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33 6 S
Q��FTNETD�i TOWN OF BARNSTABLE
BA"MULE, i
"6 9
0 M BUILDING INSPECTOR
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APPLICATION FOR PERMIT TO � f !
TYPE OF CONSTRUCTION ......... .. �"'.�.....
.........................................
1. ..�'f ..L.......,9..1)
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ...................... !'� ...a4x ........... .•...... ..'... . .... .. ......C. �� 0{„ ......................................
ProposedUse .............1 •z• N'-.. '! .X........ ...............................................................................................................
Zoning District
.... ...........................Fire District ............................................. ........................
Name of Owner ... -.......4A.(..'.... ............Address ........ �
..............................................
Name of Builder ............Address ..... ........
Nameof Architect ..................................................................Address .....................................................................................
Number of Rooms .......Foundation t e� � s'� f
...................�
Exterior ... 4� 4 A( / .................... i( I ..... .......
Floors .......................................................Interior .....
Iq
Heating .. .... . .... ........................w Plumbing ........c. .................
....................................
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Fireplace .................. .. .,.::.:........::.................Approximate Cost ............�...J. e) 0
. ................................
Difinitive Plan Approved by Planning Board ---------------------
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Diagram of Lot and wilding with Dimensions
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I hereby agree to conform to all the Rules and Regulations of the own of Barnstable regarding the above
construction.
Namel. ... ................. .............
Lang, ��}�� o
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No — ... Permit for ........add..to.. le
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� LocodonZ.!�'Jq!�n..}ommd____________
Centerville
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CJvvner ---.}�»Ieo ar_Iwu�___________.
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Typo of Construction ........ .......................
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Plot ............................ Lot ----------'' |
Permit Granted ......... �Y.]A.................lq 70 | -
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Date,of Inspection ------------lV |
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Dote Completed ... ..............
PERMIT REFUSED
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Approved
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