HomeMy WebLinkAboutBLD-80-160 / I01._
No. '1f15
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11. . Application for a Permit to/Build
Fee must accompany this appli ion - Q
Yarmouth RP,e/L sT i.) Q
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner ,DONf1tP + ,DO/VNA NAHA44 Address & /JENm2A (2/Ay' ;
2. Name of Architect (if any) /VOJOE Sr Y,94mocnf, /19A 02664
3. Name of Builder EDA7ON0 PELLET/ER
4. Precinct No. 4 Lot No. 3 Plan: Name or No. pzmv 800.E 3y
5. Name of Street 1/ NANA 'S WAY W. yaR/novrN PACE. 3.5"
6. Purpose of Building giMeEMIEZESZEr '
7. Material &000 L.{UC. kda
8. Estimated cost of building J90 i 44
9. Dwelling YE$
10. Cottage NO
11. Heat gt( ECTie/c
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12. Basement .5
13. Garage YE$ Oa'x 24 ') ,
14. Store 1 NO
15. Shop M 0
16. No. of stories 2.
17. Is there to be a Store in the lower storey /VO
18. Size of Lot. No. of feet front J 7-9 No. of feet rear 20 2. No. of feet deep 16Z
19. Size of building. No. of feet front (4 No. of feet side 24 No. of feet rear 41¢
20. Distance from nearest building: Front ft.; side ft.; side ft.; rear
,
21. Distance back from line or street '7- / , from rear lot line415. I/ , side line `T
Show by diagram the location of propsed building with relation to distance om adjoining lots,.2n reverse side.
Name o QmcC `> ' x�XfKC
Address 6, venire te4 (-ternP
5, yARA'/ 0ury) 024. 02664
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'•-• Frontage of Lot :� "
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Street Name
PLOT PLAN
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