HomeMy WebLinkAbout2014 Feb 03 - Sign Off Transmittal Sheet, Plan - Front Landing, Steps �,o��R�,,� TOWN OF YARMOUTH
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'���M�� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be compdeted by Applicant: F�� �'�
Building Site Location:�ll ��'I�'�¢-�. 6�u1'c�/—� �/� �v� `�/f�� o �t/�-
Proposed Improvement: ��/ �•r��'�" /n �- J'
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Applicant: �/�-7/f 6/t-v ''.S l�,vf'�' Tel.No.: �G� �',�'�' ' j'���
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Address• T�' � � X: b ji � �, L1i9�+�/�- Date Filed: j Z- /
**Ifyou would like e-mail no��cation ofsign off,pdease provide e-mail address: �a�1 y Cp ���'�y f'G+r►S.t�.n.�7'�j�•�+
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OwnerName:�.�f-�,/_� e��✓�c=L t�J/ L
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Owner Address:
� �G�L.��✓-f'c- /� � ryf�',�r , Owner Te1.No:; �°�'Z-S F— �,G 2.�
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RESIDENT�AL AND/OR C0IVIMERCIAL BUILDING
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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 inc�ude:
(1.) Site Plan showing egisting 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.
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REVIEWED BY: DATE: �
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I PLEASE NOTE
, COMMENTS/CONDITIONS:
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