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Home My WebLink AboutBLD-80-221 k...--ivit: £t(`: it „1. :' 1.a,:*g.+wk:. c09L°1)I. Noa z . `Application for a Per 't to Build Fee must accompany ‘application Yarmouth �4r Z 19 Pa TO THE BOARD OF SELECTMEN The undersigned hereby applies for a permit to build, according to the following specifications: /=A-2MLaMO 1AL X32, 14 67-3".17ill"1. Name of Owner Address r! 2. Name of Architect (if any) T 3. Name of Builder S A-fr & 4. Precinct No. Lot Nor 14 Plan: Name or No. A i`1 a 6 f I jf 5. Name of Street C.oe .at."/2-GS7 ao, 1 R7 28 6. Purpose of Building Al A /2./e..e 7- 7. 7. Material AS I S . 8. Estimated st wilding A Lcia7l - OAJ 4 74- ea a 9. Dwelling �(rjrt -b C . r Li 10. Cottage l ile v Do ^ [o 11. Heat _ •• �/Pu' K/o>C 12. Baser ti !� f Tea W_•' _ ` , 13. Ga *; 14. S" //I 15.• :: p f 16. ;No. of : :ones 17. Is there to be a Store in the lower storey /4 18. Size of Lot. feet front ' . No. of feet rear No. of feet deep t, , 19. Size of bu ` 4, . ee ( . It i t No. of feet side AS ti No. of feet rear 20. `Distal) t. , 'IC ft.; side ft.; side ft.; rear -.- hs 4 t " 21. Dista- - '': d '" , from rear lot line , side line Show by th relation tods f adjoi • g lots n reverse side. Name..... ti-_ Address / f / 14.v' So. )/,4./t.(/rvr4////ism Street Name —" • v 0 Left Side Depth of Lot • ..�, r / . �� z ,(. IR K I o z r o 0 l7 ( r 1 "..el ' • t 1 1 1 Is. Ty . ::40 • ' " . .. .:� a. Right Side Depth of Lot 1 . e*'. • .;4:",t a cassis Street Nam.. . . ... . . ... .... ..... .... .. `''='J` ' � .44 it- _ ' 1" - • . _. • ."... • - - • • - ----":':-- - BUILDING PERMIT REVIEW- -• . . ' -- • ! *:- - • : - • ....• . • -. - . - --- • • •- :.. A2 PLICANT; -- [714-tt- Atiejt4 Le/4-----AJ -- -//eC: -. l 17---- - *- -: ': .::: .1..:.- .: BLDG PERMI{NO-. '''. - LOCATION OF PROPERTY: - .- • • _I--; THE FOLLOWING CHECK--OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AWINDIVIbUAL- - :,• tia:- ". ;MUST FDLLOW4INI ORDER TO OBTAIN A PERMIT TO BUILD OR ALTER A -BUILDING. -THE BUILDING t• .....i... CDEPARTMENT 'WILLCHECkok ITHE FOLLOWING:' (A):: : CONSERVANCY 'DISTRICTS- (B).-'1. HISTORICAL ti. . • --.;;.. - r -DISTRICTS CC/Pat:ma PLAINS..- ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING THE 7 APPLICANT THROUGHTHEFOLLOWING AGENCIES: i ! -, . ,....; . ... - .... .,. . . .:.......... ... . . ,...z .: _ _ ......,. :. - r..--t - -. '• I. • RESIDENTIAL BUILDING- --. :-.. 7 • _ :- - it) .1 CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE : .. , : • 71:=C:::•t CC1 61(1-1.1111-1 4'EONSEIVAIiiit4 COMMITTEE IF THE LOT BORDERS ON ANY TYPE OF WETLANDS. - '#-:7 -.---YE• ::--':' EXAMPLES: 1: -I-C7'- 1:STREAMS, PONDS, RIVERS, -OCEAN; BAY, BOGS, MARSH,. ETC. -...-:•,/;•--..-.: : _... ..z..--:., ...:,.. ,.....-_, :... - 4--.- _- 4- - :%:-.:''''' ...:'.......i.' •-•!.;..--,..; '-: z.;.:---i- - .-:.. C:-"' • . ". •. -... '"...• ...: -C..'. C) cHEeic.NITA PLANNING BOARD FOR- LOT. RELEASE-.T.:42,±c•f ..-_-74-7: -J.,-;::.. 7. ...,;,....„.. .5.:..- 7-.. ....-2...tclf.f... ;.:-::..,a.5_ ,...„-p....t2i.- .44.= ..„.et. . .-:,;. ._ •-.-... ....•;--%:._04=-=- 7..•-•.=:_!../•-• ..-7 ----..--;,...r.s.,--:-:--rt"-:- . --..:. -2 ._-'• :_--...---::-:-.'••••.7._ .•-----e--'Eck; ;;--.:-'-`3:-L‘' -;•7:--1---.i---t't:' ''-'• ". '‘;'-'-'. -:.:‘ 1-2 -.77:::-.. -.::-. . .;: .•••7:-;. r :g--- ;'---...-r.,:"..-:-.:. '---;"' -.l: tj'-ff 2...--:COMMERCIAL-BUILDING:...7,. .c.:t::_;.± f,;•.::-Lia.•-•-;:_:-.:.:-.--;--:.- :72:74...:;,-;:-‘...:5‘...--:,-.7-..i:2.- .-..,. ...•:,.....:::: , ..,. .f . (c, 1.:.,;...._;•. )C ENGINEERING DEPARTMENT FOR PARKING AND DRAINAGE REQUIREMENTS TOPOr;2APHY SITE- ..-: 4_,......:...7,..4 ,... ..'cr..:.:4 ...-:-..-..---1.7.:r•rt"-4.- .r..-..'Pa.....3..:•;:-"ft ' _ ::"•-,..:-..ti.---'f EZ. .:-t:.--1.----t• --•;"11.-7";4;a::' PIAN REvipt:-,-_:-:i--:,c •72:'-‘1:-.1.:"----.; -2-21. -: , r -- .7;1m:4.74.-:;a-zL ',17 ::--t.; :- ..- :-,‘:=..-fc.-t22.12--, --at', 1:•F-- .----*- -B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS. :••L=7. :... -. :::::::: -.._:.: ) PLANNING BOARDjTOZEE IF LOT'COMPLIES WITH ZONING ['Ay-LAWS. • - ::: T •- ,. . . . . .. ... . . . - . . ---. by hOARD OF HEALTI:i-FOR SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES. ., . . EXAMPLES: - SAUNA .BATHS, SWIMMING POOLS, RESTAURANTS, ETC. -- . 7 • • - . _ .- . . . :E) • FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE - - - • • ' -- - • -- • . • •• - • . ' - -- - - • REVIEWEDBY:.tf:',:-...ff:hz --- ---1--_ is -'•--- -- .--:.-_-_ -.:-..1.--7-F7 , `;.".3., mt..:...•- .,.-...,.,, ..‘. .....,...__:::.,?...- .....-4:3..nt--..c..-...z.jc...a_ ..,....-..;.- ---z• 7--, -7-.4.:tv.r-c---= --:--::-:',L .2-, -'----- -::::- - ;:.:- - -....,zi- -=.-tr.::-.---te:r: --- ---. - -4, I C.. ENGINEERING DEPARTMENT:.t YES VDOES NOT APPLY_SIGNATURE. . , -a-e---.-5:,.4.,--:-.7c,----'4r-:: * -r•2..--1.-'el-0N7SE;RV--.A11:-ION: . .0.11M'I:FTECt.m..ii*c.n---::Ii6-i-; ii8-1-cAPPI:i VS'iaN-AT:vb-R-E7g.:4:4: •.:L.-2,1.:---fillziailffr.yiejs-.0:1. ...3:-..•.- PLANNING BOARD: ' • •- -., --•••YES 7- DOESNOTAPPLY SIGNATUR B0,4Rb OF -HEALTHi. T : 1 YES .? bOES NOT APPLY €->SIGNAT t_9 ?1,67- , t „;14rDATE;;244D -— . 5. FIRE DEPARTMENT:. --.:.: _ :- • YES OOES. NOT APPLY SIGNATLCRE DATE • COMMENTS: . •„ - -_ -. -.:,_-• -...,...'": ...... --- •:--, ' : .-:-• .- - :•- .7 :-..z1-:;:.: 7:.... .. --- • --7, 'rrt. 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