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HomeMy WebLinkAbout2014 Jun 12 - Sign Off Transmittal Sheet, Plans - New 4 BR Home,�.._�. ._ �� .-..�- �___'� � -�� :: ,.�-,..e � -.�-. � oF.—'_'r--�r TOWN OF YARMOUTH y�� �• �� HEALTH DEPARTMENT ' o.� -� � '�• ••� r PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET ' To be completed by Applicant: .. Building Site Location: r � � —� � � �� Proposed Impmvement: CT�,r,,,'�`��fT/'+ �F J�—�I�D.r� Applicant: Tel.No.:?� � � � g` ��g 1 Address: Z ! � _'S�7— S • �/�� �Date Filed: Z� '•lfyou would like e-mai/notifrcation ofsign off,please provide e-mail address: Owner Name: �p � Owner Address: � U I QW Owner Tel. No.: ..__ _ _ . .�.. _. . .� �.. ��,< � . ._. . _ _ ... .. . . _ RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements " For Septage Disposal and other Public Health Activities. Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings,water line location, and septic system location; (2.) Floor plan labeling ALL rooms wit6in building (all eaisting and proposed)— Note:Floor plans not required for decks,sheds, windows, roof�g; (3.) If necessary, Title 5 application signed by licensed installer with fee. :.........._....._........__......_.._........__............._....._................_............................................................................................................................:..................................................................................._........_.....__....._................._... REVIEWED BY: ��(XO/ Gr,Y�/ DATE: �o '/L� � PLEASE NOTE COMMENTS/CONDITIONS• � �/o,r�n�Qr � -�' ��v�s �Ti���-�r, . � O I p • �� 8 � �� � � ' � � �� �r � Q �� � � � o's� -� g g 2 Oqt� � B: ' F F?m%m 3. g �� �di � F e �'n3 ""— Z �i � . 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