HomeMy WebLinkAboutBLD-80-111 tby lII
! .. Application for a Permit to Build No.
))\
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Fee must accompany this application
Yarmouth ?...I..x..••••19Cit
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications: �''y1
1. Name of Owner•-)/41‘,0,416- e),oadetr� Address (o(6 /2!t4 F 1/' y,4 t t"A
2. Name of Architect (if any)
3. Name of Builder OA) ai 6 f -
4. Precinct No. Lot No. P y Plan: Name or No.
5. Name of Street toOb evc 51fi'0 'i0C
6. Purpose of Building 5.2,48911/ a Flacropera
7. Material SSG
8. Estimated cost of building _S-6 0 c.v` SUS rR C —L Cof T CM.
�o C y ,rc Cr it7 "WO9. Dwelling ._�_
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10. Cottage
11. Heat , •
12. Basement
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
t.
21. Distance back from line or street from rear lot line side line
Show by diagram the location of propsed building with relation to d nc s ri a i.ini g ots, on reverse side.
Name
Address..... WO 40 'Fr V cu` e
Street Name
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p Left Side Depth of Lot y
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Right Side Depth of Lott
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Street Name