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Home My WebLink About2016 Feb 29 - Sign Off Transmittal Sheet, Floor Plans - Convert Garage to Family Room _�, . _ �_ _.,r___ _ _ _ ,.� .�T__ __-�.-__ . -�-. oF��e,,� OWN OF YARMOUTH � �� -p.w�� HEALTH DEPARTMENT �`` � �u. t ��'�--��=-�-`''�� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET � , � To be completed by Applicant: r j 7 /� � Building Site Location: �G � � p �4 d r.Y �Q. Cf/�� i � � � Proposed Improvement: �' (��✓f C� �(A crot✓�2 �a ��' lls�s/� � a f ....: c, �'tc ��+ W,� N1� h '� ca v� .1. S� ,.�4.. Applicant:��t ��°P✓ � (.�(lU YI��tJ -�?�`c'' Tel.No,:�c�'3�7�'.7d Address: ��G��SP�CtN"�/� �rv� ��/✓�U��'"i t'� �� Date Filed: c� �'��'� � **If you would like e-mail notification of sign o,fJ;please provide e-mail address: Owner Name: �1 �t �aG�l�► /'�''� , —� OwnerAddress:��/1�., i1f /��'�S /��' �C�• X(•��D`Z��wner Tel.No.:,� "�(�()'��t(J , ..................................................................................................:...............................................................................................:........................................................................:.................................................................................:.... RESIDENTIAL AND/OR COMIVIERCIAL BUILDING • \ HEALTH DEPARTMENT: Deterrriines 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 includes , (1.) Site Plan showing ezisting buildings, water line loc�tion, 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, roofing; (3.) If n�cessary, Title 5 application signed by licensed installer � with fee. ................................................................................. ................ ......... .........................................................................................................__.................................................................................................................................... REVIEWED BY: DATE: � I� - Y,�'1, PLEASE NOTE C,�43MMENTS/CONDITIONS: . _�.�� Se Rr v��..� � � �3� ��v�..�� 64 S e c� ►ac�► �.�. o�v� ��v�•� K�'1 t �ti �-c � r U c� � �/L e�-c� �S�v-vU ce�45e c.�h— c�.� r� /3 �� r%� �ve.c,�.� l�r�c-.1� � _ 1 ' ; _ � � ; � , _ �. �� ` � ' � _ ; � r"� , -� � � � � ` _ � � ...F _ L �, � II�, '� � � . � .� . f . .. . .a' . .. v � � ..�� . .. . . , ...� .._. . . . ._ . .. . . . . .. _ ... . � . . , � . . . . . . �..._. � __. ... .. ... .. . . .... . . .._ .. _... _.. ._. ._. . ._ . _._ . . _ - . �.. � � ..s _ _ - _ _ � _ �� .� ._ �j - � �' _ _ _ _ 3 a ys � � � _ �,_ _ �,� _ � _� _ � _ � . � � � _ �" �� _ a_ : � � , - �� (�t 5„�t��t� �� . _ :� - � � _ _ . _ _ _ �..� � - �`�. ; ` _ ; } " _ � ' _ �� ' ` �;� '�`�1 �` € �. _ _ _ �`�„�� ,� _ � � " i � � : �� . � � , � , ..>- _ � r` _ ° -� _ � "� _ �8- _ � � � � e_ -� _ � _ _ - - � � ; �z.. _ - �. � , : � ..t � � _ - r,,,��; ._ �'� �-- _ � _ . � � .: - _ � __ �. ? .� � — _ _ � . � . :�. � �; ;� �-•� a .s c,. � _ _ _ _ . _ � � � _ � � _ - � � � _ _ _ _ _ _ _ _ _ _ __ _ _ _ . _ __ _ _ _ _ _ . _ _ _ _ _ _ _ i � __...___ _ _._ _ .�_.__,_._—_.—.._.__ . � -----.__._.—_._. I j I � �. �� ,r � ; � , � � � i : � � E� µ � �: � � �� f �:} �. � � � � �a..,+ �' F �ma � � � � . . t . . . � � . . : g k ` � � �""�� '�.� °� - . `s' .:.�� .�� ' �� ~� �` � +(�' .�' �:: �; ��` _ � w. �. . �- `� � _ � � �� ,.�..� � � � � ,. �.� � �� ,�� m.� , � � � � �� /' . �a� ��:,� �.� � � ' ; �-,. ""�� .� : � � t � � � 5 P e [ �� . .:. .:,� . . �� Z �i . � �Y� � � ' �- ��, �„ F. n: � � � `°� r � �" . � �.'�: '�ay,C„° �'�i. � . . t � . . . . p�e','� . ... 1er �p �� . ,. .. �Ba�LL'y5.� m'�w?mer,�,:�ne. i, bt � " WnN ' � � �� l� � b � �� ._:.�.....� . �, ,� � � 5 { : �� ` �-�� .�``ti',`-.� , � � � `a a � �' ,;,�.. � .� • .. � , � � �M O W C9.L "'�' �' q� � +,�,� � � � � N � � � �v�' � � �� y�� 4 �� x� C� -� ,� -�- ,c� �..�,�: � �l {„ ,,,,,; � ,�- _ � � � C� � z ` �' � �, `c��' � �, � '� � � � � � � `� �:..___.� `.�.� -� ,� �� ' R � � �, e- i f