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2005 Mar 16 - Bldg.Permit Transmittal, Plan - Use & Occ.
_ �� V �, �` �� TOWN OF YARMOUTH �- � Building Department (oFFicE usE o►v�Y rown Han Recorded By: �� �`" Yarmouth, MA 02664 (5oa)sss-22s1 ex�.2s� Permit Fee: $35.00 Deposit Rec: $35.00 BUILDING PERMIT G��� Payment Type: �Check ChkNo.: 12gp ` � $0.00 7'RANSMITTAL f�'��� �� j��tion Date: 3/7/2005 U Temp Permit No.: T-05-447 �A�,j- Issue Dat : �tio Date Applicant Name: George Latshaw Jr. � Comments: Map/Lot: 050.1 Applicant Phone: Building Location: 00041 LONG POND DR USE&OCCUPANCY: CHILDRENS PLAY CENTER -OCCUPANCY SUBJECT TO ALL � FINAL INPSECTIONS Owner's Name: Stop& Shop Owner's Addres 1385 Hancock Street Quincy MA 02169 Ow�er's Telephone: . REVIEWED BY: 1. WATER DEPARTMENT: ' DATE: N�A: 2. ENGINEERING DEPARTMENT: DATE: N/A: a 3. CONSERVATION: � DATE: N/A: 4. HEALTH DEPARTMENT: � 5. BUILDING DEPARTMENT: DATE: /6 Q N/A: � DATE: N/A: 6. FIRE DEPARTMENT: � DATE: N/A: � � PLEASE NOTE . i COMMENTS: � `'S � �-v�`� Q,Id,2 0.. �- � �,�, ��t � �r ,� RECEIPT OF COPY: SIGNATURE OF APPLICANT: DATE: � � Date Printed: 3/9/2005