HomeMy WebLinkAboutBLD-80-450 1, -2i — 111115
( 1// No. r6O
r Application for a Permit to Build
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/ / Fee must accompany this application �33S Yarmouth �� 19 3
TO THE BOARD OF SELECTMEN ,
The undersigned hereby applies for a permit to build, according to the following specifications:
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1. Name of Owner Address 8 PIPPAe S it
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2. Name of Architect f any)
3. Name of Builder - • '4. Precinct No. Lot No. Plan: Name or No. i Cd#,741
5. Name of Street otT(-frl ) , /t''n' . , 7p t
6. Purpose of Building ,,
7. Material (.Q � # //� a/ � '
8. Estimated cost of building .
9. Dwelling
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10. Cottage
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. She of building. No. of feet front .41.,2—. No. of feet side ,r...j No. of feet rear .12 r
20. Distance from nearest building: Front ft.; side ft.; side ft.; rear....................
21. Distance back from line or street front rear lot line side line
Show by diagram the location of propsed building with relation to distances from adjoining lots, on reverse side.
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Address..*.L...W IL.E/..N....lett,
Street Name
Left Side Depth of Lot -
-.1
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0
90
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1 1.
Right Side Depth of Lot
Street Name