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HomeMy WebLinkAboutNOT BUILT: 2016 Dec 09 - Sign Off Transmittal, Plans - Renovations,�_,-,�.,z �T __ 4 .� _ , . �,.:_� T _._. . -_--�-.,,d��.�� .� . _ _ __ _. ,_ _ .�.�� �� � � F � ..oti�;�,� TOWN OF YARMOUTH W � ��rv,c HEALTH DEPARTMENT � �-� <--- :_ry ' ���''��-�``�l� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET �'o be completed by Applicant: � N B lding Site Location: ; ' �j�j Pro osed Improvement: � "� ` ' a�t h c. �rx�..n�..c�a,+! � �� �V�'y5� V ��'S "(�lt S ` Gr.. rs�Z���` __,.... ( ��K/ Applicant: Tel. No.:�=�,,`�—�-��'�(�� � Address: 1 ,��' /�� I 1��"��` �--� 1��--� � �� DI� —�-G�—�� —���Ty� s' t� ��Date Filed: (� � --�-- � **Ifyou would like e-mail notifrcation ofsign off,please provide e-mail address: �����l�3� �,,��!J �-���("�-v,�r,�,�, Owner Name: : Owner Address: Owner Tel. No.:��-- �?�t�— � �, ,�. � RESIDENTIAL AND/OR C RCIAL BUILDING � � ����TH DEPARTMENT: Determines Compli e to State and Town Regulations; i.e., Requirements For Septage Dis sa1 and other Public Health Activities. ' Please mit three (3) copies of plans, to include: � (1.) ite Plan showing existing buildings, water line location, � and septic system location; J 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. ..............:.�.... ...........................................................................................................................................................:...........................................::..................................: REV ED BY: DATE: /�.- � PLEASE NOTE COMMENTS/CO DITION : , / �.�-� � �..2 �/+'�*�. � t.� � (��c'�v c.�/J. .,,... � �j c�/llJ � --- c��p � c� �,,,,,, << ,r��., �,L,�.c a t G,,� 5-�,,,;s _ /�1 SSU 1�.. 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