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Home My WebLink About2013 Apr 08 - Sign Off Transmittal Sheet, Plan - Bulkhead Foundation; Deck; Living Room and Bath Remodel ..�,��..�.---4� �$-�-,,�,._. � � �,�,.��, r �_ ,o---'� �.,�, TOWN OF YARMOUTH F q � �� ° `-�� HEALTH DEPARTMENT . S('��4+r+yY�ti JE�l'�' . . . . � . . ' ✓ PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: �] C�Q T�i��.. ��LL. Wi�-�( 1 j�,Ntsv„�-G.,��9yt-�—� / � Proposed Improvement: /V2u/ �tlLdc,�i;r�(/ ov+� /.S .� (vr-- , v'7�'t . � i / � Applicant: �� `r �p✓`e.. Tel.No.: ,�OS - �(y Z •0!r S G , � Address:� p i;� 17 �w�V`�`��,� ,�/1i4 �Z l�� Date Filed: 8 i i **Ifyou would like e-mail notification ofsign off,please provide e-mail address: � � i Owner Name: J oav+ti 5.:� ✓Js�� Owner Address: � � �..... 1( w Owner Tel. No.: �„p -�8,s'-��/D ; �(�w�w �dvnT" �'�iq- d Z(v7�S ; .......................................................................................................................... .............................................................................................................................................................................................. , ................................... RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines 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 include: (1.) Site Plan showing existing buildings, water line location, and septic system location;' (2.) Floor plan labeling ALL rooms within building (all e�isting and proposed) — Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed instalter with fee. .............................................................................................. ......................................................................................................................................................:................................................................................................................: REVIEWED BY: DATE: L`f' �'� � ' PLEASE NOTE COMMENTS/CONDITIONS: � � ; � ogg -� � �� > LL �' 0. = ¢ o �.� :� Q � � nZ� � �ig � � �� o �� ` I � � � .; � �. � � � C �W� 4 � J � � W �� Q y � �� d� . �- � uJl 2. 09 � m Q 01=- �D�m 2 � dz 0. � � �Y ut p ~p r a� �� w`7�' �° O �t . ' @r � w � � •�.-. O x m x �<t1 5++ r o3C} I - � �°�i{{� C�3� � � � � � pWi a d �Z} f�-� -' � O1y mF��qt � � �V G �� = `� pi 5 aS °� � a 7j < O yS 1[i a ¢ p ''"tl ap � '� Z m S .� . � n � `� ^ f- �� j > � -' Q =Q+ i. 1-'•�t. �( '' � � ¢ � + �j w Z4 � O & ¢y� � � �i� � f" - -�---�'�� , �.;- ..! �� q �� j � : 2 � y m Fm O ¢ a.�U < y� � .J f' . '__:..�'•7 `��:. a �'i � 3 r�- n j2 � � o � 3 ��dt ;' `-tr� ,`�:'_,`;� w a. r � z � � i g ,r • a '� �� o � �" �}. �3 m �❑ � � _ .7 � -� � � Z � � ¢ Qjmc� c=io � �� o � �Y, o o �� - i- ip��-y;� �� Q W 3 0 �' � � � � a t, �� 'z °� a'm � }x' zf ,_} �- . 4-.'�a �i a � � YZ r Z ¢�~.�1 2 (�� -�{ OW � � Uiq Z �O � to� ^7�0 O �� _� -i'i� 'f��'� �� !A �r�-p� �3 > � of Z s LL � dU o � ' 4-`?� tU � �m :'��l•y;-.�.. � r'�1~, L U �� ` �b _ ri ri � ui ad r� ai p� d oi ri ,y`�� C � g� .�. �. � �` � ' �.s�� r� _ __ _ � � • ; ��. .. o � � � �� a � s > � � � F � a� � � � � � , �� `� a � � p ur,��° . ` rS L� /� �� bosy o" � { \ `� � �q � � �� J 3 '� � �� Z� i �g 8 (°�'S ��/�_ ��•'_ ; �W J$ t'¢ � I�G+ �o � I �W r 2 . i 1�'�'�---�-.�.m.�_ ---��. y ! i 4 � �5 g � � �;� �'�� x ` � a� =m � � 5�.� � }� � r _.�£ '� � � � "��.,- '�' � �� a � E '1 � l s :. ......�it i,'�s.,�� m� -- - -�-- --- - � . ~ � ��-��--'— - ?---- -- .' � � Y�' � �-�!n n__p_Ay�__ _ OHa� � �3 F �$ o ¢ v =1 � � m¢ W� �sz� _�. � m� � r � . . . o< -; r ; �-s � ` � � m¢ou� . i--�L� '/I`� -} ,j?-�hJ`l, H� °�. d o c�� - �, . __,. �Y � x 0 � d � b -- .�. . . b h � � _ e � �r b '° /� ,9 ' -�q �i n � . -, � • � � � � f � ,:i� > , M / '4 YlZ� A ry µ � � p F � fV 1 M'�d�t � t "_ � } F z ~� n _ � � .Op�pi� L$ � Y�• . .. o v� � O ^J e7 ? \ � � �"` _-"m-,�� ., ' . \ '9� � g ' " .�` \� ' ' �-- �� _ � � � - � i `� � ,�__ _' � � � o � � , � � � � 0 �t �� g � ` � � 4 `_ �' �` `V" � `��3i�' �� ° ,�-, m � / � _f� 4�� / I ' � + �~� � � l J i 8 i t� � '�, t � Q � ` ` ! � � � Q �� a3 �� l-' : : J 1 �q � :/ � � r a �� (J) � � � _'o:� '� ; + � f r � J i , \� � 4. � g ,�•�/i�.� ,'. i � • � b y O� 2 4 �j- fI � f O WIrU U �' ,� 1 z�.o8 0 ��` ; , �g " +d'� 1 ",�u�,F g� �y."' "� r ; � `� �N � � �ag �� » = ' -- � � ' �' � �a� ' �==�8` +'a�° ( � � 2�'f�$ �a y � D \ � aC n � j .. � �.1 l � , ` : , � orv �� \ o„v,, ---� _ _ _ , t,�' � 3� a� -� � / . � � �� _� �R,�� ,n�.. •��Z 1 A�, ry � 1 4+�'�'�. . �� R ` �� `� � `;� r ��,� � af �� '�-_ � � ��° ��"� -�r tt�.� � � �"'' ` � � $. 3 '0p�� ' & n�g< \ .o.,�i N �� o / � �:s�or� �e fi� � � x"= o � � a �� \` � �� ' , �� : �� . �V � �o m �� z ' � �