HomeMy WebLinkAboutBLD-80-142 11 A ‘‘ (0 J /� d d No. a
44-11 Application for a Permit t6 Build
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Fee must accompany t ' application
Yarmouth S F.2.6 19 a.°
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TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner RobeL3akev Address oZ3 s t IC brook
2. Name of Architect (If any)
3. Name of Builder nil I tck .sl Cane/air
4. Precinct No. Lot No.Lot. 16,2. Plan: Name or No. 5/
5� Name of Street/3s f i l[ L3 rook R . / �
6. Purpose of Building Tow
Tao Shea
7, Material op G1 y
8. Estimated cost of building 'ASO o
9. Dwelling
10. Cottage
11. Heat
12. Basement •
19. 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 C7 No. of feet rear
20. Distance from nearest building: Front • ft.; side ft.; side ft.; rear
// 32
21. Distance back from line or street 4?0 from rear lot line �S side line /
Show by diagram the location of propsed building with relation to distances adjo ing lots r on reverse side.
Name.......././/.lir , ' I/- ( 7J-1 'de 1€d!1.
Address a0 SrG/!7.'.. 1..1.E 1 ree Rd.
c. Amor_____„,----
Street Nam (&l2 " t/Cct
O Left Side Depth of Lot
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ISI Se
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r �D 5 is --7
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Right Side Depth of Lot
Street Name ''