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HomeMy WebLinkAbout2009 Jun 19 - Sign Off Transmittal Sheet, Floor Plans. Vision Info - Bathroom i � ;,���-����-;�-. ,-m �,,.���, �.-T�.-�-�;-��� . _��..��.�:-�-�-,F:� ,.��;::;�-.�..,,�.-� -�-m �-�,---���, .. . m-.$-��- �.- , . , � , . , .. .. ., . .� ...�. , - . . . � ... . ,,:9 - t! ..:a.. +� . . . .. ... . � . .. . . . . . . � . � � � .. �•°�.Y`��o T(�� OF YARI'VIQU'TH . � y H�A�.;T�I DEFARTMENT � �� MAriA M��(�S .'l' � . . . . . . ;.. .: . .. :�. �:. .. . . . . �.� � i . ��ISOAp�,r� � .. .�. P�gMTT APPI,�CATION S�GN UFF TRANSMITTAI:.SHEET���� � �� . I � I To be completed by Applicant: Building Site Location: Z.: � t'�1 ���p No.: Lot No.: � i Proposed Improvement: �'�`k}-�� E!) � "7 f ; � � �� 3 , i�. ��Sl�' ; Pp �� Tel. No.: .�Q�'S""��Z' {��7t� Address��. fit� (..C. .frtj .$( l�h��� 1 �i�-� ���'�" Date Filed:_�' ��j `� � ` --y�-f **Ifyou would like e-mail notification ofsign o,fJ;please provide e-mail address: I��(... ����(�'' � ��� j��� Owner Name: ���• !� , ���" , Owner Address�Z ��'�� ..�T� fi�1 ��� /'�wner Tel. Na:�0�„1�" 6 �'��t.�' --�----�--�..............................................................�--......._..................................--��--��-----.....--------�------..........:......-�-------�---.._...............................................---.._..._.........._.......--�--�------.......................-�----...-------........_........-�---------....:........ RESIDENTIAL AND/OR COMMERCTAI.BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i:e., Requireinents For Septage Disposal and other Public Hea.lth Activities. Please submit four(4) copies of plans, to include: (1.) Site Plan showing ea�isting buiidings, water line locatian, and septic system location; (Z.) Floor plan labeling ALL rooms within building (all ezistiag and proposed)— Note:Floor plans not required for decks, sheds, windows, roo,fing; (3.) If necessary, Title 5 application signed by licensed installer with fee. -�----�-��--�...........................................................:............... ........�--------........................:---.....---� -�---------................. ---............-�----.......................-�---------�---........................-----�--.. ......-----........---------..........-------------.........._..._._...---.. REVIEWED BY: DATE: `7- PLEASE NOTE C4NIlVIENT S/CONDITIONS: . w��<� � �'�v-a�'J '' (� c. 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