HomeMy WebLinkAboutBLD-80-060 Pat;\14
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No60
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S Application for a Permit to Build
Fee must accompany this application
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Yarmouth ... 1"
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner /$400 t /5011/5c/2— Address lv/ 17�0bl?cS" 12'D ,
QQ o72,7'1N� Z17,955a
2. Name of Architect (If any) 000,2/pfFYL C 442Qe 22
3. Name of Builder nz.C_. Q ��
4. Precinct No. if Lot No. CUIjG
'In Plan: Name or No. Ai /7
5. Name of Street3aI1//,210 ri e,...a /20 '
6. Purpose of Building 6.—/-11,--1.1---54P-S-6::�
7. Material v/t3 3 T�
8. Estimated cost of building JO g
vv
9. Dwelling
10. Cottage
11. Heat
12. Basement
13. Garage �Q reown. ,COh ✓ ?e fco Qr/�1/ 7/
9b s7 acrt6gc
14. Store Vh'
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 front line or street , from rear lot line , side line
Show by diagram the location of propsed building with relation to di. ces from a omi lots, on reverse side.
Name
a,..... ... ,C
Address. /0 P :' id/1.'U./C ...r.••rid W..r 1T# m7'a
Street Name
.y
Left Side Depth of Lot
-4
z
0
a
R a
r
0 C
w
Right Side Depth of Lot
Street Name