HomeMy WebLinkAboutBLD-80-151 s� si/K °
c1/1:0 / No. I# /S.(
• �, ' Application for a Permit to Build
Fee must accompany this pplication - qq
Yarmouth/n-4 ,,2 "/� `ZR.........19.. .
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of OwnerTt.cki.VJ f •4-131%."-• e YC 14:14 y Address 7 rrllrncte, - W- &r
2. Name of Architect (if any) N/A
3. Name of Builder ti/
4. Precinct No. / Lot No. W I Plan: Name or No. 3 3 el 13 - 3
5. Name of Street 7l'd)m-vre j-d'• .--CA/1/
6. Purpose of Building 54-0 rc-. t
7. Material Woe cl f',/g
8. Estimated cost of building 4 B q .00
9. Dwelling - N o .._..___..l
10. Cottage - nl c
11. Heat - N0 -.67°
12. Basement -N U • '
13. Garage -N o
114. Store _ N o •
15. Shop - N •
16. No. of stories -I
17. Is there to be a Store in the lower storey -.N O
18. Size of Lot. No. of feet front / a s No. of feet rear I a S No: of.feet deep /02 C)
19. Size of building. No. of feet front 7 No. of feet side fy No. of feet rear ...G1
• 20. Distance from nearest building: Front :... ..Q ft.; side ft �A ft.; side.....M../n ft.; rear N/4
/6S
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Distance back from line or street {S�- , from rear lot line sRbCt , side line 910f1-
Show by diagram the location of propsed building with relation to distances from adjoining lots,
on reverse side.
It-
Name..--' � /�`_ ' l/ cccy Q
Address 7 �-.� �( cs FI• 2C. i � tet,
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1 ,
Street Name
r Left Side Depth of Lot i 2-O
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rWI ei =It me
z
z
g o 1 Pi
ri Sr?s
F-:
Z
o
r
m
o ,
! ‘1\ ,
A" .. , CS\
;Sy.. "P\ta -
r . all .
,..... cx) C
hp-� �R
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Right Side Depth of Lot ./ k'1
Street Name a.~c.-/ ' • - ft;c.. ,
,.