HomeMy WebLinkAboutBLD-90-639 OF.Ygk aery_,(d
.As- fto row TOWN OF YARMOUTH
o� MATTAG�E 5 P i
�,t oS. - Application for a Permit to Build No. 639
UPON FINAL APPROVAL � i% , 9 MAP z / LOT C SY
FEE MUST ACCOMPANY THIS APPLICATION. _ DATE act- 2s 1 70
The undersigned hereby applies for a permit to build /%x/90
according to the following specifications
1. Name of property owner GMAZES Anvf/11 AJ Tel.39,-9gy-?
Address /9 7/1-62-- ---
2.
,L �2.Name of Architect(if any) Tel.
3. Name of builder_1,672e6a i t'WC Address 28.76 X64- . <'+'' 4 4
4. License No. 6Sb� li{ Tel. 2 - -69
5. Name of Mason _ Address
6. License No. Tel. may,/Jj
7. Construction address .-c ,4� � vC //C
/ 9 -tc--
Flood Distri
8. Date of subdivision Approval plain zone Zone
9. Private dwelling. Estimated Cost DO NOT WRITE IN THIS SPACE
p^ Type of room Na.
10. Multi family ❑ 76-4) , ---
,f pia
Tao 41-7- .Srir,c
11.Commercial 0 j�G�TFa,e�v/ 4rIe Kitchen
,12. Other ❑ Dining Rm.
13. No. of stories Living Rm.
r Bed Rm.
14. Foundation — Full 0 Half 0 Crawl ❑ Slab 0 Bath
15. Materials — Wood ❑ Cement ❑ Other ❑ 2.., o---D Deck
16.Type of heat — Oil 0 Gas 0 Electric 0 Other 0 Closed porch
17. Garage - 1 0 2 SamroRm.
Suunnroom
18. Swimming pool - Size Garage
19. Storage shed — Size Shed
20. Stove — Wood 0 Coal ❑ 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 'NfFroo�m1 rear loMe Side line
LOT RELEASED BY Signature uu�
PLANNING BOARD Address 20' (O,��,A,11c�
Date i!* 7! 1 071 2�O