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A 6- �b�� Application for a Permit to Build No.
Fee must accompany this applicaC i� p
Yarmouth C af'G?�
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a3n
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a unit to build, according to the folio,/ specifications:
1. Name of Owner
NCI I v'1ec Address . ili O XZGfi S a_ gjannis, Pick.
Zo wh't le e_ Rh w. yarmcufh.
2. Name of Architect (if any) ff ,
3. Name of Builder m•l c11>tte` Ccmepq r 1
4. Precinct No. mmLot No. J3 Plan: Name or No. L.e. PAN 751- 3o937-13 '
5. Name of Streef` W h i t�lII e e e Rd
6. Purpose of Building 7601 s k e 4 F i)(/0/ �_/ jh'co-i 7 .
7. Material Wr4 q b ``^ TT -"
8. Estimated cost of building y0 0 .
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 /20' 77— No. of feet rear •.(.G $ '4.3 No. of feet deep /J(2
19. Size of building. No. of feet front /0 No. of feet side ....Q No. of feet rear /0
20. Distance from nearest building: Front ft.; sidenn ft.; side ft.; rear
21. Distance back from line or street 7- ' , from rear lot line ....P.7 ' , side line -a.D
Show by diagram the location of propsed building with relation to distances from adjoining lots, on reverse side.
Name �..L..a. �/ iLt 1..:. "s.a)..o..�....•z
Address G20 706..41e{•• e /3 `(!)
Street Name -
O Left Side Depth of Lot.....��� 00
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NleZ
g o pi
2 '`�r(j\
r
I J
-X
O
4 s
-� 01
0 p\
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Right Side Depth of Lot ...110 • `/z
4
4
Street Name -
i
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I 'S
BUILDING PERMIT REVIEW
APPLICANT: (1,1,I4!L /L(ev7f ,r -.
PERMIT NO: -
LOCATION OF PRO ERTY.: )n /, V/Cr At/A• /rJ. ( DATE FILED:
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN INDIVIDAAL 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) HISTORICAL DISTRICTS (C) FLOOD
PLAINS ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING:THE APPLICANT THROUGH THE FOLLOWING
AGENCIES.
RESIDENTIAL BUILDING: ' • .
A) CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE DISPOSAL.
B) 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 LOT RELEASE.
COMMERCIAL BUILDING:
A) ENGINEERING DEPARTMENT-FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE PLAN
REVIEW.
B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPE OF WETLANDS.
C) PLANNING BOARD- TO SEE IF DOT 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).
•
DEWED BY:
14G DEPARTMENT: YES /DOES NOT APPLY_ IGNATURE .ti'i Ace- / DATE - 610
SERVATION CCMMITTEE: YES_DOES:NOT. APPLY_SIGNA ,! ' ,,I%,dl"_ DATE 6 .4910
LNG BOARD: YES DOES NOT APPLY SIGNATURE DATE
YARD OF HEALTH: YES ES NOT APPLY SIGNATURE F. t DATE G.4 )
IRE DEPARTMENT: YES TOES NOT APPLY SIGNATURE DATE
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MINTS:
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