HomeMy WebLinkAboutBLD-80-232 it 3,2 - Lia
No..40 # a 3aZ
Application for a Permit to Build
Fee must accompany this applica icr
Yarmouth co--- 7 1912)
5 717
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner C'- 04°C A r//tfD4`8 Address /r . O-re 'eT 4.c/v /
2. Name of Architect (if any)
3. Name of Builder '
4. Precinct No. Lot No. Plan: Name or No.
5. Name of Street /S— .e o eer..2T.4 D,e/vr ciC/y
6. Purpose of Building 2 cri o n ,0 •S'7 ac's
7. Material
8. Estimated cost of building t a Q 0 49-0
9. Dwelling
10. Cottage
11. Heat
12. Basement
13. Garage
14. Store
15. Shop
16. No. of stories
17. Is there to be a Store in the lower storey
18. Size of Lot. No. of feet front / No. of feet rear No. of feet deep ..
19. Size of building. No. of feet front No. of feet side .. No. of feet rear ..
20. Distance from nearest building: Front ft.; side ft.; side ft; ar
21. Distance back from line or street from rear lot line ' , side line
Show by diagram the location of propsed building with relation to .snces from adjoining lots; on y erse side.
Name ,.. .... • ' �/ �
Address / �J^ e� yvqn�� Z
Street Name
•
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O Left Side Depth of Lot
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w. m Mt
z
y n0
CD
y 0
z 07 ^
0
m
r -
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Right Side Depth of Lot
Street Name