HomeMy WebLinkAboutBLD-80-175 S' \ 40,412-4 -1 LI k . �� t4CA's`)1 K:
No. l IPC
. Application for a Permit to Build
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%Fee must accompany this application
Yarmouth . Y-7° 17J O
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:�
1. Name of Owner A` y s/4N/1/ //� . "g"4' At
/ Address
2. Name of Architect (if any)
3. Name of Builder b—/f v 4 �S
O e
4. Precinct No. Lot No. Plan: Name or No.
5. Name of Street £A/;:e, -$$e..-- /
6. Purpose of Building -/.1jy0DONC/if/e 04007' `� 0) a �,/
7. Material /a/0 ist e pec/vf I tr
8. Estimated cost of building tic"Q.et, / , �j x7
9. Dwelling Nott/ Afril 7L l
10. Cottage. 0A/ , iCe Cf
11. Heat 4'
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12. Basement
13. Garage
14. Store
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15. Sh p
16. No. of stories
17. Is there to be a Store in the lower storey •
18. Size of Lot. No. of feet front 6 No. of feet rear (� No: of feet deep n
19. Size of building. No. of feet front No. of feet side Q No. of feet rear ....(�.
20. Distance from nearest building: Front ftl 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 distan adjoining Alk on/ierse side. -
Address CI.. 'fie:.
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. ( Street Name -'
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f'i:" Left Side Depth of Lt?f /'
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Right Side Depth of Lot
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Street Name
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