PERMIT #_____

This publication is presented for "Classroom Use Only."  Its intended use is to stimulate and aid in discussion and role playing within a classroom setting.

Issued to____________________

For Following Uses:

The following conditions and safeguards are prescribed as authorized in Section 12 B.7 of the Ordinance. Any violation of these conditions shall be a violation of the Ordinance.

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Date:___________________

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Code Enforcement Officer

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Planning Board

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