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SEPTIC SY
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Assessor's map and lot number ..:.. ..................... ED IN
WITH ARTICLE COMPLIANCE
SANITARY E I► STATE.
SewagetPe"rmit number-n...gY4......: . ..... AND.............. �EGULAT10I�[$DE TQWN
�F F.�°�� `. TOWN OF BARNSTABLE
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Y �UIL11NG INSPECTOR
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_ . .. ... .
APPLICATION" FOR PERMIT TO ............ ........................
.. ....................... .�.......................
TYPE OF CONSTRUCTION Yam... r .. t:.. ' � ': �:..............�.��(.
+ } .................................................19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies fora ermit according to the following information:
Location ....... ...'r.......... .............................. .............. �, ..... ........... �..
..Proposed Use V..v.`'". �?:"....... .....................................................
Zoning District
:........................................
.....Fire District ....................................:
Nameof Owriera<.,..Q�".l..L... ` ress ....................................................................................
�• (1 . Cif . .~,�✓i
Nameof Builder ..... .:. ......... .. ..................................:.......i...Address .....,.........•...
AName of Architect I •}. .. '" "�� Address ..............
.......... :................
Number of Rooms .............. . ................................Foundation
............ ............................
i .Roofing ........I............ ...............................................................
Floors ..........................................:........Interior .. �' :. ...:":� '"•� ............... ........
Heating Plumbing . .... y�. .; g ....................
_ .. .. ..... - `:: ....................... /�
Fireplace .. .;° ...........................:................................Approximate Cost .... .��.. .*` .+.......... .............
Definitive Plan Approved by Planning Board ________________________________19--------. Area 16 9N........ . .............. _
Diagram of Lot and Building with Dimensions Fee ... �d..a...................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
;IL*-A
3-4
hereby agree to conform to all the Rules and Regulations of the Town o Barnstable regarding the above
construction.
Name .... ......... ..................................:...... ................
Rosbeck, Peter V. & Karen i
1/2 stor -
No ...• Permit for ...o......ne..... ..............Y...... � - _ . - -
simg�s.. aW�ily.:.d�7�.11inS.....:.................. -
Location ..liA.11.xi3g..H�t��?. R .................. -.
.... -...�l2At;exV.��. �...... .
Owner Pp-ter... ............. _
Type of Construction ..wood.1raing...............•.
Plot ...... Lot .15.4.......................
Permit Granted_'............ ...........................19/?
/Date of Inspection ... ... 77 d
Date completed ...... .. .. . ......... ...19 '
!., PERMIT REFUSE®
.............. . ............................ .............. 19
.............. ..............................................................
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.•.••......•••.......•...•.•.•......•...•......•...........•.•.......•... • .
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