HomeMy WebLinkAboutBLD-90-600 , - -y .
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re 4i,irk 9,, TOWN F YARMOUTH
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H "4° ° `e, Appli tion for a Permit to Build No. CO 00
UPON FINAL APPROVAL \U MAP 7 PS LOT 5 a'C
FEE MUST ACCOMPANY THIS APPLICATION. DATE ' Ib 2 19 R0
The Undersigned hereby applies for a permit to build /6/2190
according to the following specifications
01. Name of property owner IV i(((cn'w P1 . (...\
P_ O in Tei. 394- 1175—
Address .'-E NA-TCE-e Q.N. ¶ , `(A0t4T H MA
2.Name of Architect(if any) Tel.
"Name of builder 5A1•%Le-- Address
4. License No. TeL
5. Name of Mason _Address
6. License No. Tel.
.2:Construction address SA"-6 3 Li 7At.4
Flood I District
8. Date of subdivision Approval , plain zone Zone
9. Private dwelling ❑ Estimated Cost , DO NOT WRITE IN THIS SPACE
Type of room No.
10. Multi family ❑ 9.C, a wad woo) I
11. Commercial 0 AC 1Vb Kitchen Stove-
12. Other 0 Dining Rm.
13. No. of stories Living Rm.
Bed Rm.
14. Foundation — Full 0 Half 0 Crawl 0 Slab 0 Bath
15. Materials — Wood 0 Cement 0 Other 0 Deck .
16. Type of heat — Oil 0 Gas 0 Electric 0 Other ❑ Closed porch
17. Garage — 1 0 2 ❑ Family Rm.
_ - Sun room .
18. Swimming pool - Size Garage
19. Storage shed — Size Shed
20. Stove — Wood /Coal 0 U. .r. 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
23. Distance from nearest building: Front Ft. side Ft. side Rear
24. Distance back from line or street From rear lot line Side line
6%LOT RELEASED BY SignatureA4 /49 t -----.."----
PLANNING
---.."=PLANNING BOARD Address 34 444-t'A( •
Date S.