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Home My WebLink About2003 May 13 - Sign Off Transmittal Sheet, Floor Plans - Bedroom, Bath over Garage �� . .Q��Y�� T4WN OF YARMOUTH � ° BUILDING DEPARTMENT S� , c OI. H Y '�� ~ s�� BUII�DING P�;RMIT APPLICATION DEPARTMENTAL SIGN OFF �� TRANS11+iITTAL SHEET Build'mg Site Loca.tion: c�- Jr �� ll Map Na l�% Lot No:� � Pr�sed Improve�nt: �, A ' �pplicant: � �t,l��szc 1 ��I� .>�' Adc�ess: � ' � ..'�B g` � TelNo.:_ �7��''G'�S� DateFiled: :� f3 �,'-� T�Builciing Departrnent witl be respo�tsible or assisting the app icant by disP��Y�P�and or appiication to the fotlowing ap�l�ble deparhnents. �t�SIDENTIAL AND/OR COMMERCL�L BUB.DING w��rAx�r: n��c��ofw�c�A��cy�a o��g��;�,. EI�T�INEERING DEPARTh�'I': Determines Con�liance for Parking arai Drainage. Ct?NSERVATIQN COMA�IISSION: �Ccxnpliance to Wetiands Acts;i.e.,If L�(s)Borde��y Type of Wetla�ds,Strea�ms,Ponds,Rivers,(�ans,Bogs,Bays,Marshland,Etc HEALTH DEPARTMENT: Det�min�s Compliance to Sta#e and Town Regulation�i.e.,Requtrea�rts F�SeFtage Disposat a�d�Public Heahh Ar,tivities. F#R'�pEPARTN�NT: D�mi�Co�liance to State and Tcrvm Requirr�ts for P�sonat_ : �. . - S�f�y,Pcoperqr Prot�;i.e.,Smoke Detectors,5prinlete�:SysteYns,Etc. I�EVIEW�D BY: 1. WATER DEPARTMENT: DATE: N/A: _ 2. EN�iINEERtNG DEPARTI►+�IVT: DAT'E: . N/A 3. GQNSERVATK?N: DA7'E: At/A: ; � _ : 4. �#EA�LTi�:DEPAR'T�NT: - .. � DATE: � : . N/A ANl)10 5. �iG INSPECTO�R DATE: N/A: 5. PLtJMB2NG INSPECTOR: DATB: N/A: �. FIItE DEPARTMEI�PI': DATE: N/A ��NUTE COMMENTS: ` RECEIPT OF COPY: SK'iNATURE OF AP'PLICANT: DATE: � �� PY-Bn�7d"mg Dept -� Pmk copy-Wsoer Degt. - Ye�awr C,d�y-HahL I)ept. - Pmlc Copy-En�g Dept - GoldGuod-Fce Dept�Couservak�n