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Lin No.Application for a Permit to Build �
Fee must accompany his applica ion/ill/6'76a
on l I D 76
a y cts
Yarmouth ,! his 19IV-
6
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
L/� �pp �7 �7 ,' 1 /_ 9. 4 6 d?k d tY .-8 b 7ter-cti)7ht+.
1. Name of Owner p te.�.i pt-02/14 tM 07 IOCFY tGl. W t.tl�� Address
2. Name of Architect (if any) '770-11-e----
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3. Name of Builder
4. Precinct No. QQ3 Lot No.. 1 Plan: Name or No. A.M. aS-Ki
5. Name of Stre2 R7' ( ci
6. Purpose of Building p-aJ` /at')( QU/ I+
7. U b Material Lp M O� G2ot Q1* a a .
1 8. Estimated cost of building SFS O 0 .-t e D U
2-0
9. Dwelling
0
10. Cottage
11. Heat 0gig
12. Basement '/-7-1) 63
13. Garage r/ie2 �t�•�
14. Store 11Zd
15. Shop 724
16. No. of stories
17. Is there to be a Store in the lower storey -2-7-0
18. Size of Lot. - No. of feet front No. of feet rear No. of feet deep
19. Size of building. No. of feet front ....t.,2 r No. of feet side C2.O' No. of feet rear ...f-4-
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 adjoining lots, on reverse side. I
Name ./-4-0-6--vv—,7 ie9-2,ga411,-
Address �1 f 6 , /t ;ter gv,-p.O. / cV7-ntnntV 2/jGL.
• Street Name
•
.9 1
p Left Side Depth of Lot
-.1 C 7
en Oa
OF OP
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se
0
0 0
• ^
e 1
r• i 1
•
•
•
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Right Side Depth of Lot
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•
Street Name ‘15 "
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•
]] BUILDING PERMIT REVIEW I.
1, •.-t. 4
'APPLICANT:-74(.4..-9 at....�.e•- .list:ev�-. _ BLDG PERMIT NO:
LOCATION OF PROPERTY: R-96 !�'Y-5r S. y,��f DATE FILED: ,A5/.F(j
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 TIM FOLLOWING
AGENCIES.
I
I
RESIDENTIAL BUILDINGa R
A) CHECK WITH THE HEALTH DEPARTMENT IN REFERETICE TO SEPTIC SYSTEMS FOR SEWAGE DISPOSAL._
B) CHECK WITH CONSERVATION COMMITTEE IF THE LOT BORDERS ON ANY TYPE OF WETLANDS. .
IEXAMPLES: STREAMS, PONDS, RIVERS, OCEAN, BAY, BOGS, MARSH, ETC. , ,
C) CHECK WITH PLANNING BOARD FOR LOT RELEASE.'
COMI4ERCIAL BUILDING s
A) ENGINEERING DEPARTMENT-FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPHY SITE PLAN
1 REVIEW.
B) CONSERVATION COIAffTTEE-IF LOT BORDERS ANY TYPD OF WETLANDS.
i
C) PLANNING BOARD- TO SEE IF LOT COMPLFS WITH ZONING BY-LAWS.
D) BOARD OF HEALTH-FOR SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES.-_:_I
I EXAMPLES: SAUNA BATHS, SWIMMING POOLS; RESTAURANTS, ETC.
a
E) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
1 DETECTORS).
•
E{REV BY: .
tG DEPARTMENT: YES I DOES NOT APPLY SIGNATURE t, stria, DATE 7//S/80; z1
CON 2TION CaIMITTEE: YES—DOES_NOT"APPLY -SIGNATURE abLAD E. DATE 7 _ o
PLANNING ARD: YESDOES NOT APPLY SIGNATURE DATE
--. ..........-,-..---....-....--.---
BOARn.OF HEALTH: YES L DOES NOT APPLY SIGNATURE .0 _ '"-'' Dp
a — — 1 i2n� Y
MEV/0?
FIRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE
COMMENTS: l $Z> SEG BAA. FILE. 4'42,--14 /6"( _ . ' - "
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