HomeMy WebLinkAboutBLD-80-052 lo i .
JG.°;- A, Application for ermit to Build No.
�' Fee must pang this application
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Yarmouth
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TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner /{I, N
^ ti1S /"�//qNe Address AR1114V
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2. Name of Architect (if any) Ariz llS PAR
3. Name of Builder Sdn Q-
4. Precinct No. Lot No. Plan: Name or No.
5. Name of Street AR t! H/A/ s1-. i/yiN/iS . /An k
6. Purpose of Building /NJCI-4.1/ ee1bri /N Stop o- tv000( sit d2 .
7. Material .44e Roc
8. Estimated cost of building
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9. ,Dwelling
10. Cottage
11. Heat
12. Basement
13. Garage q� J
14. Store A4 o slats e/4/s _ is 6 l
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 distances from adjoining lots, on reverse side.
Name ./#9..1VeXjMt t u
Address ✓.}A-r l daily 5' 9e Pier t
Street Name
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0 Left Side Depth of Lot
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Right Side Depth of Lot
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Street Name • I