HomeMy WebLinkAboutBLD-80-183 I
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/(y/ Application for a Permit to Build
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Fee must accompany this application "
Yarmouth w 04 19 r' "
OW — /1
TO THE BOARD OF SELECTMEN
, The undersigned hereby applies for a permit to build, according to the following specifications:
1: Name of Owner aS Cjtf/tLNr/r/ Address 3fr,frA 4 . r4 Awe
2` Name of Architect (It any) �' !�`e . /frena u reef
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3 Name of guilder ere. ; ✓7lli/te •
4: Precinct No. Lot No. 4'\ Plan: Name or No.
5; Name of Street '`3t M rN,/'7JR,( 17\
6; Purpose of Building `� L � $\OD e
7t Material JaJf forst ' �b N �..�' ^ I
8. Estimated cost of building . tu.`'
6x (9'
9. Dwelling
10. Cottage>
11. Heat (.••••-- )
12. Basement ...--/ r
13. Garage 1 \t ,; :'',. %� r L•) I
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14. Store—. -ks..,.. ... _ .
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15. Shop "
16. No. of stories
17. Is there to be a Store In the lower storey /Sip
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18. Size of Lot. No. of feet front No. of feet rear /' ' No: of feet deep
19. Size of building. No. of feet ffront yc No. of feet side ..(Q No. of feet rear
20. Distance from nearest building`~ FA. ront- bet"'"`�t'ft.;*side ` ft.; side ft.; rear..
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21. Distance back from line or street from rear lot line 2-4 side line Q
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Show by diagram the location of propsed building with relation to di.g rom a ' i lots on reverse side.
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