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HomeMy WebLinkAbout2003 Dec 03 - Sign Off Transmittal Sheet, Floor Plan f i � . ; � ' .� ' ; t Y� ��� �o� �,�� ,,�y� TQWN OF YARMOU�'H ; o/ ,�, � BUILDING DEPARTMENT ; � nw+* .. sci�"� �'���'_=' BUILDIN�G PERMTf AFPLICATION DEPARTMEI+ITAL SiGN OFF � TRANSMTI'1'AL 5HEET Building Sitc Location: . '" ���� �?��-� � Map No:__ j��Lat No: �� 3 Pc+opesed Lnprovetneatt: � �t, ' Applicx�nt: ' � �� Address: �L1�Y �1i��2,Q ��1 �'dY' Tei.No. �, D Date Filed: // a =�3 -,-, : The`Building��ar�nent wiil be res ibk far assis ' the licar►t b di � � �8 aPP Y ��i'�8 Your plans and or a�lication tn the following i applicabte d�ar�mex�ts. �]QENTIAi-AND�OR COMIM�RCL�►�B4m�ING .� i wATER DErAxTMENI': ne�rm;nbs compliarx�e of w�er nvai�abilnty ana or�bcac�on. , ENGINEERING DEPART'ME'NZ': Detern�es Co�liance for P�and I)rau�age. CO"NSERVATION COMMiSSION: Determinos Compliar�oe to Wetland�=Acts;i.e.,If Lot(s)Bmder any 1'�pe of ; Wetlands,Stroamt,Pc�ds,Rivers,Ooeans,Bags,Bays,Matshtar;d,Etc HE�AL.TH DEPARTMb'NT: " D�ctamit�es Complia�we to State and Town Regulations; i.e.,Requirarnnts � For Septage Disposal arid otha Public Heahh Adivities. FIRE DEPARTMENT: Dete�rtnines Con�liana to State snd Tawn Requirana�ts for P�dsonal �aY.�P�Y Prbtection;i.c.,Sim�lce Uetectars,3prirdckr Systans,Etc. ; -----------------------------•------...-----...--------..._....----------------------•--•----•----------•---------•--------------------._.---------- ' RLVIEWED BY: 1. WATER DEPARI'MENT: DATE: N/A: � 2. ENGINEERIIVG DEPAR'TIv�NT: DATE: N/A: ' 3. CONSERVATtON: DATE: N/A: i I �� �����...�._ . D�4'�E. ' � ����� 5. Wfft1NG II+I5PECTOR: � DATE: N/A: 6. PLOI�IIVG IIdSPECTOR: ' ' DA7'E: NfA: 7. FIltE DEPAR'i'METIT: DA7'E: N/A: PI.EASE N01'E COMMENT5: , RECE�'T OF COPY: SiGNATURE OF APPL[CAN'C: DATE: 1WAi1e ooPY-��6� - Pmt oopy -W►�Iler Deq. _ _ • ��PY-��6�R - Goid�sod�ie DeplCa�arva�l;oa � �� . � ` � � . I � � � Y� � ;� � � q � � �� � � � � � , � �� �r y � � �� . � �� • � � � ` � � � � �� ' y 1' � .. � � ♦ � � , � � � � � � ` � � � � � ��� � ,.r_z �, � � � � � � � � � � � : y `'� s � °Q�c `� "� � � � • k, : `ys � �, � o t � o� ,� .� ! � . � � ; . � � � . - � � � � � � � � � � � - � ; : . � � � ,V � � � � f � � � � � � � � � q� � , v � � � � . '�;, , z '� � `A�o .,' � � '� �� � � ,;�� ; •� �' o _ `� h � � � `� �--_�' �G� w t � � � � � � M1 � � ���, � � � _ � `` �: '� � � '� � � � ' : � �o ` 3 � .,�� � � VJ � � ,��� a �1 � a � : � � � � � � � � � � � � � ` � � �.�� � . � 1 L�� . �