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Home My WebLink AboutBLD-80-215 iicaltD 0 4-6,71, aisi oort Application for a Permit to Build No. r Fee must accompany this application � armouth' �� j 19 " .5/.0? Cr /2) TO THE BOARD OF SELECTMEN The undersigned hereby/ applies for a permit to build, according to the flowing specifications:� 1. Name of Owner et VA'S � �et �/f ✓ 4 '^' Address /O •3 Wei S/ )0120--1 g`e'e'- 2. Name of Architect (if any) • . • - / C ec //. ' sr.t-'1 3. Name of Builder � AR✓/r 4. Precinct No. ,, / Lot No. /7 Plan: Name or No. / / 5. Name of Street 16`2 //V.,r s A ile,vs 1 Av C I� i " v +ta o c/ Y Gj6. Purpose of Building l S'/0 e 7 et v 2�. 710 D /s 7. Material py B � �j'�� / 8. Estimated cost of building Y° 02CD 0 0 L' 9. Dwelling 10. Cottage 11. Heat No it -'Q 12. Basement 1/6 6( —� 13. Garage 14. Store ' 15. Shop ' 1 16. No. of stories - e 17. Is there to be a Store in the lower storey 18. Size of Lot. No. of feet front /.5/43No. of feet rear /..5/4 No; of feet deep /a 0 19. Size of building. No. of feet front La No. of feet side r No. of feet rear /0 20. Distance from nearest building: Front 1tf.../........... ft.; side .2.?..........ft.; side 144 ft.; rear....t!! 21. Distance back from line or street • EPS , from rear lot line /r..�7 side line re Show by diagram the location of propsed building with relation to distances ff m ad'alning lots, on re rse s/iJd�e Name ` ^l,et. —ea r�` �5/�--C/�`-'-cfe�� Address 70,1 I ...<.G�2i 4r�1 Nti../. .1—C— -, _.; - . �c.2 - - . L - •+~ :•> �- fij ""�tip (2-fa C, „fr • e T 14 114 • ©A / WI JO y1daQ ep; 7q�12i • I - 19 JI 0, ) ^ �sh�y ✓ (2� (/',� e L1 it - a%me f r„IV � a 'l] a Q 1 O i • 1 ;K .• N. . ;'Y) o4 a. : .3 2 N • 4o o • . _ y! i ' 1; Q .••F - O 0 da a T a , • O i ' • i ,.'i J/i/ a Z 1 RJ Q P.S y 7 J ,; a 1 - / J j r' • . Y r'