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BLD-80-078
1 �� 1-c/ 42 No. r Application for a Permit to Build R, -Fee must accompany this applic ion Yarmouth 19 5 ' a Co TO THE BOARD OF SELECTMEN The undersigned hereby applies for a permit to build, according to the following specifications: 1. Name of OwnerC'7 ta.ca Address fiat--- 42 V y� 2. Name of Architect (if any) / 3. Name of Builder . /a x,2.4-1 G t '_nc -ne-c -- 4. Precinct No. Lot No. Plan: Name or No. 5. Name of Street h U✓Y��r w- S `G'T _ , 6. Purpose of Buildinglimo^ 7. Material fral / ALLA, 8. Estimated cost of building 9. Dwelling 10. Cottage 11. Heat 12. Basement 13. Garage 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 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.( � Q / Address.........r .1/�.-. J ia�// �r 1 t • 4 • Rear of Lots �^ ; . O a a o O / ; a) . Q b z . n" N y Frontage of Lot . • Street Name PLOT PLAN (-± , 104,11iNi -1 /if i t)i\I ( it ( LA) 1,i 1'. • - • . . . .. is! 14 •1 - Ci •c4i fr.,.. • . t.-: MASSACHUSETTS STATE .:. •. :.-..;,-2, ,..-: : . . • . .. , ‘,. . c, -ulL• • • t- -- tl i , ' - / . -. . BUILDING CODE COMMISSION , •. • • .• . .- ' • • - • .A bui 16:7-ti perni t is required for the installation of Thny ,5o .1 . . . , 1 „...;:,,.... I ' • 1. . • ld•ng permit -.nci installation inspection are I irni ..d . totic___L...1-:-......,:-...2 •,-.7,-,.... "r'L'''..:Th, Seove installation-and not to.-_the: stove construction..,. :2,... ,..,.Sovo sy At -tAyi.1i...eiii"2t2a:idr:Cipi-in t-... z0 ;0,,1ei lng ..,...... . 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