HomeMy WebLinkAboutBLD-80-136 1\- 1�'j No.
Application for a Per it to Build
Fee must accompany is application
Yarmouth 3 19 $O
TO THE BOARD OF SELECTMEN
The undersigned herebyeb� applies for a permit to build, according to the following specifications:
1: Name of Owner p eIa2 Jai ntefI0+o 5 Address / � .CYeey
2. Name of Architect (if any) 6-e adz yc k44 2 cL)/, q ti r 5 !21-44"1
3. Name of Builder
4. Precinct No. S✓ Lot No.4 . 3 2 Plan: Name or No. 'a`e i-f—
5. Name of Street /rIc ga y/ to .9 , S.
6. Purpose of BuildingGtentd 094-29.<06 et tire%
7; Material
ir;'pten c to edin ni J
8. Estimated cost of building/$po 1UiCfr C / .4GDf/(
9. Dwelling ye cam, 0'7euL.ucCC 2NtncIcrt
10. Cottage / D t r Cr At C /Q"
11. Heat sss No 0 en vas-- 1!✓
12. Basement feu J a/0/4?io IJ
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.
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Name Y ( qq'724°"..7
Address.../6 ^ Nrr1t (1 2.
•
Street Name •
p
Left Side Depth of Lot... •.....
r .. - •
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a :1
C - -
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y
z 00 " v
0 • �+
ti C.
m r
r
4
a 1
_AM. , r ^Of
Right Side Depth of Lot
Street Name