HomeMy WebLinkAboutBLD-80-423 No.
Application for a Permit to Build
Fee must acco pany this application
Yarmouth 219
a/ `
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build,daccording to the following specifications:
1. Name of Owner 1 wM O F/XRP(. \ Address 1.A,A ' MI/— 5.0. `,14 mot \ /f'�sc
2. Name of Architect (if any) pj ./C ctiv q Jim rdi { /
3. Name of Builder
4. Precinct No. 2/ // Lot No.. Plan: Name or No.
5. Name of Street/ lav,✓.6Aoo C 04"1
6. Purpose of Building / I
7. MaterialFSI/ Lt/A/ �7/��� (rae G �
8. Estimated cost of building
P-&., -
9. Dwelling .VC/
10. Cottage 44
11. Heat /
pi- _s te'e Abfbins Ql'S
12. Basement it 0 '/
13. Garage �/t, 7i // oalfic 4 (t ��i Qi /vt
14. Store �/0 itA0
15. Shop ,i d /'
16. No. of stories /
17. Is there to be a Store in the lower storey /h0
18. Size of Lot. No. 'of feet front 2 No. of feet rear No. of feet deep
19. Size of building. No. of feet front No. of feet side .. No. of feet
20. Distance from nearest building: Front ft.; side ft.; side ; rear
21. Distance back front 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 revelside.
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Name.. Otv.✓�� 11/=i,QirAl0141-/�
Address........ 702,16'4X
Street Name
-U
p Left Side Depth of Lot
-.1
r .M ..M
z
V.1
0
z aV
0
& r
Right Side Depth of Lot
Street Name