HomeMy WebLinkAboutBLD-80-234 L\1 / No07 3 t
Application for a Permit to Build
'Fee must accomp this application �p
Yarmouth -1L..7 1952°
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner - SA s&,�s &I &Q. '�l.
-crop{ .Al�aD;;RaaJ Address/5— S /� � ' ,
2. Name of Architect (if any)a (/
3. Name of Builder ,, pev-QJ,
4. Precinct No. n Lot No. y� Plan: Name or No.
1 5. Name of Street SCA 4 IPA V M. 4' " 'c A7
6. Purpose of Building 1\'. O175 -
7. Material t0009Ee
8. Estimated costofbuilding SOO1 ��t H a4a
9. Dwelling il/� fe°rLecar-
10. Cottage ?6(11-3-1:2-1 o eQFLr i
11. Heat ti C'
K 8
I iwrt o r t e`l re. C_
12. Basement Ab
' f,Go07 'Po ors,
13. Garage /1/0
/�/U' (PO2n e
14. Store e> �'
15. Shop F0
16. No. of stories 7 '
17. Is there to be a Store In the lower storey AC/
18. Size of Lot. No. offeet front No. of feet rear No. of feet flee
19. Size of building. No*
of feet front No. of feet side No. of feet re
r,,
20. Distance from nearest building: ' Front ft.; side ft.; side . t.; rear
21. Distance back from line or street , from rear lot line side line
Show by diagram the location of propsed building with relation to distances from adjoining lots, on reverse side.
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Address ir /� / 4G. +t,...a.y.fiktg tr t.
•
Street Name
v
O Left Side Depth of Lot
-i
CA '11
ti
m
R
W y 0
z ^
0
2
•
1
y
y _
_
Right Side Depth of Lot
Street Name