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S-° Application for a Per ' to Build
Fee must accompa this application
Yarmouth 3- /(.? IX
3—/g" gri
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications: /
1. Name of Owner FieEDikcoPH/c 14.0boc,cj Address .J //)HSS. 4j W. yy,C/l7ow•�/�
2. Name of Architect (if any)
3. Name of Builder .2›n F£/L/o C. / T Zl5
4. Precinct No. r Lot No. a7 a Plan: Name or No. I g
5. Name of Streegpm sS RUE ‘-14-19 /
6. Purpose of Building /nCKPHse .5139 or Bed ams 0"K 043
I
7. Material 4 D. cSPF,uCE Jn
8. Estimated cost of building /D0 0 oL
9. Dwelling 1-e--- Y) -1
10. Cottage �j �/%OBJ
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11. Heat ✓ 434 ^ '
12. Basement / U c"
13. Garage
14. Store 9 i
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.... . e.e/ St q �
Address..'�.� - .t2.. 1.-42--J".1.-42--J". t-!� 1
Street Name
p Left Side Depth of Lot
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o A R
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Right Side Depth of Lot
Street Name
e
` BUILOIhG PERKIT REVIEtiy- ;;
APPLICANT: - e ' ' :•,•• ynoC 4•' '- • • • BLDG PERMIT NO: .
LOCATION OF 'PROPERTY: "�/•�►J SSS- /¢yr = e" - Yi/5'_ -- DATE.FILED: ` ' -
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN 'INDIVIDUAL. - " -.r•
MUST FOLLOW IN ORDER TO OBTAIN. A. PERMIT TO BUILD OR ALTER A .BUILDING. •-THE 'BUILDING:7.1Z;: r
'DEPARTMENT -WILL' K-
CHECOS ._THE:_ FOCLOWING:- (A) CONSERVANCY DISTRICTS: (13).—. HISTORICAL :. _�`-.
4.
- DISTRICTS - (C) -FLOOD PLAINS:'ZONING,• AND WILL BE RESPONSIBLE FOR ASSISTING THE•:=". `_
APPLICANT THROUGH-THE FOLLOWING AGENCIES: . t %-..-!..- -
.
a T. RESIDENTIAL BUILDING • - r - +
A) CHECK WITH THE HEALTHDEPARTMEN'f IN REFERENCE TO SEPTIC SYSTEMS FOR_SEWAGE -_
DISPOSAL ` - :
-t 5) • CHECKWITH CONSERVATION (COMMITTEE IF THE LOT BORDERS ON ANY TYPE OFWETLANDS
EXAMPLES:.•. STREAMS, PONDS, . RIVERS, 'OCEAN, BAY, BOGS, MARSH,. ETC: :
C) CHECK WITH PLANNING BOA- : OT. RELEASE ' , '„r y`;. _
t s- -r•
2 COMHERCIAL BUILDING ,'=r - , i ';t ` -.: t_ .,
- A) ENGINEERING DEPARTMENTFOR PARKING AND DRAINAGE REQUIREMENTS, TOPOr PHYSITE -
C
• ' B) .. CONSERVATION COMMITTEE IFLOT BORDERS ANY TYPE OF WETLANDS. = • .
C) PLANNING BOARD TO SEE IF LOT COMPLIES WITH ZONING BY-LAWS •
• O). BOARD OF HEALTF'.-FOR SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES.
EXAMPLES: SAUNA BATHS, SWIMMING POOLS, RESTAURANTS, ETC. . -
'E) . FIRE DEPARTMENT FOR PROPERTY- PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE '
DETECTORS). ;
REVIEW D BY , ; `j • , ,- i = i,• `p=_` '=
1 Y s
1 G EERING DEPARTMEN▪ T. YE• S.•DOES NOT APPLY IGNATUR �` , . - ®` DATES /J,
Z _ C SERVAT3ON COMMITTEE:.. - YES_'_DOES NOT APPLY ' SIGNATUR , sr =DAT if
3 PL KING BOARD: YES •• DOES'NOT APPLY • SIGNA .-_----1-±-:' DATE
14ARD OF HEALTH ' YES DOES NOT APPLY t/S`IGN ce, ��� DATel'IPES S. FIRE DEPARTMENT:_ _ - YES DOES NOT APPLY SIGNAT DATE
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