HomeMy WebLinkAboutBLD-80-118 •
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Application for a Permit to Build
Fee must accompan this application
Yarmouth /1/A a C4 /y 19 So
9 --/1•71—g0
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner (A) i ((1 Ain MU,N I Address 23 O ys4fi4. Coo 4 2c"• S, Vim ,
2. Name of Architect (if any)
3. Name of Builder So(.42,I,rNt4_
4. Precinct No. Lot No. �� Plan: Name or No.
5. Name of Street •3 ( L
6. Purpose of Building 9 w .“. f 5 &cL (0-c S o Lett Cotte--4r, \r/
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7. Material tNtro 4
8. Estimated cost of building 43300
9. Dwelling frrJs( ef-6 C.
10. Cottage Si (ash I L
11. Heat . n_/ ��j �
12. Basement 3 * •
13. Garage •
14. Store
15. Shop
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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
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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 distancs from adjoining lots, on reverse side.
Name 4���,"/•. / ' ,[f� 0 `y'
Address T 'P Coup# 9 ad_
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Street Name •
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Left Side Depth of Lot
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Right Side Depth of Lot h`
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Street Name
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