HomeMy WebLinkAboutBLD-80-107 fj 01 IC/
No.
4:( z,I 1[(1/0
Application for a Permit to Build
Fee must accompan his application
Yarmouth fritT i• tf 7. _ 19.70
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner 31-a e� r _raissc Address 20 N. %AAA IBJ sk . 4 sq ic
2. Name of Architect (if any) ll
3. Name of Buildei J{ jayZ7 �je1 CO .
4. Precinct No. ,, . , Lot No. Plan: Name or No. ,
5. Name of Street •134,4%WIAt►o ti ,
6. Purpose of Building O.FitClc' .4,'- 4"a' 4;.r
7. Material t}-2 0a.' L�Em___
8. Estimated cost of building , can`Q.
't3cwt0115l✓cnc a or •WAt. A 2.e.nszn19
9. Dwelling KJ O W t IJz:o c. S1 1 IJ sca t _ "Tam COI N q)ou I IJ.
10. Cottage (0 0
11. Heat ttC
12. Basement 4,„ oc � id t 7)/m eNC lo/t/ �% fN,
13. Garage ND ' Na/.I g /3 /c6/At H l a
14. Store 1.40 ,
15. Shop IseO
16. No. of stories 2.
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.di races fro adj fining lots, on reverse side.
Name:re ..A& ---,--A- a'
Address
Street Name e
0i Left Side Depth of Lot J= �"
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Z
0 r
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4.4
Right Side Depth of Lot
Street Name
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