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Permit expires 180 days from
issue date
EXPRESS SHED PERMIT APPLICATION 66HD-125—ly
TOWN OF YARMOUTH
Yarmouth Building Department
1146 Route 28
South Yarmouth, MA 02664
(508)398-2231 Ext. 1261
CONSTRUCTION ADDRESS: 81 Pine Grove Road
OWNER: Thomas Fitzpatrick 12 Orchard Blossom Road Windham NH 03087
NAME PRESENT ADDRESS 1'EL. #
CONTRACTOR: Pine Harbor
NAME MAILING ADDRESS TEL.#
ENTAIL:scott.fitzpatrick@comcast.net
ereResidential ❑Commercial ❑Est.Cost of Construction$ 57000•
Home Improvement Contractor Lic.# Construction Supervisor Lic.#
SHED INFORMATION
New X Size L 12 x W 8 x H 8 Corner Lot: Yes No X
Per Town of Yarmouth Zoning By-Law Sec 203.5 Note E:
Side and rear yard setbacks for accessory buildings containing one hundred fifth'(150)square feet or less and single story,
shall be six(6) feet in all districts, but in no case shall said accessory buildings be built closer than twelve (12)feet to any
other building on an adjacent parcel. All sheds are required to be located thirty(30)feet from any front lot line
Replace existing* Size L x W x H
*The debris will be disposed of at: —To)1
/ 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 answer(s)
will be just cause for denial or revocation of my license and for p osecuti under M.G.L.Ch.268,Section 1.
Applicant's Signature: Date: 3/18/2025
Owners Signature(or attachment) Date:3/18/2025
Approved By: Dale;:
Building Official(or designee)
Zoning District: 7'
Historical District: ❑ Yes ❑ No •M,qR ` 0
**Conservation review will be required if shed is placed within 100ft of a130/4,0 O 2
02
3.
wetland,200ft from riverfront,or located within a flood zone** �\G D
6/24
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PLOT PLAN
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FOR LOT It
Indicate locatfan of garage or accessory building
Additions with dashed lines ----
Sewerage disposal. (cesspool) E9
Wells
I f
(int ft. rear)
Abutter's
Abutter's j Name
Name Lot#
Lot#
If this is a REAR YARD If this is a
corner lot, corner lot,
write in ft. write in
name of street. name of street.
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SIDE YARD SIDE YARD
HOUSE
40_.___ Co _____ t>
SET BACK
40.
(jot ft. Utz•
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/ (NAME OF STREET)
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