HomeMy WebLinkAbout1973 - Concrete Patio TOWN OF MONTVILLE 6-//7
Department of Public Works
Application for Building Permit
Application & Permit No. Date
of—e'
Estimated st . Fee A
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Owner � / Address /6- ."..111 -AL#. ,
Contr or %✓ �a •, J%/ Address . .A-4-- ;41-1--0 -
Architect
Architect Address
Location of Building Zone No.
Additions & Alterations (including moving or demolition and sign erection)
New Building — Type of Construction
Size Type of Heat
No. of Stories Fireplace
No. of Rooms Breezeway
No. of Baths Garage
Proposed Use
I hereby certify that the proposed construction will conform to the applicable zoning regulations of the
Town of Montville and the Basic Building Code of the State of Connecticut.
Signed .�. . . . . . pproved
Date S — 2--$' — 13 Building Inspector
/ 3 0/1--
Form No. BIMO 70-100-1 /II /i/ j
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