HomeMy WebLinkAboutBLD-80-200 Ni):besx° .., • r).7, 3 ic.1 Q.Q.,9-.(9, ,
D / Application for a P rmit to Build
-_ Fee must accomp (this application / ` 1
Yarmouth ...I X2/0 u 19 r v
TO THE BOARD OF SELECTMEN o -
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The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner '"" i. `moi r . Address 16 Q gc.Rf2b Sr.
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2i Name of Architect (if any) 6‘414--e-a-i6‘414--e-a- .
3. Name of Builder Cp.iA0.b Ro0RIg4es
4. Precinct No. ci Lot No.5 � T"A$Cc$. A Plan: Name or No. Zi — S 7
5. Name of Street 1.12... . xt, v.1. i.�nRre4rtf, KASS •
6. Purpose of Building f s&"b- ST��U� ^�T�'&tIc .
7. Material
8. Estimated cost of building .-t3,O 60
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9. Dwelling ,�j' l v �� 'r/C!O !Z
10. Cottage `r
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Street Name
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0 Left Side Depth of Lot
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Right Side Depth of Lot
!• 4
• Street Name
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- •_ '.✓; BUILDING PERMIT REVIEW, - ' i.
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PPL ICANT: • r s• •
•g' - i •-- .. ♦. - BLDG PERMIT•,NO: '• ' •
OCATI ON OF 'PROPERTY: '6.7 . , , A a g....:•-• : .;yDATE.F IL ED i ":.: ' - .
THE FOLLOWING CHECKOFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN •I-NDIVIDUAL. - ;.••-,- ' ,
UST FOLLOW IN ORDER TO OBTAIN, A PERMIT TO BUILD OR ALTER A .BUILDING. -;T •::
HE BUILDING -:-; ., •; ,r
F'ARTSIENI WILL CHECK ON -THE FOLLOWING: (A): CONSERVANCY DISTRICTS (B):
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