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Assessor's map and lot number ..17.6
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Sewage Permit number .... .��..... ...................
�L Z BABHSTABLE. i
House number ......fJ.....� t r .......................................... 9°c NAM
79•. �0
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TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO . s a.:.a .......: .� k tir..I...........................
TYPE OF CONSTRUCTION 31RIC).. `! ........................................................................6.....................
SSE `4
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ............... .. .... A!v. .......... •!//•.:L.Lr......................... ...................................
ProposedUse .........................................................................................................................................
Zoning District
Fire District .... .� .....................' ......................................
Name of Owner ...... �_,...�t ':YC? 7.,�. ......Address ..... ...S !???.c1? ....... .... .!K !�J•• S_....
Name of Builder- ... ... \ 4I1 1 ........Address .... H! '.L?RG� ....7..o?�!�N.. ,�"c.'SS
• ...... ..... j.........
Name of Architect ..l��tit?�. ..................................................Address ....................................................................................
� �.S Foundation �e.� GUYic �� .
Number of Rooms ............... . ... .. ........................................ (_...........6.................... ............... ..........
Exterior . '.. T��, �t'�•n...:..-. Roofng .. S .al.!....
Floors 1?-( !.Ll►zJ ,..g...c ............................Interior ....`�f? �ST�C!4.K.......................................................
HeatingT��L .........................................................Plumbing ......r....., .. ....................................................
Fireplace .... .......' .. (GI ...........................................Approximate Cost ...... . . ........................................
Definitive Plan Approved by Planning Board ________________________________19________. Area ......../.....;.....................
Diagram of Lot and Building with Dimensions Fee .................. .. .....�-'`"......
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED-FOR NEW DWELLINGS
I hereby agree to conform to all the 'Rules,and Regulations of the Town of Barnstable regarding the above
construction.
Namet :'.�.... .... ' 4/..................................
Construction Supervisor's License c .............
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PIEROZZI, I. J. A=170-51
26699 One Story '
No re,,nx for
Single Ianilv Dwelling '
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I5 B�o»o Lane
Location —.�.—..����..�..��..�----. ^�----. .
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Owner ..I�_J�_PiezT»z��i................................. . .
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Type of Construction —.���P��--------..
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Plot ............................ Lot ................................
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July I6 84 '
Permit Granted ......................................
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Dote of Inspection ------------lA
Doh* Completed ............
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66%
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