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Asibssor's-map and lot number ............................... ..... .... SD TI SYSTEIM MUST BE
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Sewage Permit number — c ...:............................... W11'11 l'.`.':3 .,II. - €l STATE
.......... SANITARY CODS. AND TOVA4
REGULATIONS._.,..,.. ..
°`j"Er°'`� TOWN, OF BARNSTABLE
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9 BUILDING ' INSPECTOR
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APPLICATION FOR PERMIT TO ..... ...... :.......:�. ...................................................................
TYPEOF CONSTRUCTION .........: .............I................ ....:. .1..............................................................................
.!."..!.................... ..............19..���
.-TO THE INSPECTOR OF,BUILDINCS:
The undersigned hereby applies for a permit according to the following information:
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Location ...........� �....... ...........................................................................................................................
Proposed Use ......2.Q-rq.c
Zoning 1%strict ..a r v ,..... .>.. .SS. ....S.S...........Fire District ....... ...:.���-r..� 1.`1.J... ........................................
Name of Owner ...lC....i...1�. .1...... . 4?tc SCl .......................Address ....ZlIQ �:7.YP a� ?.��'�� � ir..
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Name of Builder �!�..�........... t? .lb .�'. �. r. �CAddress C G'SSi° i
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Name of Architect ......:........ .e....... .....�... �4 .t........Address ....... .....ill.�...vm_ .......................
Number of Rooms ............................................ �'......................Foundation .....�. ?.!YX e.e ............................................
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Exterior 1. ...Roofing .....:..
Floors .........1. C v e .�-....� `t.l..:5 .�:v....................Interior ... C. .1..............................................................
Heating ......1A 5 ...........................Plumbing .......�Ck Lt!:.00
Fireplace .............................................:.....................................Approximate. Cost ........... .��/.. ....................................
Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area ....I.2-.4'. ..... ..�1.'.....
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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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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4to }&S' .... Permit for .........one-
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commercial ...............................
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Location ..........` L�nekhe':................................. f ,
......................... G3k7. 'c .............................
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Owner ='t apgd # �, y..sue..��k 7_...`�.
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Type of Construction .: " ' ,
...............................................................................
Plot ......................... . Lot ................................
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Permit Granted j�cs.'"112 r�.. r7
........................... ..
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Date of Inspection J � ��� �
Date Completed ......................................19
PERMIT REFUSED «/
................................................................ 19
..................................................................... .....
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Approved ................................................ 19
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TOWN OF BARNS•TABLE, [MASS.
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w >,y,;w, +' THIS IS TO CERTIFY THAT A,PERMIT IS HEREBY GRANTED. TO
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(PROPERTY OWNER) - ...............................................................
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(TYPE F BUILDING( .......................« .
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AME'OF BUIL�ER OR:CONN TvRACTOR _ _ _.....
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APPROXIM ___.ATE COST t _.._....:.
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I HEREBY AGREE TO COIN FORM .TO—ALL THE RULES AND REGULATIONS OF. THE TOWN
9.�;�.� ,OF .BARNSTA��LE, .•REGARDING.THE' ABOVE`-CONSTRUCTION--
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.(CONTRACT
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SUblect to Approval of Board of Health i
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P..oFTNEro�y TOWN OF BARNSTABLE
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I B9H39TAnl. : ASSESSORS' OFFICE
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pp a63q. `
`GMaYk 367 MAIN STREET, HYANNIS, MASS. 02601
775-1 120
BOARD OF ASSESSORS DIRECTOR OF ASSESSING
MARY K.MONTAGNA ROBERT D.WHITTY
ALFRED B.BUCKLER
GLORIA W.RUDMAN
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