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Application for a Permit to Build No.
Fee must accompany this application p
Yarmouth 8.,/it 19 ‘Y"6
TO THE BOARD OF SELECTMEN
The undersigned hereby applies for a permit to build, according to the following specifications:
1. Name of Owner 7'o rr Y C112 2 4 D 1024- Address 1/ f1 r b,q f`"4 /7
2. Name of Architect (if any)
3. Name of Builder Re a e RT S F.} Reede...
4. Precinct No. 31 Lot No.. 'L Plan: Name or No. A.M. Col -T3
5. Name of Strati/N14148AUK RO , 7
6. Purpose of Building Po AC ti
7. Material Co •a P.
8. Estimated cost of building 4. O 64"-- -Lo vX
&lc(-aSCD
9. . Dwelling
s. (90 4 C(.f.
10. Cottage ,
1°gyp ts-
B441
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11. Heat rT/.68
12. Basement T
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 frontj p1.0.@• )C No. of feet rear .....I.2c.`/t No. of feet deep .../2O'
19. Size of building. No. of feet front 2Q No. of feet side 14 No. of feet rear
20. Distance from nearest building: Frontntft.; side ft.; side ft.; rear
21. Distance back from line or street t,.l J from rear lot line 1.5"
side line
Show by diagram the location of propsed building with relation to distances front adjoining lots, on reverse side.
Name 1, C>'
Address CP 04 antec
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•
•
Rear of Lot
1
7S\ c �
titae �
—•lite st
S
0
o ' 9
a • t
v
y A b
Y a N
co rRl
Frontage of Lot
• S.\ t\'.StreeeName �..f. .saA�..
PLOT PLAN41,
31 'J
BUILDING PERMIT REVIEW
APPLICk'ff: j TYF it-0C-0CBLDG PEWIT NO:
LOCATION OF ER . // 4L 94•wt Jae • 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
'ILL 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
9GENCIES.
•
3ESIDENTIAL BUILDING: •
4) CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE DISPOSAL.
-) CHECK WITH CONSERVATION COMMITTEE IF THE LOT BORDERS ON ANY TYPE OF WETLANDS.
EXAMPLES: STREAMS, PONDS, RIVERS, OCEAN, BAY, BOGS, MARSH, ETC.
) CHECK WITH PLANNING BOARD FOR LOT RELEASE. -
)M4ERCIAL BUILDING:
4) ENGINEERING DEPARTMENT-FOR PARKING AND DRAINAGE REQUIREMENTS, TOPOGRAPR.Y SITE PLAN
REVIEW.
) CONSERVATION COf4IITTEE-IF LOT BORDERS ANY TYPD OF WETLANDS.
) PLANNING BOARD- TO SEE IF LOT COMPLIES WITH ZONING BY-LAWS.
) BOARD OF HEALTH-FOR SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES.
EXAMPLES: SAUNA BATHS, SWIMMING IDOLS, RESTAURANTS, ETC.
) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL SAFETY, (SPRINKLERS, SMOKE
DETECTORS).
•
;VIEWED BY:
' //IN RING DEPARTMENT: YES V DOES NOT APPLY SIGNATURE P14.4611!. DATE 8I11'8b
•
iNSERVATION COMMITTEE: YES DOES. =NOT:APPLY V/SIGNATURE PJM tetstoku DATE 8//490
2ANN G BOARD: YES DOES NOT APPLY SIGNATURE DATE _
�A OF HEALTH: YPS r4..OES NOT APPLY SIGNATURE DATE 0 td/o
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IRE DEPARTMENT: YES DOES NOT APPLY SIGNATURE DATE
OYMF..P7TS: •
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