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A soa map and lot number o.2e.2 .<.. ....:.
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KS SEPTIC SYSTEM MUST BE
INSTALLED IN COMPLIANCE
4 Sewage Permit number .........i....... .:.:.........:...:.....:1.... WITH ARTICLE II STATE I
SANITARY CODE AND. TOWN
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�o�TNero�� a TOWN OF 'BA S PABtE
Z 33A"STADLE;
9 M639.
�tS � BUILDING INSPECTOR
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APPLICATION FOR PERMIT TO .
TYPEOF CONSTRUCTION .. ..JG..c /...... .......................................................................................
4 :...........Z.`: ....•1917
1?O THE fftSPECTOR`OF"BtJi'tD1NGS-- -- , : r W
The undersigned hereby applies for a permit according to the following infgrmati n:
Location .........��..................... ............... .... ...............�...........................f�.. ...............................................................
ProposedUse ... .....•.................... .................................................................... . ....... ............ ......... ...1/............
Zoning Dis
trict s .........� �......�....... .. ..............................Fire Distract ..........� �� .�: � ..... .....................................
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Name of Owner .4... ........ � .......... ..........................Address ��..
Name of Builder .11. 4G......................Address ."l... '.`; /�• ..... i
Name of Architect ..." ...'....... ....................................:.......Address ...C.... ....../ZL'!�. L`�.. . ............ ........ .................
Number of ms ..... .................. Foundation P
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Y- r,
Exierior ..... .............Roofing
Floors Int�rior
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_Heating / �' :....:.................................Pl ng'........11.....................................................................
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Fireplace ........./.....................................................................Approximate Cost ...... � ew
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Definitive Plan Approved by Planning Board --------_----------_------------19________• Area .. �.... �� ......
Diagram of Lot and Building with Dimensions Fee ........�1 ........................
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 e�stabl re ardin the above
construction. C
Name .......... ........ .....................................
Alden Homes, Inc.
n19087..... Permit for ....two star. ............ -
Ky,sj.ng14 family dwelling
Locatio Kearsage Avenue / r. ,
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Owner Alden Homes,Inc.
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Type of Construction ......frame........................
...........J. ............................................................... • '''� �''" ,', .�r. 'f ..
Plot ... Lot
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Permit Granted .................... .........:.........19
Date of Inspection .{. % �,�" 19 tt
',Date Completed ,��. ��........ ... {f..19
PERMIT REFUSED "
ef. ............................................................ 19 !•�'- f . t�, ''` �E .r"` ,�- • ' , -
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Approved ................................................ 19
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