HomeMy WebLinkAboutBLD-80-092 �r -- )(,)
No.
44/0 Application , for. a Permit to Build
- Fee must accompany this application
Yarmouth\ iu:a9 1921)
TO THE BOARD OF SELECTMEN
iThe undersigned hereby applies for a permit to build, according to the following specifications:
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1. Name of Owner 1, , ,% 5L ;., , ,, Address •
2. Name of Architect (if any)
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3. Name of Builder ..,J,e,% Ks C t it't r�,�,,. ..0 **i ..
:• t ,>.i.I: -, ,.a • r'1t�� ,-. s
4. 1 Precinct No. 3: Lot No Plan: Name or No:
5. ' Name of StreS'&s-i e 4:2. 'a.^k r!- / r R
6. Purpose of Building 9i'r^.L„S', %4.:rrSr- LI?) ,......0„..../.•_,
7. Material g, I .1 i„ `, • ,. . ,c. U
8. Estimated cost of building ., -•• lie) 41-
9. Dwelling •.`--2-:,-- 1
1 • Cottage A.L"'
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11I. Heat ` c c , a'
i . 1
12. Ba.ement 11c.•.er�aa +ygsr ,1
13. Garage C? " '` -q
I
14. Store Pi M+ �'
15. Shop Fe i.•,. •...
16. No. of stories 2----
17. Is there to be a Store in the lower storey 44.i za.
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 dist s from adjoini.: lots, on r Nrse side.
Name • -. ...
Address-
S%ao - .,�-�„�.- 1.
. 1
~ Street Name '
p Leh Side Depth of Lot 4
-1 ,•
Z /4 .
m a
t 1
. -f 1
•
. i -'a f 1
. ' i '1
1 u
1. \`
i1 .. .
If. s
a.. 7 La "r a
a
it
'•• ... - ..
t � k s .
Right Side Depth of Lot a t._ ,...
w
` oStreet Name
,e
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