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5 .............
Application for a Permit to Build No......
f1
1I_,O NN11,IG BGAR"Tee must accompany this application
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Yarmouth ...d.. �.1.T7. ................19.. d
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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 O g PuO d.( bl. U—� 'Address (/
-
2. Name of Architect (if any) �� 6
3. Name of Builder TAR P, -Un (i
4. Precinct No. `3�� Lot No. Plan: Name or No. hS 2---%fO[�`7 fZ
5.
Name of Street I f S( oft ( f e
6.
Purpose of Building D Uj e ` l f ( Cr
7.
Material p Q 1)
8.
Estimated cost of building a (o Cr v
'7 6 � �
9.
Dwelling S f NUP
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i�PPRNfts
10.
Cottage
' 7 yA
/Gr1
)
L f eta -
11.
Heat P
Ait %!f•
12.
Basement u
13.
Garage R 0
: w'
14.
Store Fi 0
15.
Shop h
16.
No. of stories o N
v
17.
Is there to be a Store In the lower storey
_
`...0......
18.
Size of Lot. No. of feet front .......0 ..............
No. feet rear .................
No of feet
deep
19.
Size of building. No. of feet front , .....S! ............. Ido. of feet side .....�:.a..........
No. of feet rear i3-2. ...........
20.
Distance from nearest building: Front ...9.a...........
ft.; 'side ..... �..�r..............ft.; side ......
/4. ......... ft.; rear.....lif..0....
21.
Distance back from line or street .....1: . .............:
from rear lot line ... ....................., side
? ........................
Show by diagram the location of propsed building with Tela
Rear of Lot .... ....v.......
...........................
PLOT PLAN
Frontage of Lot,......�....... ...............
Street Name... . y.s1 C..O.... U..l ...
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1
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A
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Rear of Lot .... ....v.......
...........................
PLOT PLAN
Frontage of Lot,......�....... ...............
Street Name... . y.s1 C..O.... U..l ...
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TO WHOM IT MAY CONCERN;
Please be advised that Town water is.available on Lot or Lots # 16 17,18, 19 & 20.
(Street) Blisscott Avenue i as shown on Assessorls Sheet 28
Also, Barnstable County registryleDeeds fn PlansBook 56 Page S5.
Y y Y ,
ra-.-
Wil1,
son .✓Y`J
Superintendent
TOWN OF YARMOUTH
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1021; KION SiR�ET
kE •'. ".--t'
YAk MOUTH PORT, MASS. 02678
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` WAT.A C'.•. pl$SI :Nf Pf
T.0 -CAPD
OF N'ATCN fJ'..MISSICNCRS MECTS CVCPY MONDAY
AT 7.10 P.M. AT UNION STREET OFFICE
PRE.DEP?!�K J. THAC4ER
ROGER G. EDWARDS, JR.
THOMAS E. KELLEY
Date: May 6, 1980
SUPE0.INT[NDCNT
PAUL WILSON
Name; Mr.;Vermon
D. Whynott
Address; P.O.Box
238, Yarmouth
Port,
MAssachusetts 02675
TO WHOM IT MAY CONCERN;
Please be advised that Town water is.available on Lot or Lots # 16 17,18, 19 & 20.
(Street) Blisscott Avenue i as shown on Assessorls Sheet 28
Also, Barnstable County registryleDeeds fn PlansBook 56 Page S5.
Y y Y ,
ra-.-
Wil1,
son .✓Y`J
Superintendent
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!. BUILDINGPERMITREVIEW '
APPLICANT.' d BLDG PERMIT NO
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LOCATION OF"PROPERTY = �' l DATE FILED
. ♦ti --.L _. 1.'�.t, .� -: . ,'ter ...- .. ... i_ -J
" THE FOLLOWING CHECK -OFF SHEET IS DESIGNED TO CLARIFY THE'PROCEDURES AN'ZNDIV'IOUAL
MUST FOLLOW. IN OP,DER TO .OBTAIN. A PERMIT TO BUILD OR ALTER .A'.BUILDING.' -zTHE BUILDING'{:
=DEPAP,TMENT"WILL'.CHECK"ON:THE:-FOLLOWING:'(A): CONSERVANCY DISTRICTS: (B).... HISTORICAL
DISTRICTS (C) _FLOOD'PLAINS7.ZONING,'AND WILL BE RESPONSIBLE FOR"ASSISTING THE'.•. _-:
APPLICAtTI_THROUGH•THE FOLLOWING AGENCIES' _
i - RESIDENTIAL BUILDING:
A) CHECK WITH THE HEALTH "DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE'.,
_ '.;..•� DISPOSAL � -
6)�_CHECK WITH'CONSERVATION COMMITTEE IF THE LOT.BORDERS ON ANY TYPE OF WETLANDS
EXAMPLES:. STREAMS, PONDS, RIVERS, OCEAN, BAY, BOGS, MARSH,.ETC =
C) CHECK WITH -PLANNING BOARD FOR tOT RELEASE
2 COMMERCIAL'BUILDING
�•.
ENGINEERING DEPARTMENT FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOPPAPHY SITE _
PLAN REVIEW:
y0) NSERVATION COMMITTEE -IF IOT ._BORDERS ANY TYPE OF WETLANDS - _
-C) PLANNING BOARD TO -SEE IF LOT COMPLIES WITH ZONING BY-LAWS.
D) BOARD OF HEALTH -FOR SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES.
EXAMPLES: 'SAUNA. BATHS, SWIMMING POOLS, RESTAURANTS, ETC.
E) -FIRE DEPARTMENT -FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS). :.
REVIEWED BY
I ENGINEERING DEPARTMENT YES DOES NOT APPLY SIGNATURE.
2 CONSERVAT30N COMMITTEE: `.YES=DOES NOT APPLY_' SIGNATURE JYJ�'t'=DATEr
3 rR.LAie1PiIPU 13MD YES " DOES NOT APPLY _SIGNAT r DATE'-`
4. BOARD OF HEALTH: YES vDOES NOT APPLY_SIGNAT DAT::
$. rFI'RE-OEP7RTAENT:. YES DOES NOT APPLY_SIGNA RE —DATE—
COMMENTS:
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