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Home My WebLink About2017 Mar 14 - Sign Off Transmittal, Floor Plans - Finish Basement, Rear Deck, Bulkhead Entry, Front Entry Ramp _ � _ . ., . , _ �'�. � � � . � � �* Y'�k TOWN OF YARMOUTH j .�-�� ,� �;X�� HEALTH DEPARTMENT ' o:_a:. .� _ �,.� � � . �"�y,r r �. �`�f"Z'... :. �� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET � To be completed by Applicant: � ' Building Site Location: � �CY�1 t�Ct �G�d� �(`U� > C�`�(�C L'� � � � Proposed Improvement: -n._n��}1 � Y�GM i r1 �G S C��, �t°C �L`` � ��' ��G �1 Pca �°�'r'YZ�� v�° � ` � ,�cr � Applicant: �O��o` �L�� Tel. No.: �i�i' �77(0= ab`�` a � . � Address: � �-l�M j f o� �-Lc, a� , S' Q{�`C,�-�'�'� Date Filed: � I -7 � **If you would like e-maid notification of sign off,please provide e-mail address: 1 � Owner Name:�'T Yl�� t��"�U�1Q YY� � �C'�l�� 1' �'`�tv��. � Owner Address: l, ��(Y��r� '�r� J� `�G (/`nC'J`�''� Owner Tel.No.: 5�"7�b "d6`� �e,, RESIDENTIAL AND/OR COMMERCIAL BUILDING � HEALTH DEPARTMENT: Determmes 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 license.d installer with fee. ..................................................................................................................................................................:.................................................................................................................................................................................................... � � REVIEWED BY: DATE: �-- I �'�' � � PLEASE NOTE COMMENTS/CONDITIONS: ��Se � /�� v►��r� ,'��' �v-uc.�._ � � � � � � _,e„�.. f e �� 6 �� p� � x . i� y 4 y�' W Vl � �� . . � � } r � a � � �i -. �. . ..�.,�� ' ,►..Q� .�� F. ..� �M7�iN �� ..� �4!1 �. :�.Q�. . .�... .. ..� , Q VI � � � �� Q � ¢ a m ` � g � � �P � OJ. �� s� „ - � ,� m � � 4 �� a o� +� dd S � ' � $ `-i � � °a � � � ` �m� � Z �: �» �" v �} � �� ` �� N N � s �� `��` � � "_ �� o �� d �, � Q � � � � � ss �� N � �� d r o ° $ '_ • f f,,s At .�#s. /�r� �f�;�{t p,3� ,R {� J ffJ .4 J +V �� i ��. ..R y,. .Qa .Vjv ..:. V'. - N r� . !S � �v � a 9� N � a �� ,►-r—� � � �� 'P �U�� `� ��, ••�7r�c�.y$4� � � � � ¢ W � � K d a�' � o � ^ p,� �i a ��/ �p �° r,..� w � � f ti . . �" _ p � _!. 4�9§' J�:t�•�' ��.... k4 \'��,, �� m�y d, / 4�,h �� a� # �= �; / �.� �� r� � ` :� � �� , � � �� 4'7 P '' �,� �a • + , : � - � .� , _,;, . 'A �� . tY;'.� ;_--'� { , �;�., .- ��r� ti:%� � i -, � '�. � �� " ..a� ' 5y �� . �y� _... �, �+y� _. � d�w � 4Wg � `1l� 94 � w'�t . �� a �Og „�wg.. ac�. ^ �P�e /� � �.. M'' .:?..`�-1� � . .-`�l-�t � � �^� i J� ��Y 2� g �p � -� ` "�8•r,� 6� » / ' � ��g §O.COe� �� j� �� p��]b . r± rll �. �.."',t'a.� SI� � C j b . �C/��'�1�� +J��i. . L�$ � :��.Q..I O � ��s �.� � ' _ 4 .�-..�y v��t� � �, � h� ` � oa � � �� 3 a o _ '�_"�.. k� .. .... .. .._._. . ........_._.._ .. _-_... � .� � w � �j 8�- . ' � . � � ,,� °�' �:� Q � �� ;; � �' . :6 � $ �� /� h ''+ + �X " �'. � `-' �'�a , % 6 .� � � � � � � ,� � � ya t Mv(V'u�' . � �,� ! +� � � - ar w�' �,. � � ' V' Im�3` � � � � h �`' � � E �� E � �' � $1 ., r-- c�. 3 d � �� >, � ;� �9 � --r �g Fa1d+�eu.� � f �. �� ' � J ' 3� i � 'SS. T[ �, � � x� N K� .� � � � :S � {w � � � � � �u N � �. �'O � � , � a � � � � � -' � f '> > � � •- o (� ^ � _� --� `'� �..t.. J � � � � °��`3� .�'� � �3- � ~ a . � � r-- � ,, ,O w �. � � Q GK�f w/SKd;ny 6os� E� � 0 'f� +' � � o �. S � ; ; �� `� � � `�i � \ � v �.� �l Q � '� � �' � � � s �- � � � � = �3 �; � � r� � , . � .�, z � � � ;,� � � '`! � � � � � �!� M� -� ,� � �� °° `� �3 .� � � � � \ � �"9�' TT ---t I 5s A N -L I L L I 1 1 p. ne, Y-- \Y1 CCO) -77 MA 1�4 2,617 7-11 11 ITI T------------- --T-F TT� H I 1 16 U11 C, 1, --------- --- -- IT lz -A-i 1� kqq I 5-T TT -F-11-111 T I M S.i I 1! i� � `l � I I I I - --------- I � � I 1. I ! -��-�'' I � i I I T; � 1 1 I � I � -.T 17 1 1 i-- T I