HomeMy WebLinkAboutBLD-80-028 \��b� ah /1"3-g• ay y�66
/ max/
\� No. t�"
Application for a Permit to Build -
,-
,Fee must accompan this application
-
YarmouthG /7 19.2a
/-/f-1-6
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owne; , .o.Q 0 R 2 Address VI 040-•
2. Name of Architect (if any) �\
3. Name of Builder aa
.. , 4. Precinct No. Lot No. }� Plan: Name or No.
5. Name of Street g6 Qt.,
6. Purpose of Building r—j--nQ. t 7 2 /a tnIt A1114
7. Material LI/-15-0.4 ....V .-- ...______ ......
8. Estimated cost of building Lj�0 6 . 0-c1 .j
9. Dwelling Yfib r0 v i
r t
10. Cottage ex, .„....._ ._____,;......
11. Heat 12 '
12. Basement to
13. Garage "7-1....,
14. Store Yw•
15. Shop -s.n.
16. No. of stories 07-11 '
17. Is there to be a Store in the lower storey
• , 4
18. Size of Lot. No. of feet front I 0 No. of feet rear O d`�'v No. of feet deep /o 0
I I /
19. Size of building. No. of feet front ? ° No. of feet side 8 No. of feet rear f 0
20. Distance from nearest building: Front t' ft.; side ft.; side l.. ft.; rear
21. Distance back from line or street from rear lot line t , side line '—
Show by diagram the location of propsed building with relation to distanc from adjoining lots,
o everse side.
Name:....SW� yr ✓T L y��F
Address..../..7 (3 -o — '/ (Ar t. A4
•
Street Name `
r
'o
o Left Side Depth of Lot /°p
r
a
z
m
OF.'
.
11
' �` Q1 45* ,
b
f ' .
- Right Side Depth of Lot ' e r' it'
Street Name
i,
.. •
\_ _