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HomeMy WebLinkAbout2017 Mar 27 - Sign Off Transmittal Sheet, Plans - Screened Porch o!�.�Yq� TOWN OF YARMOUTH � � ��� �; �-;°� HEALTH DEPARTMENT _�y Y����;, ��.ij'� �., ti�r PE IT APP.�'�ATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: --,�' eC..s`._ �r� . ,s- v II Proposed Improvement: C��,r^r-�• r-�.�c�. (��c�l. / � ' �. ;� ` Applicant: � Tel. No.:15 a� ���' ��5� � �-- c��l��3-�7 C�-�T,�^<<5 � Address: r � Date Filed: / . � � **If you would like e-mail notafacation of sign of�j;please provide e-mail address: Owner Name: � - Owner Address: -� ✓� �' ,i wner Tel.No.:��/ -��-�.d�j`7 .................................................................................................................................................................................................................................................................................................................................................................. 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. 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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