HomeMy WebLinkAboutBLD-80-362 ilc)1'
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* ••;.- . Application for a Permit to Build No.
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Fee must company this application
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Yarmouth ....... 1 1199,11..QO
TO THE BOARD OF SELECTMEN
The undersigned hereb pplies for emu
a t to build, according to the following cifications:
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-�.1.—Name of Owner-- ` - `. Address . � I
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2. Name of Architect (' any)
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3. Name of Builder
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4. Precinct No. � Lot No. plan: Name or No.
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5. Name of Street!
6. Purpose of Building
7. Material
8. Estimated cost of buildin " U
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9. Dwelling
10. Cottage U CJ : 14
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/ 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 ine side line
Show by diagram T
location of propsed building with relation to ' no,/ lots, on reverse side.
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Address...l1.... . .L illiq . .. .. l Il. ...
Street Name 2-)
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O Left Side Depth of Lot
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Right Side Depth of Lot
Street Name
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