HomeMy WebLinkAboutBLD-80-027 No. 29ri
Application for a Permit to Build
Fee must accompany thisa' pplication
Yarmouth - 19 19.r b
(/
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner, a. e O R A du / iv Q Address 6 9 emater4 eiZ I4
2. Name of Architect (if any) f i lU
3. Name of Builder ��k V �f
k
4. Precinct No. Lot No.'i`' Plan: Name or No.
5. Name of Street ( C,,c,,, 7vid,
6. Purpose of Building 1 f' . 7)i n _ e X( O
7. Material W ,t ,
8. Estimated cost of building re, a . t a J v'i
9. Dwelling S
10. Cottage
11. Heat
12. Basement A.._
13. Garage .�
14. Store 'Ltd
15. Shop nA
16. No. of stories /Jy�
17. Is there to be a Store in the lower storey ---
18. Size�of�Lot. No. of feet front' l a-5 *Nfo. of feet rear (° a No. of feet deep / !
19. Size oI t • No /No. of feet front ° No. of feet side .9 No. of feet rear 1' CI
20. Distance from nearest building: Front C ft.; side ft.; side r ft.; rear L
21. Distance back from line or street L. , from rear lot line 8l side line
Show by diagram the location of propsed building with relation to distan s from adjoining lots, on reverse side.
Name .. ....... . .. .. . �t` I /�
Address hA
/A
C
Street Name
s
o Left Side Depth of Lot
r .MI
X.
• z
cn m Pli
or--7. .. I4tte _ .,____,.m
2
m r
m r
e._
•
1r '
ze °�
. i...., o ./.._
A
....i_
Right Side Depth of Lot
Street Name