HomeMy WebLinkAboutNOT BUILT: 2016 Dec 09 - Sign Off Transmittal, Plans - Renovations,�_,-,�.,z �T __ 4 .� _
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F � ..oti�;�,� TOWN OF YARMOUTH
W � ��rv,c HEALTH DEPARTMENT
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' ���''��-�``�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.:�=�,,`�—�-��'�(��
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Address: 1 ,��' /�� I 1��"��` �--� 1��--� � �� DI�
—�-G�—�� —���Ty� s' t� ��Date Filed: (�
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**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.
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REV ED BY: DATE: /�.- �
PLEASE NOTE
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