HomeMy WebLinkAbout2017 Feb 21 - Sign Off Transmittal, Floor Plans - Addition _ .: . - - t
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,o!��;,��,� TOWN OF YARMOUTH ;
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'-�E-' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant.•
Building Site Location: �y ,��'�/ /ACh�e /�
Proposed Improvement: !�X l6 /1�'��cJ �t ,� �°�+ /C7c� � '�'v � � � �u ��C Q L('
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Applicant:,�_��,(/6 rG`�G/ Tel. No.��� YGO 3d�7
Address: (N r �� u� Date Filed: ?
**Ifyou would like e-maid notification ofsign off,please provide e-mail address: ��}'�`�'t,�r�c (/e����'d-c_ ti.��
OwnerName: ��t2 ��l tQ�► �'"�XUKP I�� 8n.�v �
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Owner Address:�y tl��C �i e.� 1�� � ✓- G o26t5`f Owner Tel. No.: I
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` RESIDENTIAL AND/OR COMMERCIAL BUILDING i
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 egisting and proposed) —
Note:Floor plans not required for decks,sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licei�sed installer �
with fee.
...............................................................................:..................... ..... ....:....................................................................................... .............. ... :... ...x::::......................................................
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REVIEWED BY: DATE: �1
PLEASE NOTE �
COMMENTS/CONDITIONS: �
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CROW STREET
N y�o�p' S ST43'20" E 80.92'
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S ITE P LAN
LOCUS : 64 MATTACHEE ROAD
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d' JOHN ya�
SOUTH YARMOUTN, MA � DEMqREST,JR, �
REF : PLAN BOOK 148 PAGE 79 '° N°'�5g�
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PLAN PREPARED FOR : 9N� �R y� '
ANNE MULLANY & MICHAEL ARGENTO �/�D ��
DATE EG. D SURVEY R
sc�tE : �"=ao� oArE : �/os/2o» D EMAR EST LAN D S U RVEYI N G
ASSESSORS MAP: 25 PARCEL : 141 338 MAYFAIR ROAD '
SOUTH DENNIS, MA
508-364-9049
FILE=16220.DWG
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