HomeMy WebLinkAboutBLD-80-191 1 - co `? -if i t3/f ,.53g l vNo. ...19 .
S/ �, • Application-for ,a Permi to Build
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Fee must accompany this a lication •
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Yarmouth $.-- 19.k
TO THE BOARD OF SELECTMEN
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, The undersigned hereby applies for a permit to build, according to the following specifications: �'
1, Name of Owner , ' r Z". The r-9'-,On, Address 2 2 �B b s 1-et- c r /
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2 Name of Architect (if any) .
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3. Name of guilder v /'i i_'e V -es Csk kir 49_-
4. Precinct No. .. Lot No. � Plan: Name or No. •
5; Name of Street `;3 l4-4- L .S it 7-f r S '
fi Purpose of Building W0O G to
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7; Material
8. Estimated cost of building . d Ll a , C7 0
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9. Dwelling __
10. Cottage . 6 p
11. Heat "r
12. Basement c f e t i
13. Garage .
14. Store I
15. Shop
16. No. of stories
17. Is there to be a Store in the lower storey. , .. . . . .
18. Size of Lot. No. offeet front No. of feet rear No; of feet deep
19. Size of building. No. of feet front No. of feet side No. of feet rear
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
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Show by diagram the location of propsed building with relation to distances from adjoinin lots, on reverse side.
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Name
Address - .1..
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Street Name — - - •
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oLeft Side Depth of Lot • 4a ;
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1 ht Side Depth of Lot
Street Name '—'
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