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,, 4i1b Application for a Permit. to Build
Fee must accompany this a lication
Yarmouth ...,l..l..pe« c +...19.LT 0
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to builldd, according to the following specifications:
1, Name of Owner /Pfis awe nti,ee_ Address 0 L1.H,,tQs.Ni Qat•
2. Name of Architect (if any) .•^/^n -
3, Name of guilder /Ysj,F
4. Precinct No. 3 vvLot No. (52.- Plan: Name or No. A.M. 6o8— W
5. Name of Street y --:t go, '
6. Purpose of Building el - r`w w" �' .. ,'a'),, S
7, Material 1.1-F,
-4O4*-.J cc--4S3_ 4_0_75• III ac.&jC'
S. Estimated cost of building .b--00 •0-0 Leg 1S ter ltl p Orel<
9. Dwelling • if tl-V Rao E / to S
10. Cottage D ai
11. Heat /1/0 �� 7i/
12. Basement d- /D'$ a
13. Garage
14. Store "
15. Shop
16. No. of stories I
17. Is there to be a Store in the lower storey ,It0
18. Size of Lot. No. of feet front 413,-00 No. of feet rear O C No, of feet deep 'I R 0
19. Size of building. No. of feet front / r No. of feet side / No. of feet rear (8"
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 distan es from adjoiniinn7Hots, on reverse side.
Name... ^�e n� �Q /Syt',c D
Address •�0 L� GQ1�..0 �l.9ta�j R�
tar
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1 ►,`� , e
.:.
i Q
Rear of Lot V `S'
--
I
d
iy
11
ilef.6-1/2:fr gli0
a .. \ i A
ram r irk/
1�0i i ISLIA
G
0 z
z .0 �' d
1 en
C / ja ua
0
-
Frontage of Lot &r 00
Street Name...7..e.,,,11:.d.7:-..4 F'R c RCS
PLOT PLAN
4
I
BUILDING PERMIT REVIEW! '
APPLICANT: }� i 0-t.rrt; • • • BLDG PERMIT NO: -•
LOCATION OF PROPERTY: 14O a-.7%'v%... DATE.FILED •
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES ANTNOIVIOUAL - •
MUST FOLLOW IN ORDER TO OBTAIN A PERMIT TO BUILD OR ALTER A .BUILDING. -=THE BUILDING .:='"-'. •;-
M.-
DEPARTMENT 'WILL CHECK ON THE FOLLOWING( (A)- CONSERVANCY DISTRICTS (B):-. HISTORICAL-• :
DISTRICTS (C) : FLOOD PLAINS'ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE . -
APPLICANT THROUGH-THE FOLLOWING AGENCIES: . "
1. RESIDENTIAL BUILDING.
A) CHECK WITH THE HEALTH DEPARTMENY IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE
DISPOSAL
6) CHECK WITH CONSERVATION COMMITTEE IF THE LOT BORDERS ON ANY TYPE OF WETLANDS;
EXAMPLES:. STREAMS, PONDS, RIVERS,.00EAN; BAY, BOGS, MARSH,. ETC
• C) CHECK WITH PLANNING BOARD FOR LOT RELEASE ,
2. COMMERCIAL"BUILDING: =,' '
• — .
_ A):• ENGINEERING 'DEPARTMENT—FOR PARKING AND 'DRAINAGE REQUIREMENTS, TOPOFa'.PHY SITE
.2e PLAN REVIEW: ;"-14:'` _
8) CONSERVATION COMMI�TTEE" IF. LOT BORDERS ANY TYPE OF WETLANDS. •
C). PLANNING BOARD-TO SEE IF LOT COMPLIES WITH ZONING BY-LAWS.
0) BOARD OF HEALTH-FOR SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES.
EXAMPLES: - SAUNA . BATHS, SWIMMING POOLS, RESTAURANTS, ETC.
"E) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS).
•
REVIEWED BY --.. :'"••••••—•••••• ', it � ;�•�:
c •
1. ENGINEERING DEPARTMENT: YES DOES NOT APPLY -•-SIGNATURE. -� �2 ' `'-- DATE i'i.
2. y CONSERVATION COMMITTEE:_ '.YES NOT APPLY_SIGNATURE E'Mat : ~ ' ' DATE 2 Ga
_
3 _ •, - _ ' :�T� " . - •, LTE '•r -
-
4. BOARD OF HEALTH. YES -- DOES NOT APPLY r/SIGN• :��� , 'DATE M4.
5. FIRE DEPARTMENT: YES—DOES. NOT APPLY_SIGNA 'ler DATE
COMMENTS: . .
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