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2004 May 28 - Sign Off Transmittal Sheet, Info - Cabana Bar and Grille
.. ,, ,, � � o�•Y�� �. ,�� TOWN OF �ARMOUTH �� � `''� BUILDING DEPARTMENT C-A'PC P��� O : ' H ��""�.�'��a� BUII.,DING PERMIT APPLICATION DEPARTMENTAL SIGN OFF TRANSMITTAL SHEET Building Site Location: �� -t/� Map No:�Lot No:� Proposed Improvement: �� -� t,✓`� ,r' `t.:/(..��,.,,.,.!"�� ..� Appiicant: . C,�7,c..�Z, , � ��° �-- Address: /� -� ����t�t-•n-t TelNo.: �ll�/SSol D�teFiled: `7?'�'' 15oU The Building Department will be responsible for assisting the applicant by dispatching your plans and or�pplicatian to the following applicable depar�ients. RESIDENTIAL�/�B COMMERCIAL BUILDING WATER DEPARTMENf: Determines Compliance of Water Availability and or existing location. F1�iG1�VEERING DEPARTMENT: Determines Compliance for Parkung a�Drainage. CONSERVATION COIVIMISSION: I?�terminos Compliance to Wetlands Acts;i.e.,If Lot(s)Borc�r any'I�pe of � Wetlands,Streams,Ponds,Rivers,Oc�ans,Bogs,Bays,Marshland,Etc I�EALTH DEPARTMEI�IT: Determir�es Compliance to State and Town Regulations;i.e.,Requirem�ts For Septage Disposal and othcx Public Hesith Activities. FIItE DEPARTMErTI': DeterminGs Compliarx:e to State and Tawn Require�ts for P�rsonal _� 5afety,ProPertY Protection;i.e.,Smoke Detectors,Sprinkler Systems,Etc. --------------------•----------------------------------•--------------------------------------------------------------------------------------------- REVIEWED BY: 1. WATER DEPARTMENT: DATE: N/A: 2. ENGINEERIN(3 DEPARTMENT: . DATE: N/A: 3. CONSERVATION: DATE: N1A: �� � �p �4. HEALTH DEPAR'fMENT: DATE: � b N/A: �� p HEALTH DEPT. 5. WIRING 1NSPECTOR DATE: N/A: 6. PLUMBING INSPECTOR: DATE: N/A: 1. F1RE DEPAkTMENT: DATE: N/A: PLEASE NOTE COMMENT5: • RECE]PT OF COPY: SIGNATETRB OF AP'PLICANT: DATE: R�i�e ooPy-Buikting Dept - Pmk copy -Wskr Dapt. - Yelbw Capy-Heaith Depk - Piek Capy-E�eain8 Dept. - Goldduod-Piro DeptfCooeavation ' Ca�bana Bar & �ri/le � FRUM THE GRILL HAMBURGER (6oz. Angus) $4.40 CHEESEBURGER 4.50 BACON CHEESEBURGER 4J5 HOT DaG ( all beef) 1:75 MARINATED CHICKEN BREAST 4:50 SANDWICHES �'c S�fr,4DS TUNA SALAD (ali white) 4.25 - FI�ESH FRUIT SALAD 3J5 CHICKEI� SALAD 4.50 _ .�, S`�:.�,,,;��C?I��DEI�.� � . . �R��H �R��S 2.25 ; _ v.��t�� 2.25 � : �"���; 17IRP�Q MIX�C� V�GGIES 3.25 . � ���AQEb CHICK�IV FINGERS (5) 4.25 BU�FAL� CHICKEN TE�IDERS 4J5 ����:, ����� � ������� ���� . ���.� f i ( ;. . - �� ; � � ' , __. __ _ __ . � _ i� ; � ������� �'�,:� '�.'t� � . � �u��� ���� ��� � I� : ���.�'.��;.; �'�q,j�r_��� � � .{ �� � � , � _ f � , � � �'� � � '<���1 4�+���:�;���-a�, _. � � a. � �: ��� C�-g� �� � ". �� .l f�� ,���$.f�:,,�- 4,Aa�'�y 3 � 3 , . �,.���j�4.r i �'..a 4;3��7� ' 't, � ��� t� ����� ����.��� � i �,� �1�6t IS�Ga€ �A'�'�^-� i.,.�;c��i��� ��� ,�i�� . Y � 4 �� s � �t��� � � ��{ ���� � � � � �.��� � ��� ������ �� �= � ��� � � � : ,--'' � � ��� � � � ,�. ' � t a ��._� � � �X����� ��� �� � s�s ���� (�e�.�. 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