HomeMy WebLinkAboutBLD-80-096 111) C/ rWe .
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Application for a Permit to Build
Fee must accompany this cation
- Yarmouth 10/0-ia 19
TO THE BOARD OF SELECTMEN
The undersigned hereby applies foga`permit to build, according to the following specifications:
1: Name of Owner 4_ ,44 J' "uti<17�/ Address
2. Name of Architect (if any)� C /Vie M 6u e G/c
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3. Name of Builder /'J i1//.. Sifielftetc_
4. Precinct No. V4'. Lot No. ( sr;) Plan: Name or No.
5. Name of Street / /2-0-v/t Rd.. (.1) .
/
6. Purpose of Building 9Q/t9a/tet9P /a., Iv 2)
` G .
/fi e. exit OR, 1-a Iwo CrrA
7. Material W/ ,«'
8.. Estimated cost of building "moi 6)0 O
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 iV 0
18.. Size of Lot. No: of feet front /A..P No. of feet rear /49 e, No. of feet deep ,1..8.7 ..._....
19: Size of building. No. of feet front / z. No. of feet side L/ No. of feet rear .,l...V
20. Distance from nearest building: Front fa ft.; side Yd ft.; side "-eh' ft.; rear w
21. Distance back from line or street......rT.3 ........_..., from rear lot line `f v , side line it)
Show by diagram the location of propsed building with relation to distanfa . ining ts, on reverse side.
Name.. elf
Address eDda.efts/i/ 1.//amu'/e//s 1
Street Name
0
1
r .
o Left Side Depth of Lot -•
r.
CA .11
z _
.
m o
CD
Z �o et - o
m r
m,
o •
•••
•
..•.... .. ...
Right Side Depth of Lot
• Street Name ''
i
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