HomeMy WebLinkAbout2007 Mar 22 - Sign Off Transmittal Sheet, Plans - 2 Car Garage With Apartment AboveTo be completed by Applicant.
{ TOWN OF YARMOUTH
HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
Building Site Location: U .-!/ _0 1
Proposed Improvement: &4 D y t vlij, l
l7ye s 01,c .
Applicant:i
Address: 7 e—Of
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**Ifvou whould like e-mail notification ofsign offplei
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Owner Name: �)i 0 �,, KC' f4p
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Owner Address: G
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RESIDENTIAL AND/OR COMMERCIAL BUILDING
Lot No.:�
F
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit four (4) copies of plans, to include:
(L) 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, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY:
COMMENTS/CONDITIONS: /,"PLEASE NOTE
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SEPTIG LOCATION FROM AS—BUI «Z'°�
LT CARD
BY PKM :AT YARM0�ITH HEALTH DEPT. �
TO THE �EST OF MY� INFORMATION, ��PROPOSED�� PLOT PLAN
KNOWLEDGE, AND BE��EF ; THE YARMOUTHPflRT, MASS. '
STRUCTURES SHOWN ON THIS PLAN �OT 2A, PL. BK. 179 PG. 57 i
HAS BEEN LOCATED ON THE GROUND '
AS INDICATED � DATE 6 f 17, 04 SCALE_ 1" = 40'
1�11�0� � J08 6006-00 ` CL(ENT McBR1DE
�6 �� O4 • SWEETSER '
ENGINEERIN�
� DATE PROFESS(QNAL LAND SURVEYOR 235 GRE"T w�sT�Rx eoan �
PO BOX 713 SOUTH DENNIS, MA 02880
ofE 508-398-39Z2 ' fax. 508-398-3063 {
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