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Home My WebLink About2014 Apr 22 - Sign Off Transmittal Sheet, Plans - New Foundation for Existing Shed/Building ,�r . _ .� � r.. . � �-�- ____ .�� oF�q�e,� TOWN OF YARMOUTH � w �° HEALTH DEPARTMENT r� ,��}� +r��cwe� � PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completedbyApplicant: Building Site Location: g .�.�SS t� s t�C.►�- Y�E� a (� Proposed Improvement: J� b�� "l•�� e.-�C �-�'��' S��e� �`'`�� n Applicant: .� � �v�V�-� Tel.No.:_�� I � � � � GU� �,� ...�r�(dY�� V�t._ , ��0�2-��;' � 0�()Oa �a - 1 Address: i Date Filed: 't" *. ' k.�,�1� a � Q If you would like e- ' notification of sign o,�;please provide e-mail address: '� 0° a ��p . C O�^ Owner Name: Q`�` ��..� Owner Address: �� '�v Yi'Lt._.. �� j�bo+�'�'�`<<Q �Owner Tel.No.: p�o� ��J 1 0�� (�!�ov�- .....................................................................:..................................................................................................:......................................................................................................................................................................................... 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 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. ......................................................................................................................................................................................................................................................................................................................:................................................. � REVIEWED BY: � DATE: -�{'.G'-� ^/� PLEASE NOTE COMMENTS/CONDITIO • � �o.� ' � S O �o X onN LOCUS BASS RIVER LOCUS MAP NOT TO SCALE CRAIG A. ` c4 FIELD cn No.38039 't+151� OND CRAIG FIELD DATE PROFESSIONAL LAND SURVEYOR PROPOSED SHED RELOCATION #8 ,JESSIE'S LANE 1N SOUTH YARMOUTH MASSACHUSETTS (BARNSTABLE COUNTY) . LAYOUT PLAN APRIL 10, 2014 PREPARED FOR: PAUL K. BUTLER 22 DAVENPORT ROAD WEST DENNIS, MA 02670 pkbutler2002@yahoo.com kifflTl BSC GK. OUP 349 Route 28, Unit D W. Yarmouth, Massachusetts 02673 508 778 8919 © 2014 BSC Group, Inc. SCALE: 1 " = 20' 0 10 20 40 �r FILE: 4960502—SP.dwg DWG. NO: 6086-12 JOB. NO: 4-9605.02 SHEET 1 OF 1 SIONS- NO. DATE DESC. liarvate ll ali Sy3Pw1h I-iealth Dep2rtra7elit PREPARED FOR: PAUL K. BUTLER 22 DAVENPORT ROAD WEST DENNIS, MA 02670 pkbutler2002@yahoo.com kifflTl BSC GK. OUP 349 Route 28, Unit D W. Yarmouth, Massachusetts 02673 508 778 8919 © 2014 BSC Group, Inc. SCALE: 1 " = 20' 0 10 20 40 �r FILE: 4960502—SP.dwg DWG. NO: 6086-12 JOB. NO: 4-9605.02 SHEET 1 OF 1