HomeMy WebLinkAboutBLD-80-123 No.
y/ Application for a Permit to Build
Fee must accompany this application
Yarmouth i-!,ttW I' 19 go
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TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
DAV!O SrYiith 153 peic'u -'s al-Na C{ar
1: Name of Owner Address
2. Name of Architect (if any) DRVi 1, ectAtt 4/.rns u_5_t—
3. Name of Builder pry IV oAtV<tl
4. Precinct No. /Lot No. ���Pllnaan:�Name or o. U
5. Name of Street 4 lchIfe'S 4&h - C1tpE e'sa aces/ fi � 7
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6. Purpose of Building avcL* Q.(L ,a raxsNl &kiktbnEJs
7. Material 4 x415 'LX 6'S Wad2AM
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8. Estimated cost of building R'A06
9. Dwelling IVO d J
y 0_0(4.A IU --c
10. Cottage MO
11. Heat ,�,��pp�a(.,"C11`�'
12. Basement & S\
91
13. Garage C-
14. Store
15. Shop
16. No. of stories
17. Is there to be a Store in the lower storey do
18. Size of Lot. No. of feet front e-greNo. of feet rear T` t No: of feet deep
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19. Size of building. No. of feet front No. of feet side I°d 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 jeverse side.
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tun (tbrmanch, Nags
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Rear of Lot
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Ji Frontage of Lot
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Street Name
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