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LAX IN UX A f kgt4oc�t�4
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y�*THE T TOWN N O BAR STABLE
Z MARNSTAIILE,
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a M BUILDING INSPECTOR
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APPLICATION '. (�FOR PERMIT TO ...... ..... ........ ................................ .............. .......................
TYPEOF CONSTRUCTION ................ r...':........ ......................................................................................
................... .. ,..1... 9. 0
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies_ for a permit according to the following information:
Location ........... e. 7
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Proposed Use , : ..1..� .C,
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Zoning District ........ 5 '-1.................................Fire
Nameof Owner EIL Ye.. ...............I........ .......... . nAddress ... ..............................................................
Nameof Builder ...........0LkjNvnr ..\.............................Address ....................................................................................
Nameof Architect ............... ......d`.... ...............................Address ............................................ . .....................................
Number of Rooms ..............�!..r.\...`:.....................................Foundation ...[�041' ,. ..-......`�........... ......
:
Exlerior .....C1.. .. .tip, ..!.. ..................................................Roofing ........ .........'.....................................................
Floors ................ ..m.CGS.........................................................Interior ......61., k
... .....................................................
Heating ...... )� Ut1��. ..... l:�s .........................Plumbing ...... -�4 ..
. ...................... . . ....... .. ........................................................
Fireplace ........................��- .............................................Approximate Cost ...........civ�
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Difinitive Plan Approved by Planning Board ________________________________19________. O 2S2 S� o0
Diagram of Lot and Building with Dimensions
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1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable gar g the above
construction.
Nam .... .. .. .. !/✓L��`
Segerman, Sheldon B.
EFIC � ,.
No .13022.... Permit for .........add....11�..s........e
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family dwelling.....................................
Location 64..Laurel. . ..Road
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.... ......... . .. .........
Centerville
...............................................................................
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Owner Sheldon..B.....Se. german............. +
................ ... .
Type of Construction ............... rame
..............:..................................................................
Plot ............................ Lot ................................
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7
Permit Granted ......... �r17- 22..............19 0
Date of Inspection .. V :.: ...19
Date Completed ......................................19 74P
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U/ PERMIT REFUSED
................................................................ 19
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................................................................................
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Approved ................................................ 19
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