HomeMy WebLinkAboutBLD-80-008 6'"/ GJj�', �• (97- ids I
I • No. ....w /
Application for a Permit to Build
Fee must accompany t s application
T 70 a
Yarmouth 19
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner (71-741;405 ,/< // <J €&27 14/10
y/
(V/ Address
�� em ' 'iogR9' k)to5r /genoCif• 2. Name of Architect (" i[ any)
3. Name of Builder ,`
�i�p r-3/ Plan: Name or No. { eSSC�^' si( rl
4. Precinct No. �/�
Il/ Cao to z ,,Lot No /
5. Name of Street L '7o N T
5
6. Purpose of Buibling_ !( Ark II own. pipe, dimnye
7. Material 1:...„4/7-0.-
8.
:..„4/rS2.8. Estimated cost of building r' 4/a
Ne earstde clTPies
9. , Dwelling AM
10. Cottage /j/Q
11. Heat G,e,,-)
12. Basement /(4d
13. Garage NO
14. Store j/e_s-
15. Shop A'0
16. No. of stories
17. Is there to be a Store in the lower storey
18. Size of Lot. No. of feet front No. of feet rear No. of feet deep
19. Size of building. No. of feet front No. of feet side .. No. of feet rear
.
20. Distance from nearest building: Front ft.; side ft.; side ft.; rear
21. Distance back from line or street from rear lot lin , side line
Show by diagram the location of propsed building with relation to distanc s from adjoining lots verse side.
Name D�
Addr s `3'! ��k .'� '
Street Name
O Left Side Depth of Lot
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r
v
z
ny G
F A-.
w Q
� � r
- r
Right Side Depth of Lot .
•
Street Name