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2016 Apr 08 - Sign Off Transmittal, Floor Plans - Basement Bedroom, Family Room
oY Ya� TOWN OF YARMOUTH �� ��:�o ��r�,c HEALTH DEPARTMENT o:_� - _ �-� ��,�,..__ �,�,�. � � �-�..�=�y PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: � N� � I� �cY• � � i�{ �Z- C�7� Proposed Improvement: ��1�L�.ti�• � i ✓� <,, �Zv�e.w..c...,�' o�,�� I �« ;\ v�,r+,.. Applicant: (���+t o��5 .� Ca nN � � Tel.No.: S o Z -�"Z 2.- �/ £�3 7 Address: �S /���� (��1 (pti)P S� �irvL.c�u`.Ki,v�'►r�4- �ZC�?�3 Date Filed: �-�- 2a/ (o **If you would like e-mail notification of sign off,please provide e-mail address:� ,��, � ,; �=_y.,,,`,..�o . C oyL� �P Owner Name: � , L}kc, �,�: S � �.c, ,VT � :�.. �Zto�`� G Owner Address: �� /U�r`�-.. � _�)p�� `t�G.rw����f�'`l� Owner Tel.No.: c�oZ-S`L Z - y 6�7 ........................................................................................................................................................................................................................................................................................:........................................:................................ RESIDENTIAL AND/OR COMIVVIERCIAL 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 p�an 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 iostaller with fee. ...................................:...................................,.........................................................................................................................................................................................................:...........................................................................:......... REVIEWED B� ' DATE: '7—' ,�j ""' I �° PLEASE NOTE COMMENTS/CONDITIONS: ���� � j�e r�U ,�- � - C c +n �(-��� � � � K CC. � G�J � G ' '' , ' ,: E , ' a . m ' ' ' E °o r I ' ' .___. � O . . ��. ` �. .. ............... Y ' . ��.. ...._ ........ _._ . , ��. . ��_ �. ., ., .. , �........ d ......_.. . .. . � . ......; ,. _ . , . ...__ _ � - m _ m '_ . . .__. m , . �. �'. '. � , i ,. m . ' '�. I . �. �� . '�, '�. _ �. , �,.. '�. , : . '�, . . �,. �� . I � �' .,. '�. � . __ _. :....... ��. �. .:.. � .: O . '�,.. . I._. : . �, �, , , �, , . . ��. O '. ', '. ' _.. . .._....._ �� ��.... . . . ._: � ...:......; . ,. , ` . . �. t '. . r- .. t�, m `_.. _ _ __„ . , , � � ,�_ � � _ . .. ' . '. . . '�. ; - O '. . ', �. . . . ,. .. �. �.. �, L ; ', ; , "�. � '�. . '. - . . ', '.. . O '. ' � , , '. c7 , �, . . . .. .. �.. .. �, . � , ', . , O� ���. '�. , '. . ��, '� '�. , O '�. '�. '� � , , , c a , , ' ' ; > ' ' a� ' c ' ' c p w ,, . , . ,., J �. _ C O : '. . . � .' .. , , , , , G� y , : __ d , m � � : � ; � � o.. _ ., , , ; ,,� � w _. ,� ,.�, � ' � � .c� z _ `, o F- � � °� �_-� J �I . L J_, i`� � Q _ ___- � , � _ (�I �°.� �Q � � `o ' Y ' ' a — _.. __. I I � _ . _ U \ , � _._ _:. _... _ . ti ' ' I � , , ' , �, ' . . . . . . . . '�. N I . . .... , ._... . . �. ,....._�._ � �. , . O . Q: �: � .__:: _.._ � , ...;...._ , , , �. __ .`__ .._�:....... ..., .:... ., .; t: '.. ,. ,. ' ., � '� ', ', ,. ' .. .. . , � �. '. �I - ' =j i . . . . . ��. . . ��. �. . � �, �: i. O'. ,..... _......_....... � _....... . _ ', , _, ,_ I �, i � � R: . . � �' . � 0f I � !._... . I . . ; �': � . ____ _ .... . ....... . . . . � . � . , ��, � . , '. . �. '. �, ��. d- . .. ...... ......._ ___ W _.. . . � _ . ... . ,' �' ! ' . � . � .. �.. .. � ��. . '� '��. �'I �,. . ' � '�. �. �. '�, '�. . � '. �� I . '�. '�. ��; ',i .- . . . � ...... . ....... . ......:. .......: . ...__.. __ - , _'�. t��. � . �� '�. � ''�. '�, �. . . �. . . . �. �. ' '. p'.. . . . , ., . . , , . �. �. . . '�. 2'�. �� � � � �� �. , '�.. . '�. '. '�, . ' ' , ' �. �. �. , ', �'��. . . . , . , , . ... , ., , , . . , , . , �., �'�. ___- ____ ..._... ._........._. ,...__ ;. . _:___ ......, . - --- '�, W'.. . . . '., ', .., I ' . .. . � '�. y'�. . '. . �. _ ' . ' '��. 7'��. __ ._ _, O' ; x ', ' ' ' ; : � ' ' ' ' ' ' ' Y I ' ', : ' I ' : ' I : U ' : , , : 2 I , _ � � � d- 0 � � � �� a I ;� � i � i I � � � �� ' i � �� ��I � � , Q � � U � ' i ' � � � o i , __.._.. _ � � , � �n . �� l,�l � `° >- .I � ,� � d �� s � �� � � � � J ' � � i � � ° � � _......._.._._...:_... J � ,s �, -— � � � �. J �� m z I I I � I � ��� I I � I � o �' ' o LO F= � �� � ���� w� � O � ,r � ' u'� � o H � � cn ca � � ; � � � � � _._..__ C� ¢ _ � � � , � � - � �, I �'`� 1 , o � � I _.........._. � ,� �o �_ � �, : °� /,�+-.-.�l� .� � ; �',i� �� V '� M _........._._..- ---- (� W w _ 3i . i �„ i.0� '`�' i �� � I � `� ' �`� � � � �, i � � � , �;, , , � v � � � _ � `r' � I � , � , : ' ; I ' ' I I : I ' ��