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No, 3g7
61/40 Application for a Permit to Build
• Fee m st accompany this application
Yarmouth ( —�� 19el°
TO THE BOARD OF SELECTMEN
,•„_ry4„__The_undersigned hereby applies for a permit to build, according to the following specifications:'
1. Name of Owner 9f filly'. y ( �}mhy Address
2. Name of Architect (if any)
3. Name of Builder titir l'In r nnly /
4. Precinct No. I Lot No. 2. Plan: Name or No. 82- X 2
5. Name of Street /0 P-21 yak,
6. Purpose of Building
41-13tiL. (Ai6004.-'-J
7. Material irrevn Qi
8. Estimated cost of building i rei
GMK! r 6 4 Cc, 4.1
SrOst
9. Dwelling I/o
10. Cottage AO r
d, �i/d ou Esle eIx/jee; lIll
11. Heat V/ //
12. Basement VO
J
13. Garage yes
14. Store /10
'.15. Shop YRS
16. No. of stories
17. Is there to be a Store in the lower storey ,4/0
18. Size of Lot. No. bf 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 lin side line
Show by diagram the location of propsed building with relation to distances from adjoining lots, on reverse side.
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1
Street Name
p - Leh Side Depth of Lot 1 - , ,
r ..� a
2
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0 0
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0
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7 "
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Right Side Depth of Lot. .
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«F Street Name
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r BUILDING PERMIT REVIEW
APPLICANTS3 - BLDG PERMIT NO:
LOCATION VF PROPERTY: - • DATE FILED:
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN INDIVIDUAL 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. BUILDIN(}e .
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 LOT 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).
REVIEWED BY:
ENGINEERING DEPARTMENT: YES V DOES NOT APPLY SIGNATURE en__ _p E r. . DATE 7/14/8o
CONSERVATION CCZOLTTTEE: YES DOES_NOT;APPLY_SIGNATURE f_ .%6 /._ DATE 7 So
PLANNING BOARD: YES DOES NOT APPLY SIGNATURE DATE
BOARD OF HEALTH: YES Ci150ES NOT APPLY SIGNATURE �• t-4 - DATE 2
FIRE DEPARTMENT: . YES_DOES.NOT APPLY_SIGNATURE DATE '
COMMENTS: .1 Z) LIo A1:4:•:T1oW oR EXTEN51oa oF ExIST114 FousiDATIOA) 4Y
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