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Assessor's map and lot number 5 G
.......................................... SEPTIC SYSTEM MUST BE
INSTALLED IN COMPLIANCE
Sewage Permit number ........ ..`5..................................... WITH ARTICLE II STATE
SANITARY CODE AND TOWN
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yoFTMEto� TOWN OF BARN 13LE
i BARNSTADLE, i ^
90 "6 9 BUILDING INSPECTOR
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APPLICATION FOR PERMIT. TO ................."J............................... ...................................................................
TYPE OF CONSTRUCTION ......................CA.,P ^�
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..........................................................................................................
....... ................................. 9 .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ......� ...........( .!..l(� S
ProposedUse Ivcti.t 1 f� 1.j G-- ..................................................................... ........ ... ..............................................
7 Zoning District ........................Fire District ............. ....(......` '.!l...S.......................................
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Name of Owner ......... .X.i.......... . ............. ..............
....:.. . e�.�J.+an..c.�.... Address .........`�../J.....................................................
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Nameof Builder ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
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Number of Rooms ................... (.............................................Foundation ...........1!..�' ..� . .
Exterior .. P d.�:� S�i ... (;- ' P .. Roofing 5 ��� ...........!S .!....!.4 1�
........................................................................... g ...........�.*.... V ....�!�!....� ........
Floors Interior / c�
Heating C-;�� �-.nn� `..............Plumbing �.. `'�-�.
................. ... .................................. .......... ..................................
Fireplace ..................................................... ............Approximate Cost ..................I .cj yc�
...........................................
Definitive Plan Approved by Planning Board ________________________________19________. Area .../ . ....................
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name . ........... ........................ .................
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Smith, J. K. i
No ...16306.. Permit for .........one
...story.......
single family dwelling
................cc...............................................................
Locatio/q.1,.,Connemara P i.rcle -
.....................Hyannis
........................................................
Owner J. K. mith................S........... j
Type of Construction frame
................................................................................ s
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Plot ........................... ? .9............... f
Lot .......... .. ,
Permit Granted .........June 1 19 73
...............................
Date of Inspection ..........iq/
.. ................19 i
Date Completed .. ?3. ...............19
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PERMIT REFUSED
................................................................ 19
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Approved i
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f 1f.''EREBY -.C.E. 11TI. FY T. HA.T ' THE BUILDING. R. E. L_AMD_ SURvE•Y .. ,;
$t-t-EJWN' ON :.TH'1.S PLAN IS LOCATED ON ' - -
'T' NE G:.:R. OU-ND AS . SHOWN HEREON.: AND
t# AT 1`T . .Ob,�� CONFORM T O THE ,tN OF Al;�s
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