HomeMy WebLinkAboutBLD-80-352 V
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4o Application for a Perm'sto- Build No.,
A\ Fee must accompany thi ppBcation
Yarmouth 4‘a$ 1CV
/-.27
TO THE BOARD OF SELECTMEN
The undersigned hereby aunties for a permit to build, according to the following specifications:
` aAfilt lt.
1: Name of Ownerye.�t �u�77ar ,wA2t tCt _�CAddress
2. Name of Architect (if `any)
3. Name of Builder Set 1=
t Precinct No. Lot No. '-to(I,. Plan: Name or,No.
5. Name of Street Ct yV
78
6. Purpose of Building (,Z,et—L„tt:,t-4.., ""`61-e-A- 11-1-;
7. Material
8. Estimated cost of building Ton
9- Dwelling
n
10- Cottage LW�•r� 9,1
I �ti ``
110 ' 31
11. Heat
12. Basement
13. Garage .
14. Store •
15- Shop fr a
iQj
16. No. o[ stories l-'%
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 relation to distances� from adjoinin lots, on reverse side.
Name.Lc.GFCit 4 211.
Address.- >u,F- . jl-:(...�1."- .. .
tizio Ka/=� r
I
Street Name "
V
Leh Side Depth of Lot a
.
rn •
3
e+ p+ o
Qz 00 ^
E1 0
0 0 0
0
. 1
!+ Right Side Depth of Lot
• Street Name
•
to C • .
PLICANT: - j7. , /: yrs J%�✓A�j/D•• • . • •••_,.- . y BLDG PERMIT N0:
CATION CIF TROPERTY: ri1RbeC .• "•st -;I1 �i �' ;:;.-♦ - DATE•FILED: 5Ac?/Fc ....•6
• :•- • .:----:".r. ..;_- -;::=:-•; •:e'- .'• .,- J a. -.•:• "•-•-•:--.7-.;-::::-...z...----;..".•_--7.:"• -• .-;.-r-;.-.-:-..-`:: =. _ :' :_: t •
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE -PROCEDURES AN'1NDIVIDUAL. - =-,t. ..
ST FOLLOW IN. ORDER TO •OBTAIN- A PERMIT TO BUILD OR ALTER A -BUILDING. •=THE BUILDING::.72. +•:.t
PARTMENT -WILL:CHECK ON .THE: FOLLOWING:. (A); CONSERVANCY DISTRICTS. (B)a HISTOR)CAL.c. �r=-fir: '
•
STRICTS • (C) FLOOD PLAINS-�ZONING,_.AND WILL BE RESPONSIBLE FOR•ASSISTING THE - „y .;
PLICANT THROUGH•THE FOL:LOWING'AGENCIES. - _ -•'= .:*.I.,1 "`':ft:•:.7 t' -r'`' :
_ _Y' _ JJ- •'•••••'...---4-.'''•-•!:::-X _ _ .,.a_ • :} • tis= .4'r •
— :v:
• RESIDENTIAL BUILDING: _ - �- - : •
AY CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FORSEI4AGE ' .;L•
- DISPOSALY,-C:a`_ - a" --_L, v: t : :".' '; ' _ .-• .•-:';'1:::.-7:_r-• - `-•' •• c .
B) CHECK WITH. CONSERVATION COMMITTEE IF THE' LOT BORDERS ON ANY TYPE. OF4WETLANDS‘..... -:;;;;s.„:.
EXAMPLES:. STREAMS, PONDS, RIVERS,-OCEAN, BAY, BOGS, MARSH,: ETC: - - : •_ _ '
C) CHECK-WITH PLANNINE BOARD_CR.LOT`RELEASE: - _ _ - t
COMMERCIAL BUILDING: _- %s • _+ _ - - :
J_• : • �'--•i .i� - '-�,�-Y�._-�i�J::j•.1+5"•�~ v• �.�t`A - • .-:. •:.J:• r_ •
♦AY. ENGINEERING DEPARTMENT-FOR.PARKING AND.
DRAINAGE REQUIREMENTS,• TOPCC•P.PHY SITE= •
,.741•-a;'
;_ PLAN REVIEW:^._ `•,•= _: