HomeMy WebLinkAboutBLD-80-116 O1 e c Application for ermit to Build
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Fee must company this application l�
ADP T�9 �`'if Yarmouth K-7‘01119..0
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TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:t //�� rn
1: Name of Owner '44 y� Address 392 1 �� .
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2. Name of Architect (if any)
3. Name of Builder /Nit e7,
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4. Precinct No. Plan: Name or No. 2.,,,,/,,
5. Name of Street Re.124[Q4q
6. Purpose of Building,,2��-t`t,t'y/ J
7. Material /✓✓�/� i / � l��r �'U�S��CD
8. Estimated cost of building /T7JD �O J�� ��
9. Dwelling J ,
i Od 4 f-Y 6.4 'eet,/d`'1
10. Cottage -fix,-7-0,,c vis
11—Heat—/� �y o � (1 vC t�
, L/K 4-fr Ai3 i 61J•
12. Basement 'Lt .
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13. Garage `fI,t y� 1/.trx 2
14. Store ,7"Le --
15. Shop n– • •
16. No. of stories 2.
17. Is there to be a Store in the lower storey enr
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 adjoining lots, on reverse side.
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