HomeMy WebLinkAbout0026 PRUDENCE LANE o, (��Y-��h tie 'l�.a.n e
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Assessor's map and lot number ...... ......... .
..• SEPTIC SYSTEM MUST BE
nY. INSTALLED IAA COMPLIANCE
�"' VVITH ARTICLE 11 STATE Seage Permit number
SANITARY CODE AND TOWN
TOWN OF BARNSfXBI
i BARISTOBLE.
;pYa�e� :7 BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ... !'! .. ... ...a''��ifb�l..�1 . ...• .... ...........................
TYPE OF CONSTRUCTION ............. ....................................................................... .
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..... ..... ........19.:n
TO THE INSPECTOR OF BUILDINGS:-
The undersigned hereby applies for a permit according to the following info&nation:
Location fAl PAVA104tw.................. �10l)�c................:...................................................
ProposedUse ..... i�. . ' .'! ........ . .......... .4.... ...... ss:......................................................... ......
Zoning District ..........................F......................................Fire District ................... ........
Name of Owner 111".Wift1t........Address 1/ .........%.O.W. . 71.0414V
Name of Builder 1 ,
......................................:.............................Address ....................................................................................
4 Name of Architect�. !® 9. ...Address .................� . 7 .1�. ...............................
Number of Rooms ........... ......................................Foundation .......
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Exterior ......... �� .......... o Arl.......Roofing .....I.............. -�Isqhpv.............................. .
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Floors ......
P..� . ft. ...........................................Interior ................. > } .�..............................
Heating ....... ...... .; ...........- ..4S ...................
..... ......................
Fireplace .Y.'.
... ....................Approximate Cost ........... �. •
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Definitive Plan Approved: by Planning Board ---------------_---------------19_______. Area .....�.. ..,
Diagram of Lot and Building with Dimensions •
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SUBJECT TO APPROVAL OF BOARD OF HEALTH
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I hereby agree to conform to all the Rules and Regulations of the Town of Barns le regarding the above
construction.
Name : .;..... . .......... ...............................
ABORN & PROCTOW9 INC.
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No1��J���.. Pamnitfor -K�--A5?rY- '
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Location .n��---_-______________
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Owner .&&. ____..
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Type of Construction �YaMa
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~-Plot ------.___ �t ................................
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_-. ~....^. -_~ 27 ;IV71 � .
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Date of Inspection
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. 041 .
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Approved ................................................. )g
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