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$f1 Application for a Permit/to Build No.
ld Fee must accompany this ap 'cation
Yarmouth 1°iX 192.1.
7
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
Q z . MCS}:$1 Address 34S N.S1.(lo^k. . S,yc '.
1. Name of Owner tt1.cr
2. Name of Architect (if any) '
3. Name of Builder Nor't Zw+(nwe`^genie "U'e.Ct4 k s' c /
i
4. Precinct No. 3 Lot'' No. a,\ Plan: Name or No. gra -- J Z
5. Name of Stree9gf Ac;t . �(L ect.
6. Purpose of Building Q000,, A.,3Atiro." 1 Ot t w-.gflOb""
7. Material u . rt,",`-
8. Estimated cost of building &000 A2 9airue. „g t ''4
9. Dwelling V i ,(X /
/ V ,
10. Cottage OVA
11. Heat F HVJ '�, -
12. Basement 30' t(CoJ\ to" 1o3ceA co.^cc-Ie. / -
13. Garage 14/A �� / 0�
14. Store N/A ! f r O
15. Shop N/A
16. No. of stories 1
17. Is there to be a Store in the lower storey MO 1i
I S3,t I13 ,k a No. of feet deepI4a 9131 t R).
18. Size of Lot. No. of feet front � No. of feet rear
1t& & coition INxfy SEk P44T f4A14 ATrAcuR/1
19. Size of building. No. of feet front Ivo. of feet sr a No. of feet rear
20. Distance from nearest building: Front LA-$•••ft.; side ft.; side ft.; rear
r
21. Distance back from line or street `r 3 ' from rear lot line 3 ' , side line a
Show by diagram the location of propsed building with relation to distances from adjoining lots, on reverse side. •
Name....NM.E..,j,,ufna nn6ttr ra1ANsrs
Address 5.- 1y0.."°.JSI, gJ. 4ctn.'t
I
Rear of Lot ) 73 'co 2
i
i1 4 0,
Ur
a .
4.
7 a0
omr ?-1 Iti
rO Ab
m
Z b z
4> y
F. 04 A
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sEC- AT774CctCO PLo? PLAI.4 `�
Frontage of Lot
Street Name...L4 ;h Ac--tic -
PLOT PLAN
APPLICANT: k r 4 , d M 4, it 41 , BLDG. PERMIT NO.
LOBATION OF PROPERTY: /71,24 11„ ) /2((, - 1 DATE FILED: / 77:; -
THE
O 'l -THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN
INDIVIDUAL MUST FOLLOW IN ORDER TO OBTAIN A PERMIT TO BUILD OR ALTER A
BUILDING. THE BUILDING DEPARTMENT WILL CHECK ON THE FOLLOWING: (A) CON-
SERVANCY DISTRICTS (B) HISTORICAL DISTRICTS (C) FLOOD PLAINS ZONING, AND
WILL BE RESPONSIBLE FOR ASSISTING THE APPICANT THROUGH THE FOLLOWING
AGENCIES.
1 . RESIDENTIAL BUILDING:
A) CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS
FOR SEWAGE DISPOSAL.
B) CHECK WITH CONSERVATION COMMITTEE IF THE LOT BORDERS ON ANY TYPE
OF -WETLANDS. EXAMPLES: STREAMS, PONDS, RIVERS, OCEAN, BAY, BOGS,
MARSH, ETC.
2. COMMERGI:AT,.BUILDING:
A) ENGINEERING DEPARTMENT-FOR PARKING AND DRAINAGE REQUIRE TNTS,
TOPOGRAPHY SITE PLAN REVIEW.
B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS.
C) PLANNING BOARD-TO SEE IF LOT COMPLIES WITH ZONING BY-LAWS .
D) BOARD OF HEALTH-FOR SEWAGE DISPOSAL REQUIREENTS, HEALTH RELATE
ACTIVITIES. EXAMPLES: SAUNA BATHS, SWIMMING POOLS, RESTAURANTS,
ETC.
E) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY,
(SPRINKLERS, SMOKE DETECTORS) .
/REVIEWED BY:
�/ /0*
1 . ENGINEERING DEPARTMENT: YES DOES NOT APPLY SIGNATUIW / ATE
'2. CONSERVATION COMMITTEE: YES DOES NOT APPLY�SIGNATUR ,./. .4,4DATE4/-/
/3. PLANNING BOARD: YES DOES NOT APPLY SIGNATUREE DATE
77
✓ 4. BOARD OF HEALTH: YES V DOES NOT APPLY SIGNATURE "77 DATE ___
5 . FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE
COMMITS:
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