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Assessor's map and lot number ......�-......2 yl �t.....
SEPTIC SYSTEM MUST BE
INSTALLED IN COMPLIANCE
Sewage Permit number ......�,/...V...r.................................. WITH ARTICLE II STATE
SANITARY CODE AND TOWN
TH E Tory TOWN OF B A R.N S PA�L°L --
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EARNST"LE, i
9,o09a:�� BUILDING INSPECTOR t
APPLICATION FOR PERMIT TO .............................................61 � ..............................� � �...1...... ............................... .
TYPEOF CONSTRUCTION ........ ..t�.. . .......................................................................................................
................................................r 19 .
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location .......... ...�.......5.�........................................................................................................................................................
1 A)C L. L. y4
ProposedUse .................... I.................................. ................. ................... ......................................................................
i�-( / l Fire District `e' A-�/U S M(3(-
ZoningDistrict ............................. .......................... ...................... ...............................
Name of Owner Rqwl�:.A-4-.�...P T' .�"5TAddress .c?its... C ......I 4.ULA3 s-r A-���
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Nameof Builder ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms 7 .....................Foundation ............ Q-�' �!vG 2�T�
Exierior ./ ... .!!l.l..N.A.c ..........Roofing ... ................................................
i� i S e e-4 r o c
Floors �'.A R-A.W.E2s�.�.�....A�Pi .T.�. i!vaA...l...i.L ...................Interior ........ ........................................................................
Heating
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C .... .. � .............Plumbing ........ -� .�
.................................... ....
Fireplace .... .. ...........................................................Approximate Cost ... �l...o 0,C�
. .........................................
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Definitive Plan Approved by Planning Board _VL` ___z_4_____19 `2 Area Z.Z.o........o...................
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH D /Zoenj
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201
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. /Al
Name ............................ . ...... ........ ...........
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Royal Acres Realty gust
166zNo .... Permit for .......one story.. .j
.................. . ......
.........single...farm dwells ............. . .....
........... . ...........
Locatiol-104n .. .........................
a C GLO—C V-1 La-re
..........................Aar
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Owner .............AQ-Val-Acres..RealtYJX'45t,
Type of,,Construction ...........frame....................
7
.............'1..................................................................
Plot ..IT....................... Lot ........... f58
.... .....................
Permit Granted ......O�,: r...2 .............19 73
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40
,Date of Inspection .....
Date Completed .......................................19
PERMIT REFUSED
................................................................ 19
V'000'
.............d......i--a;.....................................................
C�7............................................................................
...............................................................................
..............................................................................
Approved ................................................ 19
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