HomeMy WebLinkAbout2016 Aug 04 - Sign Off Transmittal Sheet, Plans - New 3BR Home .o�-=Yak TOWN OF YARMOUTH
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���''` ' `���`� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
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To be completed by Applicant:
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Building Site Location: 6 Z f3�4�11 AC[�'��
Proposed Improvement: /�/�"�J SiNCsZ,.E ���,y {�jryE: -- � ��-Zj/�U�
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Applicant: �z>� 6 0�7�iV Tel. No.: $�3t�'-77(�—(�j���
Address: (0 3 ��-,2/�/� C,(.E � , y/� Date Filed: 06 /3 /(C,
**Ijyou would like e-mail notification ofsign off,please provide e-mail address: ��¢�/� ��1(/� jp-r �f`�/j�� •
Owner Name: 5��
Owner Address: Owner Tel. No.:
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RESIDENTIAL AND/OR COMMERCIAL 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 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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REVIEWEDBY: ��(,�/��� DATE: � '��`/�j
PLEASE NOTE
COMMENTS/CONDITIONS: �
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N,)Me Date P.O. Box 532
Wl .14UMBER 11
So41 a. Youmouth, MA 02664
(508) 394-5296
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Professional Building Desigwr
P.O. Box 532
DRAWING NUMBER
So. Yarmouth, MA 026"
(508) 394-526
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P.O. Box 532
IP So. Yamouth., MA 02664
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