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'` • ' ` " Application for a Permit to wild No.
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Tee must accompany this applicatl
Yarmouth
. 19 YO
u
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner Oaf 72eA et' `/ tier Address T 71 Pw e 3 M� W yG!}'/)r„ _
2. Name of Architect (if any)
C3. Name of Builder Cietr" e /z el/ r! UgQ'I
4. Precinct No. 4 Lot No. v9-- Plan: Name or No. /7
5. Name of Street O 7 `-e-a�72/' I
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. 6. Purpose of Building En Ala .1-8 c / �O/G 4
I 7. Material (yG OG[
( rT 6- POACH aJt,ra., &
4! 8. Estimated cost of building
/b 'z - Roar ° 'C4 PoAcf/
9. Dwelling
10. Cottage
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11. Heat
12. Basement ..
13. Garage ../
14. Store
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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 1 No. of feet rear is
20. Distance from nearest building: Front ft.; side ft.; side ft.; 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
di ces�Jfrom adjoining�� lots, on reverse side.
Name.l r ppct..C.Cm�c.. .<.ciat.erzc�.r.tir--
Address7.tft. .c.O 1'4o RA/geP.tr2h.742.4
Street Name _ ""
o iv eft Side Depth of Lot an
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Right Side Depth of Lot
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'BUILDING PERMIT REVIEW ' •
APELICe0.NT- lair_ (9)- ti L- - ` • BLDG PERMIT NO
LOCATION OF PROPERTY: / ri/1i)i"S -My-- Z`_ •- -- 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 :-•`- •:.'
-DEPARTMENT."WILL' CHECK-ON :THE. FOLLOWING:• (A): CONSERVANCY DISTRICTS; (B):'i. HISTORICAL. :.,: .
• DISTRICTS (C) _: FLOOD PLAINS- ZONING,- AND WILL BE RESPONSIBLE FOR 'ASSISTING THE • -
APPLICANT THROUGH•THE FOLLOWING.AGENCIES
1. - RESIDENTIAL BUILDING -
A) CHECK WITH THE. HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE
DISPOSAL ` S '
5) CHECK WITH CONSERVATION COMMITTEE IF THE LDT BORDERS ON ANY TYPE OF WETLANDS.•
`: EXAMPLES:. STREAMS;. PONDS, RIVERS, 'OCEAN, BAY, BOGS, MARSH,. ETC. '
C) CHECK WITH PLANNING BOARD FOR LOT RELEASE , ,--� .<-_ .
2 COMMERCIAL BUILDING t 1—
A) ENGINEERING DEPARTMENT FOR PARKING AND DRAINAGE REQUIREMENTS, TOPO PHY SITE
4`4a- PLAN REVIEW.' -111-12-.': ;..".•••r ` •-�.:
B) CONSERVATION COMMITTEE IF LOT-_BORDER'S-ANY TYPE OF WETLt:NDS : _ - _
C) PLANNING BOARD TO SEE IF LOT COMPLIES WITH ZONING BY-LANS. .
D) BOARD OF HEALTH-FOR EALTH- R SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES. •
EXAMPLES: ' SAUNA BATHS, SWIMMING POOLS, RESTAURANTS, ETC. -
-E) ' FIRE DEPARTMENT FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
REVI ED BY _ �_ _ -
tit -
1 N INEERING DEPARTMENT-. YES N' DOES NOT APPLY - SIGNATURE I- s:7' DATEg-
y NSERVATION COMMITTEE:. YES ''_DOES NOT APPLY 1- SIGNATURE „ 3 .i• 41.-, __ . • DATES ¢ t
3 PLANNING BOARD YES ` DOES NOT APPLY SIGNATE .2•
JDATE"
4 -BOARD OF HEALTU. YES ' DOES NOT APPLYI/SIGNAT • DAT •
. 5. FIRE DEPARTMENT:. - • YES DOES, NOT APPLY SIGNATURE • - - DATE • -
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