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TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION TO ERECT AND MAINTAIN SIGN
TYPE OF CONSTRUCTION Ji).ffl.a..cL £ja..^5.„.cr MdJl P)is4^e S:^
FREE STANDING OR ATTACHED
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location 1.9..1 ^OsIT^A\L S.,
Proposed Use •j-y (SJiro s.JL^.
Zoning District (6y_^•Fire District OoJTL^\yA\^Q \^
Nome of Owner -i-Address ...'70 7 0.^'
Name of Builder .Address
Diagram of Lot and Sign with Dimensions to be Placed Thereon.
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3'x3'
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstoble regarding the above
construction.
Name
All permits subject to approve!of the Inspector of Wires.
No.iL-Permit for
Location
Type of Construction
/•
Owner
Plot Lot
Permit Granted 19
Date of Inspection —19
Date Completed 19
PERMIT REFUSED .
19
Approved ^19