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WITH ARTICLE COMPLIANCE
Sewage Permit number ` A... NITARy COD 11 E STATE
REGU D. TOWN
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Py�F7NEr0�` TOWN OF BARNSTABLk _,.
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"b 9. .e�� BUILDING INSPECTOR
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APPLICATION FOR PERMIT TO ............. 74
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TYPEOF CONSTRUCTION .................F CA-. ✓1 -:...........................................................................................
Z. ..............193.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit
according to the following information:
Location �' 1 $� \ N ly .. R�. C i ✓S'c i .
................................................................. ............................................................................ ...................................
ProposedUse ............... '' . .!. . ` . ?`...............................................................................................................................
Zoning District ............Fire District .........
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Nameof Owner ......... ............................... ...............Address ....................................................................................
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Nameof Builder .......... \......................................................Address ........... !-,Q ..................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ................ .........................................Foundation ........&-4?...j........ ...
...............
Exterior ....C.. ...' !L........�`.. ti!tYl?..5.......................Roofing ............. dTh✓'.�..'........ ... .1..!:1.�1.. ° 5..............
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Floors i�.2. Interior .......... �,.. 2
Heating : .......... ........ ..................Plumbing ................(...........". ..........................................
Fireplace ..................................................................................Approximate Cost ................Z...'
Definitive Plan Approved by Planning Board -----------_-------------------19________. Area ........t ..
Diagram of Lot and Building with Dimensions Fee .............................................
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 Barnstable regarding the above
construction.
Name ... .G . .......... .........................
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Smith, J. K. �
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iocotion ��—..���t������. —
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Owner ..............�. K. '
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Type of Construction ----.z.z ----..
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Plot ............................ Lot _____��.___.. V
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Permit Granted ..........^J�....�m
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Date ofInspection ' lA
uore Completed
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PERMIT REFUSED
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a SI CERTIFY - TH ./kT THE 9U1' a.'GING' REG' . � ANp SURV9-L - i
y V1�Ft -0 N'= T M`F S _'P'l A:N E S O C A T E D. O N; -
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