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THE
rO�� TOWN OF BARNSTABLE
i MARI BLE. i
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0 u BUILDING INSPECTOR
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��,, ..APPLICATION FOR PERMIT TO � ,,��� .��
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TYPE OF CONSTRUCTION ......... .......� zzr.��-�.....:r:...: .. . .. .. ...r ....�.......
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TO THEINSPECTOR OF BUILDINGS: +
The undersigned hereby applies for a permit according to the following information:
Location .. 1.... ..:...1��>......... J2/T. 1��� ........:�1? , : ..................................
..............................
Proposed Use .. . � 1.�� �....... ...: '". . .................
Zoning District .........' :.tw.:.>.... ..................... ..........Fire District ... LIl..>.:5 �1...1 ...............................
Name of Owner ., .l.Kai3/, �,�.1..�...�t ct1�?�. � ...Address .....
.. D. a�J'a l�/ ..... . �.:.r:..........
Name of Builder .............._L.!2.0V:07-.-f. ........................Address ....................................................................................
Nameof Architect ...................................................................Address ..........................................................,.........................
.Foundation
Number of Rooms .....................` - .................................. !12., ........ �..............................
Exterior
Floors .......4�.. lY���"nll......... ...............................Interior .... ....................................................................
Heating ...................................................................Plumbing ..................................................................................
Fireplace ......Approximate Cost
Definitive Plan Approved by Planning Board ________________________________19
Diagram of Lot and Building with Dimensions -®--
SUBJECT TO APPROVAL OF BOARD OF HEALTH I
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding th bo e
construction.
Na Me .. .. ... ....... .,,�i�/�
C(XJICTEA3^ ElD]EDE L.
No .�5597—.. Permit for . ................
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Location . | .]lzrwhamk.Ilnixoa--------. �
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Owner -- .I^°.. ..................... �
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Type of [ohu�u��m `
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PERMIT REFUSED
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