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BLD-80-265 c . ,llc � P 1 �y Application for a Permit to Build 1 / • Fee must accompany this pplication ) Yarmouth\" � A � 119.c . • .%„.0 TO THE BOARD OF SELECTMEN i . 0/ The undersigned hereby applies for a permit to build, according to the following specifications: G?G!XD 1. Name of Owner Nye.1 lnt2S Guttuk.tc.. Address 17$ —0 u as AVG" Q %-tyvemt0U"fb} 2. Name of Architect (if any) 3. Name of Builder ThA%-+EMpoYLT 12L.6 Co 7© M. Wt.a 1 p 2 cJtflvGltitAtiTzt 4. Precinct No. 3 l Lot No. I Plan: Name or No. /9r AM. `IS-Ti0o 5. Name of Street --tisQt4c At ' ',� 4 4. 6. Purpose of Building d E Patett 70 A Tt O t 0 X tt (7A C 7. Material ;# Z i;(2. ,c-e-1 t_:-'" ' .05 ............... .__,_ .___..._ ..... X 64 8. Estimated cost of building Ca. ? dd 9. Dwelling C_frC. j . i 10. Cottage ob 11. Heat kW 12. Basement 00 li 13. Garage No 144.;::, ' I � 1r 14. Store Np I i I i 15. Shop OD 1I 16. No. of stories ot4e f_ i )-1 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.; rear 21. Distance back from line or street , from rear lot line , side line Show by diagram the location of propsed building with relationto distances from adjoining lots, on reverse side. Name..l„LFAN.c�1w1�.AJC Co.. F Address..2E7...h . fk% �i%.I.. .O <.4,1?.ft.. •Yw a F` .. , ., , 1t ', y(r 1 t Rear of Lot lOt ,: . ;:; , ) 1.?..4 .r._J 7_- - i.- .,1v ,NA 9 I N. O xJi S1 £:: , , � � h i ii . - 1'� I r ie IS • . .. -t , a - Z/S 25 . ,- E 0 ei g I O Gm 3 V Z •e u ti aa ..,H...I m 'S/L1 4 ' ' Frontage of Lot 1013 Street Name. 4A.gC..At , PLOT PLAN i :f:) fes. .{ I / I J II -• - *.,-4: •, +€, :4 •a ...:::z. .7, ;.. •-1• - .......:•;1;:c; •:::11:: •;.: / f�`r•�:C'-"`L▪-�4• 6:;;;;7 �Y•j• '`sc;;. ��'� '.• PL;CANT; PC:KBLDG PERMIT N0:- ' l CATION OF 'PROPERTY: 1' "'7`o •t?r%l�y /)=a�.�` - • •'•- - DATE• •FILED: r/2;e3b• •• ' THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE -PROCEDURES AN"ZNDIQIOUAL. - Cr."e L ST FOLLOW IN' ORDER' TO OBTAIN• A PERMIT TO BUILD OR ALTER A -BUILDING. --THE BUILDING:;===' :; :.. PARTMENT •WILL:CHECP:1;:'ON:THE: FOLLOWING:- (A); CONSERVANCY DISTRICTS- (B):•s HISTORICAL:. ^�:.;: STRICTS . (C); FLOOD PLAINS-.+ZONING,- AND WILL BE RESPONSIBLE FOR-ASSISTING THE :: - PLICANT THROUGH•THE FOLLOWING AGENCIES: 1:7,!--..-...-:- - %`. : _ `' r 7;:•-h- . • - ` _ 3.:::-...: ',l._� _:ti's::Y- _� - 7%,•....4•:.•F•4 ..c..1e. - - y:. - !.t - _< . _ - RESIDENTIAL BUILDING: •-•'..":•1---:::::-:!:•-::::. _ _ - - - _ - � A •) ' CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE " - DISPOSAL`•'-:.:'e - = ▪ 1-• i -;••.: ...:? _ - .\:. :-• i ..J • a) _ CHECK• WITH. CONSERVATION COMMITTEE IF THE' LOT BORDERS ON ANY TYPE, OF WETLANDS. -.-.-_'':- - • EXAMPLES:. STREAMS, PONDS, .RIVERS,:OCEAN; BAY, BOGS, MARSH,. ETC: -.7.--,_:-;'- ; `- C) _CHECK•WITH�P_LANNING BOARD I-DR(LOT .RELEASE`: ='%a-- -• •.•••--- _ =y -= r. . « - T•`.7:-.:".71.i 'f- ^•v :_ _ _- __ .,.J-•--:-'-'7•:::•;''1%;;•-::-:'-: _ - \ _ 1' _ •- -_{'......--t-::7..±.:_ i _. f - = • i'q,. to _ - tl'-•••j• -••• -.1 MHERCIAL BUILDING: •:_ _ ~'; - t,- - `s 'A_ )- - ENGINEERING DEPARTMENT-FOR.PARKING AND •DRAINAGE REQUIREMENTS, TOPO PHY SITE : +; PLAN REVIEW:••- - _ '-:r : `+:_ --;"•---C.....7.• c . - _ _ _•": ','*._' :731, B) CONSERVATION COMMITT▪ EE-IF LOT BORDERS-ANY TYPE OF WETLANDS,'.'-•:`"' _ C) PLANNING BOARD-TO 'SEE IF LOT_ COMPLIES WITH ZONING BY-LAWS. - - { D) BOARD OF., HEALTH-FOR SEWAGE DISPOSALREQUIREMENTS, H• EALTH RELATED ACTIVITIES. . ' '- EXAMPLES: ' SAUNA. BATHS, SWIMMING POOLS, RESTAURANTS, ETC. . • .. _ . . - "E) FIRE DEPARTMENT-F_OR ' PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, _SMOKE ' •1 . DETECTORS). - ' • ▪ -. „Ir.:- - _ -- -. - s'':'•::.-i- - - % : + -�.:r- - -- .: - '•y;:•- 'a•:i L��• "e. ie% _� -__r1� - ,..• EWED BY: - - _ r . .0.? _ _ _ ..f., --;•.;..r..-;_=:":::'• _ ,, �' �.�_: C�_1: -. • c = �l�tit.- _ _. `^•c .•'•`-"- • -a•• -:•' f . ',-;..1- -L'- I - -='-4G�%`t--•r-! _ l a. ENGINEERING DEPARTMENT:• YES✓ DOES NOT APPLY + SIGNATURE. , t "‘,: : DATE V. CONSERVATION COMMITTEE: ' YES.t*-_ 0.ES- NOT APPLY SIGNATURE•-- -'‘,4-:.7`- DATE }2oiltio- - PLANNING BOARD: YES ` - ODES NOT APPLY_SIGNATW ' -•1 : '- `: ;p�--DATE-r _•' ... r � t BOARD OF HEALTH: YES •= DOES NOT APPLY `�SIGNA' --� .`�a� , j / am` DATE-,/• en FIRE 'DEPARTMENT:, - •, . _ - • YES DOES_ NOT APPLY_SIGNAT•r•- - • - DATE 3 -�'• •,•1 ' . • _ - NTS: • _ _.. . _ _ _ - " .[: _ i!r �,. • isr;_ Cs t_ "� .�r: . _ 1▪' :fL' ci s��.1:°"'•� " �__ .; _ _. V;-;,- < '• _: `•1�, 3., .rri••:�T.-.: �f:..J.�i+.�•1��_:� -:;_� r'_\ :t�Y�'� Wiz._ _ _s-:▪'r ..-SG. 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