HomeMy WebLinkAbout2015 May 22 - Sign Off Transmittal Sheet, Plans - New 4BR House o�'.�--'_Y�q� TOWN OF YARMOUTH
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'-`�=�-` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: .� � � �S% G f''/�/`�` 7� Lv�S %��'� /e�
Proposed Improvement: ��� /� � � s E '
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Applicant: t�T� +� L�S /1't v � �Z�' Tel. No.:.,rj C�g- � ��- ( 0?j Q
Address: j S �6��� 77 ij � f� G�• /'��(/yid��'f-/ �'yJ�►- Date Filed: S -�`l� — ��
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` �*If you would like e-mail notification of sign ofJ;please provide e-mail address: � � � � �� _ 0` I
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Owner Name: �� M C �/ ��f� � i
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'"�""`Owner Address: Owner Tel.No.: j
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RESIDENTIAL AND/OR COMNIERCIAL BUILDING 1 j
;;�,,, HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities. ;
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.. Please submit three (3) copies of plans, to include: �
(l.) Site Plan showing existing buildings, water line location, ��
and septic system location; I
(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.
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REVIEWED BY: �C/GQ/ DATE: � � % S
PLEASE NOTE -
COMMENTS/CONDI NS:
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