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HomeMy WebLinkAbout2014 Feb 05 - Sign Off Transmittal Sheet, Floor Plans, Vision Assessor's Info �� ��� � .-.�_� �„ w.�._�-� __�. �-�� .� _ _ -< . .� __ ..� � _ n�-�., , �-�.._ � �=:_� ,�, a o�.--'__Y.--q: - TOWN OF YARMOUTH ,� �-` ��;� �� `���� HEALTH DEPARTMENT � «'�����``� � PERMTT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: �Z- V�.� �'�2 ��t�V �-- I '°'.-- . . Proposed Im rovement: � ' '� �-� /'� ` � �� /..� �"" � ��`' C:-X�'.S � � ''�/G' �A�� �o�.. f�-S �'-- �s ,� u�'�w t,-. �,- C.- /L r/�("7" oQ r�'t.. - Applicant: ���l rL .s �1/ �r�1.� �-t�,.... Tel.No.: .5�7$ �-f Z 3 ef 3/r � Address: ���� � � � 09�i Gt-t�3 f� ��'L-� Date Filed: 2- — �'� 2--�/�� **Ifyou would like e-mail notification ofsign o,fJ;pleaseprovide e-mail address: Owner Name: t� �S(�t�fL �.F1 w°L. � �- � �"/2 US� Owner Address: ��2. (��.s,�E�- �-/'�?rN�...-- Owner Tel.No.: S/�� �Z 3 �f-��t � !�r'/`'+D v f(�' �o��i , . ..............................................................................................................�...........................................................................................................:............................:........................................ .................................................... RESIDENTIAL AND/OR COMMERCIAL BUILDING ►`- HEALTH DEPARTMENT: Determines Compliance to Sta.te 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 egisting buildings,water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all existing and proposed) — �4 Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. ...................................................................................................................................................................................................................................................................:........................................................................................... 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