Plan Shea
SEPA
MabE•Nano
Oaten Opacity)
TOTAL ! 241-1214AAAiii///
WHEN MACHINE VALIDATED IN MISS. E
THIS BECOMES A PERMIT. `1