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UPC 12543
Now 10
HASTIN129. BON
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Assessor's map and lot number . �-"./..3
SEPTIC SYSTEM •MUST BE
INSTALLED IN COMPLIANCE
Sewage Permit numberd':.,1�. .CC. .. . ..L-l�� WITH ARTICLE I1 STATE
•� SANITARY CODE AND TOWN
°fT"ET TOWN OF BARNE
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i BABBSTABLE. i
.•� BUILDING INSPECTOR
lon/�'��-,Y/9Z ¢AD% fArtb'i�`( fu�eNt
APPLICATION FOR PERMIT TO ..... .............................................' ..................... ........ .............................
TYPE OF CONSTRUCTION .... ..k..X;tSrIN(� �Iel1=L�tN"� - Wo0� f1"fdA.�+nL ,SNrNbic>
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TO THE INSPECTOR OF BUILDINGS:
The undersigned (hheereby applies for a permit according to the following information:
Location .............V.......................................................KC .L:.5.-......(�A 9 ,5''- dj..................:............
Proposed Use ...............................................................� t�i...r i. .�r
....... .............................................................................................
Zoning District ..14J'....T A R eVS'",O C. S� i4 NS` C ......................
�d ................................... ......./ .. ... District ...1!N!.. ......... .
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Name of Owner o R� ..............................................r.. e Address ......... !`? .!....................:.
Nameof Builder ............ .......................................................Address ......................................................................................
Nameof Architect ........�+r-nt=.............................................Address ....................................................................................
Number of Rooms ..............................Foundation C.CJU�'� .. oev
.................................... .........................................................
Exterior r.. .4............. .. nlbr.t:S gblAbT �+Wi'YG.'�J .......................................
(t N ...........................................Roofin Jy!F .......................&4-...nn...
f �kY WAI-,L �. (I"ANE�-�iR�lr
Floors ............J.......................................................................Interior .......... ...................................................................
Heating .........................................................................Plumbing .............................c. ...................................................
. .................................................................Approximate Cost ....�..Z ...?.o...
Fireplace ...................................
Definitive Plan Approved by Planning Board -----------_______-----------19_______. Area aM>�..... ... ..W........... . .. ........
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Diagram of Lot and Building with Dimensions Fee ............ ..r......
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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I hereby agree to conform to all the Rules and Regula ionsRI o�the Town of Barnstable regardin the above
Zconstruction.
Name . .............. ......�....
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Laacault Adelard &
Helen
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No — — Permhfr —..m�
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----';llg'c�- Parker— ----------'----^------
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Ovvne, ............J�le]ard.&..Helen.ImocaoIt.
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Typo of Construction ---.���m�---____
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/ Plot ............................ Lot ___________
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Permit Granted .......Qatobor.25............lP 73
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� Date of Inspection ��..........f�--
Dote Completed
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PERMIT REFUSED Y '
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Approved `—. --------------. lV
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