HomeMy WebLinkAboutBLD-80-239 No. -
6'4.' Application for a Permit to Build
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‘cation
must accompany this a lication
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Ac,(i-1 Yarmouth /[/FV„1/.0 19�Q...
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a,permit to build, according to the following specifications:
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1. Name of Owner 1)44evezt g glq;rz k Address js^1fi5h,bakt4 .U., S; Kms,,,,,,,,,,f4,
2. Name of Architict (if any)
3. Name of Builder
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4. Precinct No. .,,r „ +,,,+ ,� Lot'No. '73 -• -. j Plan: Name or No.
•5. Name of Street icr-eibnas,Z)h'k. S. XjC frfl' d
6. Purpose oS Building"ave._ 64-41.... by /,,,,C, d' fns Be 6l F,,,
7. Material s :'� r • e e lea a ll. O'' nt
8. Estimated cost of building . _ �� v 6 �'1) I IS` „
9. Dwelling 0 /3 /Lanµ 6£
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10. Cottage -h '"" _ `� / �x• ' V C i
11. Heat ,,G�� J M
12. Basement I ,, , J�
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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
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19. Size of building. No. of feet front � No, of feet side ....G- No. of feet rear ....
20. Distance from nearest building: Front ft.; side ati ft.; side ft.; rear
21. Distance back from line or street 7P , from rear lot line Lo side line 4;
Show by diagram the location of propsed building with relation to distances from adjoining lots, on reverse side.
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Frontage of Lot 4 —/7 7 24
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Street Name To.
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PLOT PLAN •