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HomeMy WebLinkAboutBLD-80-077 Pik, r / 9- P3,47 .p ��t 7,� G No. 1 , Application for a Permit to Build • Fee must accompany this app tion Yarmouth ( „L1 tr 19 s7frG 02 -/S- TO THE BOARD OF SELECTMEN The undersigned hereby applies for a permit to build, according to the following specifications: / /, ,��+ cti-( 1 • 1. Name of Owner w 'tern-) , ���j Address�a�0t211-1-^4114'&1444-/ 2. Name of Architect (if any) �/ 3. Name of Builder / ( `^' (Arts" 4. Precinct No. Lot No. Plan: Name or No. 5. Name of Street 2,/,/'`���, ^4 1-41-41-1-•6, Purpose of Building /Am 7. Material - £v-et")1-0--d .`f' — (j r t / I'ZAA� S. Estimated cost of building S�.19-0 l% 9. Dwelling ite- 10. CottageA I r Le hiu w) ,, 11. Heat • e a Q cc/rt. .C-d-1= n c"' 12. Basement (�.cA, 13. Garage 1ri 14. Store 15. Shop 16. No. of stories 2 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 lot , on reverse side. �; .//( (MA-4 ' Name.. . . // // i Address.../ 11 1 ?2.�X. t-q--" 40 Street Name v o Left Side Depth of Lot CA 0 m .. o 0 r __ -- p Right Side Depth of Lot 4• ' Street Name 1 ii:.) 4.• - z•• - ' ..' ----- --.--7H.- 7-. -- ---- -- •• aciccw a•-'a.--. • i . ti9n4.00if. AASSACHUSE. . TTS STATE :, ' '•---;'• ''' . • •• ' -. . . .... • I. - - : t BUILDING CODE COI•1,111SS ICU •.: • .:. • . , _ . • - •• • . rmit is req.); red for the installation of 'anSt solid fuel burning • ......:.: ; . • . ... .. .... 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