HomeMy WebLinkAbout0434 OLD MILL ROAD - 12157 e�Q�ofTHE. � TOWN OF BAR.NSTABLE
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°moo 9- BUILDING INSPECTOR
APPLICATION FOR PERMIT TO "��'/ev v 5
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TYPEOF CONSTRUCTION ................................................................................................... ....C.4..0.�..........
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—TO THE-INSPECTOR OF'BUILDfNGS:
The undersigned hereby applies fora a it according to the following information:
Location ....4 � f/.............. �1� ////.cam$.S
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ProposedUse ...... ............................:.................................................................................................................
ZoningDistrict ........................................................................Fire District .........,....................................................................
Name of Owner ....... `lr�l..S.... .P.� / a.......Address .. c �...
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Name of Builder .... ✓ lC S
i1�...............Address
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Name of Architect —� ��.,..... �'' l�..........Address ::-� ...........................
Number of Rooms .... ..........................Foundation ,// r�-"
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Exterior % ofing .0 ............... ?��,1�'� ,�:..........
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Floors ................. .................,. Interior ...............................
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Heating_ ........................:...r '....a! > ` !:b?............Plumbing �� Gt�rsr .............
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Fireplace .......... GS...:.....Z..............................................A roximatP Cost
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Difinitive Plan Approved by Planning Board ________________________________19
Diagram of Lot and Building with Dimensions
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I f ereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
i s Name
...
Iruzulo* Dennis \��� "� � xm�� ,
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No --12��/- Permi� for 000-. ---....^ - '
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PERMIT REFUSED �
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Approved
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