HomeMy WebLinkAboutBLD-80-013 Ce - ,9-r
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Pob' U Application for a Permit to Build No.
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\Fee mus accompany this application
Yarmouth .!/
f' 19.....
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications: t/
1. Name of Owner /J/t/�i0/v� ,S6./.42.42,20--a--• Address Address , ,09///ST w f�'` '.
2. Name of Architect (if any)
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3. Name of Builder 241-07L-----
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4. Precinct No. .3 Lot No.� /� i Pl Name or No. J"�-
_Oil
5. Name of Street irt f 24 41/5
Xenleva),6 491/4)64-6-5
6. Purpose of Building Q rho 729e9 /4
7. Material N490 (7 j /PE/,{/9-C/N 6 4)/,f 1DaoS'
8. Estimated cost of building /200C' *°-C3 (�// -c ' ,'%c GLS s
9. Dwelling /z) 0/16 SCCT/d/y Or
Nut
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10. Cottage
11. Heat
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12. Basement t
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13. Garage A ` —r-
14.
14. Store
15. Shop
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 line , side line
Show by diagram the location of propsed building with relation to di noes from adjo' Ing ots, on reverse side.
Name/,
Address v
Street Name
O Left Side Depth of Lot
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m
o
• z
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Right Side Depth of Lot
Street Name