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BLD-80-021
k-1Y° et-6,., / 7 -4 ,i 21 No. Application for a Permit to/guild Fee must accompany this_application Yarmouth.y:.W...Y•L Yarmouth /L( 19 — / /lo. , ar0 TO THE BOARD OF SELECTMEN The undersigned hereby applies for a permit to build, according to the following specifications: o G& Address 4 6 �illi�L rCe;g � Liv' 1. Name of Owner �/j/r¢1C 2_ L- / o U p02T /tit 6t, 2. Name of Architect (if any) 7 M M at.1 f9- �" 3. Name of Builder To - 4. Precinct No. Lot No. Plan: Name or No. 5. Name of Street 1--/G G/AJ 64rR' R L i'9—Ne- 6. Purpose of Building w O C) cS To V C- 7. Material .9. 8. Estimated cost �Sc9- b. f� of building �j i cit. u• • 9. Dwelling , • 10. Cottage 11. Heat ' 12. Basement ' 13. Garage i 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 tod'stanc s {y •*s, on/ verse side. 9 1el.gr—s # Name.. Address 916 /ol/S•`R V 7 tia) ji`?/VZ ysk/14 0 Urhe if82r AA - Street Name • • O Left Side Depth of Lot r ••• • s .41 z p n y' o a� m 0 o m ^ • in es Right Side Depth of Lot • Street Name • .. ' • . -.: . . . . . ... • ..;V al J. .. .. i :-.1-01,1ta IN" .11\I I IVILION Gir-t -Ki lb - - -- - -.. . .,r, _. ,, ., ,„ -- ' - -. . • . . l''' .. r":- 11 ...• . 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