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~ ` Application for a P emit to Build
Fee must accompa this application
Yarmouth .... 19.ifiP.
.3- 7- F
TO THE BOARD OF SELECTMEN
• The undersigned hereby applies for a permit to build, according to the following specifications:
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1. Name of Owner All t&min frog leo Address SS beho. .4140 W•Yff2
2. Name of Architect (if any)
3. Name of Builder nmeo ,rft%'1Ane/r SAO. e78 2.e A/S///YNS
4. Precinct No. 4 Lot No. n(1 _ 4
Plan: Name or No. 2,3-Q1
5. Name of Stre (J(�/..(L1g4/Q �
6. Purpose of Building Owe L.L I N 6 •
7. Material reitt.n1 �/
8. Estimated cost of building Y�' a Soo, W
9. Dwelling ,,((�� l .
10. Cottage COLO-4 et- 6 VIZ an 44:47-4-9d& tC '/ (�orr+`./
11. Heat
12. Basement /)
13. Garage
9 7j
14. Store
15. Shop
16. No. of stories .
17. Is there to be a Store in the lower storey p
18. Size of Lot. No. of feet front S Q No. of feet rear VrnNo. of feet deep ....1.0
19. Size of building. No. of feet front 6f No. of feet side 0No. of feet rear d
20. Distance from nearest building: Front ... ft.; side ft.; side ft.; rear
21. Distance back from line or street 3.3 , from rear lot line ! O , side line Jr,.
Show by diagram the location of propsed building with relation to --di��sst/t��ances from adjoining lots, on reverse side.
Name...7i.A. . "lid.. .17-02
Address C C• i f inane .cya+�{....S 2.P C
•
Street Name -
9 t
tFF .
OLeft Side Depth of Lot :_ • s r t
i �r
• {
1
SD� K•
Z 7 •
.11
0m
Z _o 1 . • - -
0
0
O 00
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r
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Right Side Depth of Lot
i-
Street Name
BUILOtt:3 i-ER'':TREVIEW f
APPLICA"J'T: Ciel22
-) - BLDG PERMIT N0:__
LOCATION OF PROPERTY: .jZ5 /cu ja..0_1;, DATE FILED:_
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO• CLARIFY THE PROCEDURES AN -.INDIVIDUAL
MUST FOLLOW IN ORDER TO OBTAIN A PERMIT TO BUILD OR ALTER A BUILDING. --THE BUILDING -
DEPARTMENT WILL CHECK ON THE FOLLOWING: • (A) CONSERVANCY DISTRICTS (B)':'- HISTORICAL '.
DISTRICTS (C) - FLOOD PLAINS ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE
APPLICANT THROUGH THE FOLLOWING AGENCIES. • - •
I . RESIDENTIAL BUILDING: - .
A) CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE •
• DISPOSAL. . - - _ •
-6) CHECK WITH CONSERVATION COMMITTEE IF THE LOT BORDERS ON ANY TYPE OF WETLANDS.
• EXAMPLES: . STREAMS, PONDS, RIVERS, " OCEAN, BAY, BOGS, MARSH,. ETC. •
C) CHECK WITH PLANNING BOARD FOR LOT RELEASE.-iv-- .
2_ COM�MERCIAC BUILDING:
_ A) ENGINEERING DEPARTMENT-FOR. PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE
PLAN REVIEW. - _
B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS. • - . .
C) PLANNING BOARD-TO SEE IF LOT COMPLIES WITH ZONING BY-LAWS.
D) BOARD OF HEALTH-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). -
I .' INEERING DEPARTMENT:'` YES DOES NOT APPLY SIGNATURE f• -S j, ,- DATE _ - PO .
2. ONSERVATION COMMITTEE: • YES"/DOES NOT.APPLY_SIGNATURE '- -'�, "; -= DATES/7I8o
3. PUNNING BOARD: • YES DOES NOT APPLY_SIGNATU DATE
4. 4ARD OF HEALTH: YES DOES NOT APPLYt/SIGNAT IS °, _DATE, ' e
5. FIRE DEPARTMENT: - YES_DOES NOT APPLY SIGNATU • DATE
COMMENTS: -
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