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EXPRESS SHED PERMIT APPLICATION
TOWN OF YARMOUTH
Yarmouth Building Department R E C E k' V E p
1146 Route 28
South Yarmouth, MA 02664 rMAR252]
(508) 398-2231 Ext. 1261
CONSTRUCTION ADDRESS: 28 Prospect Ave West Yarmouth MA 02673 B UlpID f E R ENT
ASSESSOR'S INFORMATION:
Map: 30 Parcel: 267
OWNER: Joseph Mangiaratti 28 Prospect Ave West Yarmouth MA 02673 RECEIVED--•.a-.�.�.__,
NAME. PRESENT ADDRESS` TEL # pp
CONTRACTOR: V,02—. 6,'ieg a_ A. R O 1 2022
NAME MAILING ADDRESS TEL.#
BUILDING DEPARTMENT
X Residential CJ Commercial Est.Cost of Construction$ 5,00) y-----
Home Improvement Contractor Lie.# Construction Supervisor Lic.#
Workman's Compensation insurance: (check one)
X I am the homeowner L I am the sole proprietor E I have Worker's Compensation Insurance
Insurance Company Name: Worker's Comp.Policy#
•
SHED INFORMATION
New X Size L 10 x W 12 x H 10 Corner Lot:Yes No X
Per Town of Yarmouth Zoning By-Law Sec 203.5 E:
Side and rear setbacks for accessory buildings less than 150 square feet and single story,shall be 6 feet in all districts, hut
in no case built closer than 12 feet to any other building.
Replace existing* Size L x W x H
*The debris will be disposed of at:
Location of Facility
I declare under penalties of perjury that the statements herein contained are true and correct to the best of my knowledge and belief. I understand that any false answers)
will be just cause for denial or revocation of my license and for prosecution under M.O;L.Ch.268,Section 1.
Applicant's Signature: ,X62/bz„ pate: 3/22/2022
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Owners Signature(or attachment) • Date
Approved By: —._ !`!^ Date: '—
Builtling Official(or designee) I? L A DRESS: I31m iarattiga2mail.com
m a 4 f oiling District:mm
N Historical District: 'Yes ._ No Flood Plain Zone. Yes No
iv/, Or, Water Resource Protection District: Within 100 ft.of Wetlands:***
f9,gyp j./ v, �r Yes No U Yes .i No
Jh/*a c 6 , Ira , ***Note:Conservation review required if within Itxl ft.of Wetlands
9/13
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