HomeMy WebLinkAboutBLD-80-310 O . No. ....Q 10
� p� Application for a Permit uild
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y� Fee must accompany thi pplication 67—./0�,� � .�� p
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lliknj Yarmouth 19.20
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TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications: '7- �- /
1. Name of Owner 441 3-,,,,,e5 °aloe SSa tot_ Address `ot.f 6/c/ ,moo/ P $ /a n�ocf/
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2. Name of Architect (if any) m -e c•- S D tie wet ,
3. Name of Builder 2a,,r+O ,4(c .130-1-,7 I•C c(1.17-
4: Precinct No. ,S. Lot No. C. ' 3 , Plan: Name or No. M o.e S At 427 415-
5. Name of Street PLG^ ch,rs'- C A•M 4s-c3
7"h e�?i c colon oh y Z1). S; ,S'o_cmoul h
6. Purpose of Building .2 Q& /_ lit
Parc r , /v
7. Material W O e .�LJJ ` 1' `_ett: S PenAl ��/
8. Estimated cost of building #re)'od- • btti A 4YZLJ ' d
9. Dwelling i ." lJ 'x if /
10. Cottage Q / ,,11. Heat 52 2cT f n 2- Ba.%17
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12. Basement G re,uJL S Pa.-C_ C •
13. Garage /tom /I. D
14. Store A/C,
15. Shop Afo
16. No. of stories a/1 e .
17. Is there to be a Store in the lower storey doe . . ....
18. Size of Lot. No. of feet front ZO No. of feet rear IA.6.,..2.., No of feet deep IAC!
• ADR't.c.1 / / ea
19. Size of building. No. of feet front .1.0No. of feet side ..2.2 No. of feet rear ./..4.1
20. Distance from nearest building: Front ft.; side ft.; side // /
ft.; rear
21. Distance back from line or street '7Q// .5-0/ from rear lot line 0 , side line /.la
Show by diagram the location of propsed building with relation to distances from adjoining lots, on reverse side.
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• Name.,r�..0)...tJ.i..0 .C.Y(..`t. 7433. A-40...t..C.G.S,../
Address....74....Cob ) ,&/e 7014?ZCUM.RIC I
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Rear of Lot 6(a ) 2 ,
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Frontage of Lot la • ' ti
Street Name.. .n.e..a..-t-t'r C c Jc y L-r,
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PLOT PLAN A PP/6Y Ioo0 —
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PPLICANT ;4,/ R..:- .; P' S ! ' _Q'rr" 45-- -& 1rC.c_ _ • " " BLDG PERMIT NO: ' ' '
OCATION OF -PROPERTY-7- :. - -' -. - - ' . .. ••• µy,•:" _DATE;FILED: • •• 't
r'THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN•TNDIVIDUAL.= .=-,'-L''.
ST FOLL01:'�IN• ORDER TO -OBTAIN A PERMIT TO BUILD OR ALTER ,A-.BUILDING. _ THE BUILDING'-;