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HomeMy WebLinkAbout2015 Mar 27 - Sign Off Transmittal Sheet, Floor Plans - Accessory Unit Addition �2of�R,yo TOW�N OF YARMOUTH � HEALTH DEPARTMENT o..� �-�i ��^�•% x PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Loeation: � � / � V c r�a o ' Proposed Impro�''�'ent: ti ! o h C3� � ,� � � � � �`G/<d77'�i � / > r Applicant: �.�p�t� h �a� a /� Tel.No.:S�`�6-77 J —�'9 7`� Address: Z T S71 �A n c � s �, .r / e. /��Y��_�„Aate Filed: 3 Z 7 1 f #•Ifyou would like e-marl notification of sigrr ofJ;please provide e-mail address: OwnerName: / /t � ,d,e �� �r 1� c� 2 r _� Owner Address: 3� l� v c � r e o 1 Owner Tel. No.: SG k-2 9 Z 'Z�B g .._......_......__........_.........._.............................._........._...................._........................................................................................................................................................................................:..................................................... � RESIDENTIAL AND/OR COMNIERCIAL 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 within building (all ezisting and proposed)— Note:Floor plans not requdred far decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. ..__.........--...................__................_............................................ ..............................................................................................................................................................................................................._......................................... REVIEWED BY: ��%CP�� DATE: �- Z 7%� , PLEASE NOTE COM NTS/CONDITI NS• � /��r�� � l���N�J�i 7dI� �l�i �G�o� �,� �d'���i� �� �1^G O � n.UJI'�'Ii/ i.1.1C.1�'//hU�f.� - - -- . �� . C !�' G/ C /-/ : � �J �' d �,e� ��aa � �� m,,�� 37 �..�,,Lcr�_��Z�r��.� .� ��t'?�. __..�?s't�_..�_.�__.._. �..'.�._..�.�__-4.�..�__.._. ..�i y� f m-_ __L�S.ti5 7S1a S (Oi1 t�n t �'' �2.3+'14 ..f��— 771 —�i 7_,----`–�--_ �' �' _ .._. . _—� ._-- - . .._..,. ___. _.� __,.. � ._� ,--�--__._ �- __} N �}. � � _ � , ., CJ �----, _,_ � � f , i �� ��� I ;----�- �-' �� � - , ; �3 " _.__—�-_---i � i � � , ^� � � �- i �� �, 1'���..k 5 f i � +�, � ' < 1 V � � I , (`_ -- :"'_""'—_� , .I �� i , � i � � �� i . J,' / \ � ----.�.. ` �J � , 2� � t �;��^i }i� l` �� : _ fi �� ��l � _ ; � ' 1 � � 3 � � i i ��� ��`j'h`� 1 .� I i . �_�'"'*�.�.._.J NaY�.G_ , � i ; , � ; ; ; ; ��, ' ; � , j � , ; � -;- � ; � ; �1.; s ' ; � 5 ',��._ �.e�.».�..__.�.s�. ..._..,�.�..m...w._.«.m.._�.,..,�„�._.m.�...�.r..-.r...,.�..... � ^�'"''^� i � / I � � � � .___._ �' --....... , .�. ...._ . . .... ._....__ ..._ . .. . ..__�..,,_..._. . �.,.4. .. ...__..__.. --'-- � LJ ` � i .��� iitaiih �e , , ' . ! I'R V�:� j� ���� �'z7/� 1 ,. .:.e �. : �_.____._._._ ._ , _ _ _, ._ _ ! � dl � r . f �/ `rl..�. � � r�_} � � � r � ^S .� � ! � ^ ✓ .. .. ./ 1� �.. . [�+ � ^\ 'S ' I `'' � I � . ,`� . . ... . . � �.--�n ` �-- (� ..�- \ �� � � I ' � � Q .. ` � . . � . .. . l �y �� � '_ . . . . . � � � ° . � `/ � \ _ � � � �� � _. � � � _ � � ; � � � _ n � � �--� � ,_.., - . �. `� � � -�, 3 a` '-1 ? � -- / ;� � �` � �IJ � � � � � q � � � � _ �. � � � � �-- � � � M .�, � ���� - � � � ' , �,. � � � �:� � ���� . . _ � � � � � �� � � - g - cP..} _ � ,�, �� / _ _ � -� �,� � �, � � (