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HomeMy WebLinkAbout2015 Dec 04 - Sign Off Transmittal Sheet, Basement Floor Plan ..�. . „ �..,, _ ,, � . �.:_:... .�. �,. /5=/7 l�NG�s � _ � _ � ��Q- � � I n n �oF�q�,,� TOWN OF YARMOUTH ;� � - ���� HEALTH DEPARTMENT o .� � � � ''���M``'� � PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET ' � To be com�leted by Applicant.• Building Site Location: I'7 ,�,aQ� �,�.� u��p�,�, ' Y Proposed Improvement: ` " � ' ', w � I Applicant:��...��C�'1�LG.r Tel.No.: 7�� �t 4'.3 9d� 7 ' Address:�,� � ���x.� D.� o d � Date Filed:,/.7 `1 � _ ' � **If you would like e-mail notification of sign off,pdease provide e-mail address: ( Owner Name: �����s,� ��.�,,ew..a�.�a-�... �' Owner Address: i 7 ���cyc.�. Owner Tel.No.: S"o� L�7 y GS� � �.���........ . ��t........................................................................................................:............................................................................................................................................................... I � ; RESIDENTIAL AND/OR CO1Vll1�RCIAL BUILDING I HEALTH DEPARTMENT: Determines Compliance to State and Town Regula�ions; i.e., Requirements For Septage Disposal and other Public Health Activities. Please submit three(3) copies of plans, to include: I (1.) Site Plan showing ezisting buildings,water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all ezisting and proposed)— Note:Floor plans not required for decks,sheds, windows,rooftng; (3.) 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