HomeMy WebLinkAboutBLD-80-231 a. a 3 I
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0 Application .for a Permit to Build
Fee must accompany this applicati • /_ .
Yarmouth �? — IP 19> a
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to ban according to the following specifications:
1. Name of Owner JJ• ateibrilaa— Address g'icKe�flea 2e----,
2. Name of Architect (if any) •
3. Name of Builder gat ear---
4. Precinct No. 3 Lot No. PS n j. Plan: Name or No.A. MAP.s'2,1-pa
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5. Name of Street o� O 01/144541"V‘
6. Purpose of Building a 4L / / "/w
7. Material . time/ P-ter — • g /X f /
8. Estimated cost of building 3000. CV Mee' A CC ff
9. Dwelling / g is /tt <U t`
10. Cottage er9 i GLofc1 ..PC. iDcrKS1
11. Heat D
214r2.D
12. Basement
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13. Garage
14. Store
15. Shop /
16. No. of stories evili—
17. Is there to be a Store In the lower storey
18. Size of Lot. No.g �o�f yfeet front a 0 No. of feet rear K Q No. of feet deep /00
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19. Size of building. No. of feet front 0 No. of feet side �R No. of feet rear
20. Distance from nearest building: Front CV 3S ft.; side oW ft.; side ft.; rear
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21. Distance back from line or street.......... 5 , from rear lot line %e• , side line
Show by diagram the location of propsed building with relation to distan rom adjoi g lo , on reverse side.
Nameascf�] ure
Address / 246 '^' 4 2-1
Yawed, 7a,..,.
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Rear of Lot G U
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Frontage of Lot 4o
Street Name AO 7
PLOT PLAN t `� ittj Cd
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' - oUILDIHG PER'IT REVIEW -
APPLICANT = Ws_ akcjiwto
% " BLDG PERMIT NO:
LOCATION OF PROPERTY d• l! ` - DATE FILED
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE_ PROCEDURES AN'INDIVIDUAL.
MUST FOLLOW.IN' ORDER TO OBTAIN- A PERMIT TO BUILD OR ALTER A .BUILDING. " THE BUILDING .;.-=