HomeMy WebLinkAbout0180 LONG BEACH ROAD - Health 180 LONG BEACH ROAD
Centerville
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Assessor's map and lot number �
Boardof Health (3rd floor.__
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Sewage Permit num er �. t
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Engineering Department ( r -f'toor):� > � � ��� TITLE � t BAHd9TADLE,
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1639-
APPLICATIONS PROCESSED 8:30-9:1f30 A.M, and 1:00=2:00 P.M. 0qy� tf REGUL Ti-,MN113
APPROVE
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ILDING INSPECTOR
ign Date ad Date
FOR PERMIT TO ..... .W IL-..,a••,,,5"CORAG,� 5! !3
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TYPE OF CONSTRUCTION ....
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information: r �A��
Location � W4-
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Proposed Use ..... �dQa,IT �4 5- 4
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Zoning District .....9,Q,--.1
... .....................................................Fire District ....�.. V.►�5-�_......... �
Name of Owner . Address C-3�
Name of Builder ..�.,.,�T,•• ,COX'T' /!1 ...................Address
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Name of Architect •7 ,5.....4%4- COAL-0 Q n '
Address ....5.p,��c.\.
Number of Rooms `"�•� _
Foundation
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Exterior .......�.�'.�V
.......................................................Roofing .....LA-� 0
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Floors p r... t..,1.GUf�
Interior..........................................................
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Heating ...Y CPb ..Q.......................
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...!7!�tJh1.4..,..
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Fireplace ...
...................................... . . ............................Approximate Cost ........
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Definitive Plan Approved by Planning Board ________________________
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Diagram of Lot and Building with Dimensions
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SUBJECT TO APPROVAL OF BOARD OF HEALTH Fee _
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