HomeMy WebLinkAbout2015 Oct 09 - Sign Off Transmittal Sheet, Floor Plans - Addition �o��q�,� TOWN OF YARMOUTH
o -'�°�c� HEALTH DEPARTMENT
��'�^�—••`� s PERMIT APPLICATION SIGN OFF TRANSMITT.AL SHEET
To be completed by Applicant: ;
Building Site Locadon: � C�t-7 12,Q � �J�C I` L A 1•/E \�pr, i,,, oN�
ProposedImprovement: Gdc� Cj X � ���f,/ryG•, �o�� 2o�,,,r�, �,,��(
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Applicant: Gr�r rfi /iiG✓� �^ Tel. No.: �O�S h�i4 �i2�'
Address: � �p Y c�I�y 61�c� Lr� kJP� L�rh�r,�r Date Filed: �c� 0� C�'
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*'Ifyou would like e-mail not�cation of sigrr o,�;please prmide e-mail address:
Owner Name: n c✓1 ch� U�'/ Y` t'�n �a�,e�i
Owner Address: 6 � �1-in v r G}'- � �r�ny CT O�, L�I �Owner Tel. No.: Z6� �3G D�S(S
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RESIDENTIAL AND/OR COMNIERCIAL BUII,DING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Acrivities.
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 within building
(all existing and proposed) -
Note:Floor plans not required for decks,sheds, windows, roofjng; ',
(3.) If necessary, Title 5 application signed by licensed installer �
with fee.
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REVIEWED BY: DATE: /GT/ Q ��—
PLEASE NOTE
COMMENTS/CONDITIONS:
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