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5 ' Application for a Permit to Build No.
LFee must accompany this application �Mj
Yarmouth /'/ggw490919.F°
n 9 19.LJ q",,
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
14 Name of Owner /4/O?7Ef Difro PV Address fa.Boy j 6v Df>,hos
2. Name of Architect (if any) 5,V)//-
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3. Name of Builder S�/9J/-
4. Precinct No. Lot No. 9ez j�Plan: Name or No.
`--5. Name of Street A Y i0/,///,Yo A4 ✓< . /,•ce-e, % &a P61z i7
�.s7a 6- n79
6. Purpose of Building Roof 002 Dee"( la v3 to
7. Material 4i UV
eo
8. Estimated cost of buildiq�°
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9. Dwelling Yip / /2 K /3 4-00F
10. Cottage
ovt. K EcSi'wc
D et k.
11. Heat d OF w4tf to
12. Basementter?t g p ' 6 p`(.0 ICCec¢
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
djo lots, on r erse side.
Name. , %� �. "IP
1 0/O Q
Address �/
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bliull x1 Jitinoci ImEtzailqqA .
timcm/omii .kin SS
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ir1:11/4T;11.1..le..^ '40 11HANI :inf.. 01
iiwuot rntisi kirml L 101 L9ifcrib d91dbrnue%,:tuimu s;i1'
' Rear of Lot to
a, (y.m: Ii) Jus5iffolA
70b(iLla 10 Oit'lli:4 t
70 911.»14 .014 Jc'J .o14 Jmaittel t
• i9:818 10 emmlf1
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iti-19Jar,:
lc ErdJemiJea 8
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cD va a0/30 .1\1
rd
qua, .61
?idiots lo .orel dt
(Ti 510.a a uci ci 19E0 21 .T1
' I .0 •Frontage ot Lot1i ....... ......,.........,.. .11,011 iyil to lo usia
1,m1 10 .0:1 boil 39,11 10 .0'4 lu 9.32
Street Name .... ;.f; t”.!,-17-1 : tWliud lataam 10011 aniakiCI .0;
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