HomeMy WebLinkAboutBLD-80-154 t.
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A lication for a Permit to Build
Fee must accompany this application /
Yarmouth 913./ 19e°
3- .3/- P
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a pe it to build, according to the follr in specifications:
S, � i 4F
1. Name of Owner Wad �nC%Z `'--� Address ,-
"eke
2. Name of Architect (if any)
3. Name of builder Ute . '--.
4. Precinct No„r Lot No. Plan: Name or No.
5. Name of Lie ' '
6. Purpose of.' _Building�
7. Material _� mac' 'yt"�- py..f._ f/, ^ "' ' �1 J
•
8. Estimated cost of building /1 e--0
9. Dwelling ✓'
10. Cottage f/'
11. Heat
12. Basement f% ' •
13. Garage ../
14. Store P'
15. Shop J/ .
16. No. of stories
3,7. Is there to be a Store in the lower storey e
/ /
18. Size of Lot. No. of feet front /moo ( No. of feet rear .14( No. of feet deep /00
19. Size of building. No. of feet front la No. of feet side /411- e No. of feet rear 1?
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 nces from ad''oi/nin lots, on reverse side.
Name..../ ) .Zete7b//�/ .. ........ ........ .... ..............
Addressl./...221 °""`s•' T'
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Rear of Lot
1
1 /ifieteA
1 .
•
Sae 4/4
a o
P. (Id 5' t G m
o
m ,
m^ c
m
an
FA
Frontage of Lot
Street Name fele
PLOT PLAN