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Qy�F?METp�♦ TOWN OF BARNSTABLE
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i BABBSTABLE, S
"6 �•� BUILDINGG 11PY INSPECTOR
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APPLICATION FOR PERMIT TO >` 6 le6 L 0 c G
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TYPE OF CONSTRUCTION ........c I ......S:,�nAJJ......... ..�SI� ..............................................................
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for�pa perm_it according to' the following information:
Location .......1..�.a.......s.�.��..�l.�T.�..{��..�.�..�C.�..........Id .....�.. ..�}.��.LS.�?:�4.f� ......................
ProposedUse .l..Ll. .4...... ....5 �i:. ...�r. �, . ............................................... .......................
Zoning District ...............................................:........................Fire District
Name of Owner .h//�.. 1�./:il• :� A. �d W.t�,. r..............Address ..1. �a. .....7.J..t/7.!�.1.�?- 1...1n� .C ......................
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Name of Builder �J +l= ../U.(.(�9�1..�...�F.. �,!U ......Address ..J.�.a��.., ..5 !.....
Nameof Architect .............................................................:.....Address ................................:.............:.....................................
Number of Rooms :. L.... ...........................Foundation ...... .....F.. N.
Exterior .(„t,}.a.Z'..1 ........�. ::Llv:(x-. .•5...........................Roofing ... ......w... ........517`.!.vi.—. 4F .......
Floors .............................................Interior ...................... ....................:........................................
Heating ..................................................................................Plumbing
Fireplace .......................................... ...................................Approximate Cost ......... .. .. .I...#7D..........................
Definitive Plan Approved by Planning Board ------------- s'
Diagram of Lot and Building with Dimensions
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SUBJECT TO APPROVAL OF BOARD OF .HEALTH ! 3
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NIT ,�, 1 WA
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PREBY
AND DRA111,11APG //77,
TOWN OF BARN S
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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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Ostrokolowicz, A.
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Straightway
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Location -----..—.�.�� ^�." —.-----...
West Hyannisport
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� Owner _--.��—Ootr«�oIo»���a------..
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Type of Construction -------
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Plot ............................ Lot ................................
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October ZL 72
Permit Granted ........................................ > '
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Date of | lg
uo,e Completed
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PERMIT REFUSED
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