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Home My WebLink About15x20 Patio TOWN OF MONTVILLE 0 5/2 ) ' Department of Public Works Application for Building Permit Application & Permit No. effi.: -/ • . . . . . . . Date f"' 49 - Estimated Cost . 42o, . . . . . . . . . . . . Fee Owner . . � ' " '{ �fZ Contra r . . . . . . . . . .� . . . . . . . . . . Address .//. . L��..�s. ./��. ,fp'.z, �.,rr�,, �� Address Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address Location of Building . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Zone No. Additions & Alterations (including moving or demolition and sign erection) New Building — Type of Construction . . . . . . . . . . .. . . . . . . . . . Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. .. No. of Stories : Type of Heat . . . No. of Rooms Fireplace . . . . . . . . . . . . . . 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 Co ecticut. Signed . • — Or e —/- Approved �� Date //�/ at( 6,7:1_ , Inspector • •� • • •• • • •• • Form No. BIMO 70-100-1 / /L�/i C I" G 0, w ( �� N- p e rb r 1' t 7 a /� ,-":0 2 , c il \, __o c, 4,4_.. . Us "----------------------------_________,---.... i NA 3 a"-- LLI Cc?, 00 N Hr n� b '1t vl ,IS