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HomeMy WebLinkAbout2015 Jul 30 - Sign Off Transmittal Sheet, Plans, Notes - Deck �_.,����� _. ..�-m �� ,,��_ r _�� z� . .
oF�aR,� TOWN OF YARMOUTH �
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''�<�• PERMIT APPLICATION SIGN OFF TRANSMITTAL- SHEET
To be completed by Applicant:
Building Site Locarion: �� Pvi�./SCTri O�C S y�«a�$
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Proposed Improvement: �'Tc-.� /�.w �c-�✓ T�J /Z'�C 2 L � �
Ap�licant: �i� ��`�"� � r
' � Tel.No.: SU�3 g -� ��6 �
Address: SOG ��" -�' S �'"��s �r.�.- �ZL<� Date Filed: 7 Z y �s
� **If yau wauld like e-mail notrficatron of srgn o,[j,please prwide e-mail address:
Owner Name: /y,FR� j�.f�O�Fic
Owner Address: ���',�C�L/ _S3'� 6�t�T`G�, !fs/� Owner Tel. No.:d/���/96� �
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................................................................................................................................................................_................................................................................................... �
RESIDENTIAL AND/OR COMA�RCIAL BUILDING �
HEALTH DEPARTMEN'I': Determines Compliance to State and Town Regulations; i.e, Requireme�s �
For Septage Disposal and other Public Health Activities.
Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing bnildings,water line location,
and septic system location; �
(2.) Floor plan labeling ALL rooms within building
(all existing and proposed) —
_ Note:Floor plans not requdred for decks,sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee. \
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REVIEWED BY: Dt�1TE: 7 3 C /
PLEASE NOTE
COMMENTS/CONDITIONS:
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APPLICANT: TARDIFF TOWN: SOUTH YARMOU7M
POINSETTIA � DR1VE
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YARMOUTH WATER DEPT DAT
FLOOD PANEL• 250015 0004 C FLOOD ZONE: "C" DATE MAP REVISED: 8/17��986
DA7E: 5�22�13 SCAI.F: 1' = 30�
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TELEPHONE: 508-428-0055 �'�N�E �D SUR fTE'Y COMPAN3; j
119 ROUTE 749. Marstons Milis,�MA 02648Y JM
FAX: 508-420-5553 yankeesurvey�comcost.net www. keesurve .net 82666
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