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Application for a Permit to Build No.
• Fee must accompany this applicatio
Yarmouth li./�
47 Z.? 19 Ft
TO THE BOARD OF SELECTMEN '
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner SHIQ(.EY .M FISKE Address 'T'3 CA PT GLCUNT Rb
2 Name of Architect (if any) .._ .
3: Name of Builder Cl4AItLES It FisKE
4. Precinct No. 3 Lot No. 0 33 9 Plan: Name or No. 44.57
5: Name of Street Ant 131-0()NT it p
6: "Purpose of Building O -i Ol-�cQ
7. Material W00.0 J''a$AW ? ,f9LOC)QN 1 �� ��/� r
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8. Estimated cost of building fr. r 00,00
9. Dwelling
10. Cottage /�
11. Heat ►.
12. Basement .
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 /OO ' No. of feet rear /Gd. No. of feet deep ../J 'a.
19. Size of building. No. of feet front / 6 i No. of feet side et No. of feet rear
6
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 distances from adjoining lots, on reverse side.
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Address..73 —..--4#1 /4 Ws itti.Mt iw .lk47.11t,
Street Name . ..
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o Left Side Depth of Lot /•3Z t—O n
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Right Side Depth of Lot I3 Z — O .
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Street Name tt
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LICANT: ics tr. flsare • • ' i • BLDG PERMIT NO
CATION OF^'PROPERTY: 'i�3' CAPT , 'o tip r- RP •XAYl�4Oi/�': J DATE.FILED: •�►A49 7" i- 14Yd.
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THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE 'PROC.EDURES AN'TNDIVIDUAL.= ;.=,.-_
ST FOLLOW IN. ORDER TO OBTAIN. A PERMIT TO BUILD OR ALTER A .BUILDING. - THE BUILDING:-.{.-- :':.- .
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PARTMENT•WILL*CHECK ON :THE FOLLOWING:. (A): CONSERVANCY DISTRICTS, (B):tHISTORICAL : .r- :-
STRICTS . (C) ?F.LOOD PLAINS ZONING,_ AND WILL BE RESPONSIBLE FOR ASSISTING THE:::. '. .-
PLICAUT THROUGH-THE FOLLOWING AGENCIES:..c- - . '= l- •.•.• •. .: _
• RESIDENTIAL BUILDING: "...'•:',.•-.7e•••;-'-:•::i .1--- ....:7..z.-it. ' •- -. j .
A) CHECK WITH THE HEALTH DEPARTMENY IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE
•• DISPOSAL `_:.'ar _ _ .-' • - _ -. 'i. -=.• .. i'
B) CHECK WITH CONSERVATION COMMITTEE IF THE' LOT BORDERS+ T.ON ANY TYPE. OFi/ELANDS. -•-: °:: I.
- EXAMPLES:. STREAMS, PONDS, RIVERS,:OCEAN, BAY, BOGS, MARSH,. ETC: - `- '• ' ;_`: ':
C) CHECK•WITH PLANNING BOARD :FOR.LOT,RELEASE: ;- .- - :•. C= -C_:w°- :- - - —
'''. - • :::.,• '-'7;1: i.-:.'d • e' .,y1-r-:- -• -.77.-ie:•••-
MMERCIAL BUILDING::�- "_{''-^ •4....;•„;.-t1,---€;;....-...:•••••:..;••••:::..:,,,..,• _ - - :`.:
_ A_ ) • ENGINEERING DEPARTMENT-FOR.PARKING AND DRAINAGE REQUIREMENTS,• TOPOi PHY•SITE' ...-L "... 0
.?..:'PLAN REVIEW.- : .-_.: __-.r';.. ., . _ '- _ t"..-1••••••••:•-::-.:-_ - :_r �•-.. -At' _
`B CONSERVATION-CO TTEE-IF LOT BORDERS ANY TYPE OF WETLANDS. .=* _ - N_Y
C) PLANNING BOARD-0' ;SEE *IF LOT_ COMPLIES WITH'ZONING BY-LAWS. •
l.. - . .
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D) BOARD OF.. 1EALTYI=FOR SEWAGE-DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES. .
EXAMPLES: ' SAUNA F ATHS, SWIMMING POOLS, RESTAURANTS, ETC. . '- •,• - . - - -7._ .-.
-E) FIRE DEPARTMENT-T4R ' PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, .SMOKE", -•- ,
DETECTORS). r _..; .-s -- --. -
E`W�FD BY: - :. ?.a.,ir:? .}wY-�rS r -. t' ti • " - i7
GINEERING DEPARTMENT_._YESVVVDE ":17107.:;313
_07A P..1:74-17=i1:11;-.6-4
ATURE=L� �t - DATE'- 3s,;�,e
CONSERVATION_COMMITTEE:'--.YE-St'�'-10ES NO AP LT'. SIGNATURE=t:; '`1ia `i-_-. .'*: DATE���f/z
}Si • •t{:: •.•:--1t•_•[i-1 -'• •' . A- .•-. .'-. is-•}:1-r•�^ ..r- .—... r_r: -DATES/
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PLANNING BOARD: !"•,••YES DOES. NO7-II APPLFY: S.IG ApTURE. ••�'' ''' ' =` ` ''= - DATE=`' • • _ 'I
BIRD OF HEALTH: - •YES DES-NOTLAPPLY • CTC,NATURE-_{ ti:_ZL S DATE SP
FIRE DEPARTMENT:, • .. . •7. YES_DOES• NOT APPLY ` -SIIGNNATTUURRE % • - ' ' - - DATE:--xt: ;-•
ENTS:
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