HomeMy WebLinkAboutBLD-93-708 tr:itti78 TOWN OF YARMOUTH
MATTAC„E 5 441
eb-Zr.. .J.g' Application for a Permit to Build No. W
UPON FINAL APPROVAL Qom'. -• C MAP ` 3-1 ' LOT ?- a
FEE MUST ACCOMPANY THIS APPLICATION. t DATE t a_ km 19 ccs
The undersigned hereby applies for a permit to build Q/7.-er/99
according to the following specifications 9/a/99
. 1. Name of property owner k ay R4mS do I I Tel.�lEZ 9?3G
Address atic, Pleasant. St- cotta it 1 Ross RiVey; M& .
2.Name of Architect(if an Tel.
N 3. Name of builder _ La. it n . 1 . 'ddress
4. License No. Tel.
5. Name of Mason f " r • / ", ' _Address
6. License No. Tel. ' •
\7. Construction address a 9•Af /te B.t '
Flood Sdet
District
8. Date of subdivision Approval plain zone Zone
9. Private dwelling R • ' Estimated Cost' DO NOT WRITE IN THIS SPACE
10. Multi family 0 \ ec ,CO a Type of room No.
�
11. Commercial ❑ Kitchen
12. Other ❑ ' 1 f :• - -.1 ,'-., Dining Rm.
13. No. of stories t Living Rm.
Bed Rm.
14. Foundation — Full 0 Half 0 Crawl X Slab 0 Bath
15. Materials — Woodgi Cement 0 Other 0 Deck
16.Type of heat — Oil 0 GasA Electric IN Otherfl- Closed porch
17. Garage — 1 0 2 ❑ Family Rm.
Sun room
18. Swimming pool - Size Garage
19. Storage shed — Size - Shed
20. Stove — Wood gs Coal 0 .iG>,60-z, Alterations
21. Size of lot: No. of feet front ," No. of feet rear No. of feet deep
22. Size of building. No. of feet front No. of feet side No. of feet rear
2a Distance from nearest building: Front Ft. side Ft. side Rear
24. Distance back from line or street From rear lot line Side line
25. H.I.C.R. No.
LOT RELEASED BY \ Signature 1.. V. _ .••!
PLANNING BOARD \Address �'t(a '1 .Qc�„,31- S 1..a.-
Date -