HomeMy WebLinkAboutBLD-80-020 6.‘"
(C(I)
No. ..1
2.0
Application for,a�Permit to, Build
Fee must accompany this application
•
Yarmouth /- "V 19 330
-
TO THE BOARD OF SELECTMEN
The undersigned hereby :pplies for a pe it to build, according to the following specifications:
1. Name of Owner 6/, , , . Address
2. Name of Architect (if any)
3. Name of guilder
4. Precinct No. 3 Lot
�Na.`ZU 9
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Plan: Name or No. -1411"5-3
5. Name of Street &' �QU %i"!a LLC--tZ�j, .•
6. Purpose of Building r//
7. Material
8. Estimated cost of building ry j e 0 •6-0 re-/-4 4-c.t c.0 r et c
9. Dwelling 4' MA-01C% /r
10. Cottage s /ID Fr J.✓D''tie Lt/
11. Heat
12. Basement
13. Garage
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 d�iss}tances_�from
adjoining lots, on reverse side.
Q
Name.,r!(! "_" c—
Address...A! fl'et°5adre'
/7ttiit ' 5 /Ce '-e-
3 / 1s-9 94
Street Name
i •
. p Left Side Depth of Lot
.- -1
J' - r
4 . . .
r .. __
w LS• J'
r s ' 2 o,j ti',7
/ ; 7 __y
.4 ,
- s- f 2 O
>- z
. m r
F 0 0 _
m r
11
1 IA r
r„,„/ - -
. .. _
-- ..I
Right Side Depth of Lot
Street Name '
i .