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/ 2-`. �' • Applicatia for, ,4ermit to Build 4
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• . a tarfl wee must company this application
Yarmouth #seve-af
190.0.
TO THE BOARD OF SELECTMEN .
The undersigned hereby applies for a permit to Lail. according to the following specifications:
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1. Name of Owner Al or/0% //4/4?q/iy j 3 Address dor ( tt go.{i/ck t rshe•
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2. Name of Architect (it any) - it 1 �9sf� S
3. Name of Builder of//o ija/14 tj/`, Z
4." Precinct No. 4. Lot No.bbN3 Q. .� i «Plan: Name or No. 4/t/.141 ,ba‘
5. Name of Street) t/,y i an/d I t ,•)
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6. Purpose of Building `ftise/91.4 ;�,,, %C. cru J,, `?
7. Material w a s j CA Aht La f t
8. Estimated cost of building ,r,S.tla, :' 3 g s �//+► D
4 MS'S 4)4 c+ ' •;
9. Dwelling • r i +•L•... �.��..
10. Cottage +
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911. Heat I'+.t a t .5 i g+o l ,.
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12. Basement , Y2 4,---_._-_—e
13. Garage /!b % ay
14. Store `N i 41_ • w.—+�t • j
15. Shop t F r
16. No. of stories g ,
17. Is there to be a Store in the lower storey. A/o . ..
18. Size of Lot. No. of feet front QS" ...y
-/
e No. of feet re '41 No. of feet deep /40
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19. Size of building. No. of feet front (= No. of feet side :,. No. of feet rear
20. Distance from nearest building: Front ....(0:.:(
..0 iL. ‘.. ft; side '' ft.; side d d ft.; rear::.._..krr '
21. Distance back from line or street f e from rear lot line ` , side line n e
Show by diagram the location of propsed building with relation to distances from adjoining lots, on reverse side.
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Addresss --sr./1/4 Ft- P/ Aoy J i• tlitC/4k. 1
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f BUILDING PER.✓.IT REVIEW-
_
APPLICAN ( ','1 t";••:--•�. - ; •
T � K4,i J � Lel'. BLDG PERMIT NO:
LOCATION OFePROPERTY 1✓� .�� �. ie� DATEFItEO
'THE FOLLOWING C}1EEK-OFF SHEET' E
IS DEIGNED TO CLARIFY THE PROCEDURES AN- iNDIVIOUAL
_- MUST FOLLOW. IN ORDER TO "OBTAIN" A ERMIT TO BUILD OR ALTERA -BUILDING THE BUILDING
"DEPARTMENT•WILL'CHECKCON =THE,. FOLLOWING: (A): _CONSERVANCY DISTRICTS; (B):`� HISTORICAL w_
DISTRICTS (C) ,'FLOOD PLAINS-:ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE
7:. APPLICANT THROUGH-THE FOLLOWING AG•ENCI•ES.
1. - RESIDENTIAL BUILDING _ _
A} CHECK WITH THE HEALiH DEPARTMENT INREFEREENCE TO SEPTIC SYSTEMS FOR SEWAGE.
DISPOSAL
B) CHECK WITH_ CONSERVATION COMMITTEE IF THE LOT .BORDERS ON-ANY-TYPE OF WETLANDS
EXAMPLES:. STREAMS, PONDS, RIVERS, OCEAN, BAY, BOGS, MARSH,: ETC - _IT _
C) CHECK WITH�PLANNING BOARD FOR lOT RELEASE _ � , c
2 COMMERCIAL BUILDING =,. . J
~A] ENGINEERING DEPARTMENT FOR PARKING AND,DRAINAGE REQUIREMENTS, TOPO PHY SITE ; -
`_ `,' PLAN REVIEW: r ,- r- ,i, ; s F
— B) -, CONSERVATION COMMITTEE-IF LOT-BORDERS_ANY TYPE O•F •WETLAND•S
a C) PLANNING BOAR- TO SEE •IF LOTCOMPLIES.,W•ITH• ZONIN• G 8Y-CANS. • '
;
0) BOARD OF HEALTF''rFOR SEWAGE- 'DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES.
EXAMPLES - SAUNA BATHS, . SOB; ETC. - - _
—E) FIRE DEPARTMENT FOR PROPERTY+PROTECTION,7PERSONAL SAFETY, (SPRINKLERS, SMOKE -
DETECTORS) * 1 ._. _
`BENDED BY t --:‘•-•.- •:, •....--:-•.:,• .:-.. .t. .•„:".-. ` - ,� i._._,.;ya.,
7...:_i. V1 GIN-EE RING DEPARTMENT.' YES--✓ DOES _NOT APPLY "SIGNATURE - t K . - DATEi y
2 4/ CONSERVAT3ON- COMMITTEE.' YESc------DOES NOT APPLYV- SIGNATUREL_: e'-"a. DATE 4.iy18 :
•3. PLANNING BOARD: YES DOES NOT APPLY SIGNAT RE DATE'-'
.4: BOARD OF HEALTH: YES DOES NOT APPLYv SIGNAL/RFi1„� is �i�" DATE�d '
5. FIRE DEPARTMENT:. - YES DOES- NOT APPLY_SIGNATURE•
DATE
COMMENTS
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