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2016 Nov 28 - Sign Off Transmittal, Plans - Raze,Replace House
_ _ __. _ . _ _ ______ _ _ _ __ � i � i o���� TOWN OF YARMOUTH ! ���� � ����-;° HEALTH DEPARTMENT �:.w ��;� �"�«,; t,, �-=�---�� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET � � To be completed by Applicant: � _� � / , Building Site Location:� � �� � l � i ��� 5 • � ✓ --- �--'� � Pro osed Im vement: � � �iy � ' p v1 o c._ , 5��i.�.> �c� C � �G � . o� i �� [�� �Lt..� O � � � J(-.�-''" i i , � / i 1� / �,�. w Tel. No.: 5 G5�-,�G� J�� / � Applicant: <'/U G r rt�r � Address: ,�.�d�'� �U. 1,����Yp�� � �'��/ Date Filed: ; � **Ifyou would like e-mail notification ofsign off,please provide e-mail address: I __/__..----- �,,.� Owner Name:,%j ��,�l,,Q 2, �f� � (Q ' � {��, ___-- Owner Address:vS� �7 c�y1a � �G v� � • �!�W j9 Owner Tel. No.: ��� C_�� ��a� i s .................................................................................................................................................................................................................................................................................................................................................................. ; � 1 RESIDENTIAL AND/OR COMMERCIAL BUILDING ti � � � { 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, j and septic system location; i (2.) Floor plan labeling ALL rooms within building i (all existing and proposed) — i Note:Floor plans not required for decks, sheds, windows, roofing; ; (3.) If necessary, Title 5 application signed by licensed installer i with fee. ; .....................................................................................................�................................................................................................................................................................................................................................................................. i REVIEWED BY: �UC� DATE: ���.�� /� ; PLEASE NOTE i COMMENTS/CONDITIONS: ! , . � , � , � �-�i x��r,iv�/,G'� � � _ ,�-Uzy�� �' y �< ,��!�G�' S � l" i� , � � � I a , � —�--_-----_.�________ __._--- -------_ .�___ �_. ,.��_�----___— -- ---____ � 4 � A $� �g��� , Y �� ' �t�r .y_ ;.�� ar�i �� � � C g 'y o "� 'd . �� a w� � � �+o S O �"�` i �$ w8 � 8 " � �a Q��€ ��F �� ��g � � ,,�, � �W _.,rnn_ s � � � �� ¢ s7�g�" s�g �� e Z ,^F I— �E.ffi wh s�` } n �� Yk � � € �3 vJ Q e $��n �� �`�fi � � Q � =� �w �a ��ag aen �e aa� a � g,:.�o � �� � L _—_! � x �� � 4 n�6 �k �8E�§��Yg ~�m � L O � �.�D:aHE ;� \ � � u Y�'� �a ` ^�m ffi�g �` �` r p ``L p w ,��, � � " _ f F m =���eo Q � � gS Q�F a� F �a� �.l-,=����€g�� a �� � o I ���o`80 - — 'i-`"- � �� � � ��9m � � 7 `�_$�� �g n���8 @#�a ��� 3g �� W Q Z � . 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