HomeMy WebLinkAbout2015 Aug 04 - Sign Off Tranmittal Sheet, Plans - New 4BR Home � d�
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� .�'?�o TOWN OF YARMOUTH
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'>" "`` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: � � J
Pr�se Improvement: ,�"Y}
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APPlicant:_ �� ��� TTQ� , �
Tel. No.:.�p � �? /3��
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Address: c Date Filed: — ^
**If you would like e-mail notifrcation of sign aff,please provide e-mail address: �--y�" (' J�/�G/s`���'i-�'
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Owner Name: 'f``vc, v� �� c� � �
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Owner Address: �� ( �j� -c V-e
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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. '
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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.
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REVIEWED BY: `
DATE:_ �� %�
COM ENTS/CONDITION • PLEASE NOTE
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