HomeMy WebLinkAbout0175 MONOMOY CIRCLE �17.5
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SEPTIC SYSTEM MUST BE`',
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INSTALLED IN COMPLIANCE
Sewage Permit number .... ........:........`'....f.�........................... 1ftJITN ARTICLE 11 STATE
SANITARY CCDE AND TOWN
TOWN OF B Ali. S-T 'SB L E
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Z BAHH9TODLE;i ¢
2,639 s= DU11DING INSPECTOR '
r1 APPLICATION FOR PERMIT TO ...... ....... .. ......................................................................................................
� _Y
TYPE OF CONSTRUCTION G......................................
................19..
TO THE INSPECTOR OF BUILDINGS:
The undersigned h�ereb�y pplies for a permit according to the following information:
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Locationt j ...................................................................
"Proposed Use ....�.............. ... ...... .................................................................................................................................
ZoningDistrict ...................................... .. .............................Fire District ..............................................................................
Nameof Owner .. .... Address ...:.......... ............. ......................................................
Nameof Builder .................G:..e.............. .........................:Address ........................................:...........................................
Nameof Architect ..................................................................Address ................. ..................................................................
Numberof Rooms ..................................................................Foundation ................. ............................................................
Exierior ....................................................................................Roofing .1........... ...................................................................
Floors .........................Interior. .........I�
....G.,�e'rZc�..•....................................
Heating ................................Plumbing ...... ..... . ....................................
Fireplace .............................................................I....................Approximate Cost ....... .lJ .. `.......................
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Definitive Plan Approved by Planning Board ________________________________19________ . Area ... .. ....
Diagram of Lot and Building with Dimensions Fee ......5;.,?.Q.'�. .............................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
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1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Nam .................. ........ ...........................................
.
Smmall° Alan E.
' 184 on mtory° '
-----.` Per it for --_____--___ |
' � singlefamily dwelling
.................... �������.
\ omoy Circle
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_______.Ce�t�sn;�ll�___________
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Tv�a6f Construction __..frmuum'_______ '
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PlPk ��6
ot .���.-----_. �� __________.. . .
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June @' 76
' 'Permit �ronh»6 ----' ---.lP
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Dote of Inspection =^.^l9 '
� Dote Completed ' ..�..��--lP
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' PERMIT REFUSED
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