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i;rt Application fora Permit to Build
Fee must acco pany this application �11� p
Yarmouth ..`. ane...a. 19O C
U / -'a •••--c
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
L , '-ce t** ‘a yn /vroe eta. So.ynr# o�t+A.
1. Name of Owner �►"�.U/z �' 3ojAddress o
Jy,4SS.
2. Name of Architect(if any) nn // a
3. Name of Builder gar.IC e0.JSrCoo'�NG . 5Ou..oe/sldev'li7e_IYAtia844
4. Precinct No. d 3 Lot No. Go Plan: Name or No. /yS t ei 4 9. /'�Tr'4°
5. Name of Street'�hp IvV a l,,voe I (/
i (c6se/w/"Arfo f Sw ecio POr-eh)
6. Purpose of Building �O f' GN IV'1. L
7. Material (,(.)00L l�i3Hf/,c.o6 : A/rrS4,c/dc$,4ee.f Rock
8. Estimated cost of building '�SaO.o
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9. Dwelling . o P to,e Cr( A S
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. 10. Cottage ✓ J —
11. Heat G/9•.S Wf7)^,1 /9/i (X111iMC ( °d Min-17�i✓
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12. Basement 'N110 i✓ C — _ _
13. Garage /"p') e,
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 B 5.y a No. of feet rear (1s• No. of feet deep /0(" 5
19. Size of building. No. of feet front yi- No. of feet {{l-side ^Z� No../of feet rear y� t
20. Distance from nearest building: Front ft.; side/c Sift,; side a"/ ' ft.; rear 741 /
50 let l �f� /2'
21. Distance back from line o ......7 ce , from rear lot line , side line 0
Show by diagram the location of propsed building with relation to distances from adjoining llotss, on.rgeverse side.
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Frontage of Lo//t a. .85-•Y a, .
Street Name.l./L.Gbc�8iO e
PLOT PLAN
FG oBUILDING FE,r•IT REVIEW .
AP PLICANT:2FtyS/cl4l:ON_e21"wG /4 0••: > G--_— BLDG PERMIT NO: •
-- --
LOCATION OF PROPERTY:__ __Lig_0v I_Ld4)C___ •___ • DATE FILED- .
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO• CLARIFY THE PROCEDURES AN 'INDIVIOUAL' -
MUST FOLLOW IN ORDER TO OBTAIN A PERMIT TO BUILD OR ALTER A BUILDING. '-:.THE BUILDING
DEPARTMENT WILL CHECK ON THE FOLLOWING: (A)' CONSERVANCY DISTRICTS (B)Y' HISTORICAL '.
DISTRICTS (C) - FLOOD PLAINS ZONING, AND '.JILL BE RESPONSIBLE FOR ASSISTING THE ,'. H
APPLICANT THROUGH.THE FOLLOWING AGENCIES- .. t-.
I . RESIDENTIALSUILDING: -
A) CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE- TO SEPTIC SYSTEMS FOR SEWAGE - -
DISPOSAL. -
• -5) CHECK WITH CONSERVATION COMMITTEE IF THE LOT _BORDERS ON ANY TYPE OF WETLANDS.
• EXAMPLES: STREAMS, PONDS, RIVERS, -OCEAN, •BAY, BOGS, M•ARSH,. ETC. -
C) CHECK WITH PLANNING BOARD 'FOR LOT RELEASE. _ . _ _
Z. COYLMERCIAL-BUILDING: - .7 7.
. _ -
A) ENGINEERING DEPARTMENT-FOR- PARKING AND- DRAINAGE •REQUIREMENTS, TOPOGRAPHY SITE _
_ -
B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS. . -
. C) PLANNING BOARD-TO- SEE IF •LOT COMPLIES WITH ZONING BY-LAWS. •
D) BOARD OF HEALTH-FOR SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES. •
EXAMPLES: • SAUNA BATHS, SWIMMING POOLS, RESTAURANTS, ETC. .
E) FIRE DEPARTMENT--FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE -
DETECTORS).
•
TIN INEERING DEPf,RTHENT. ` YES YEDOES NOT APPLY SIGNATUP. f� • � • r " • DATEI��
NSERVATION COMMITTEE: S DOES NOT:APPLY �SIGNATU• `4f/ " - , . DE//y
AT2e
. —P6ANNING-BOARD: ^••YES DOES :ter- eetY 'IN'-�iiia
. 4ARD OF HEALTH: YES DOES NOT APPLYG-2gIGNATM%/, -getDATEchA9
- FIRE DEPARTMENT: - YES DOES NOT APPLY SIGNAT- • - DATE
OMMENTS: - _.