HomeMy WebLinkAbout2016 May 02 - Sign Off Transmittal Sheet, Floor Plans� .„.��,;� _m �.-�-�-�. �, n ,��. ..
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;,. oY�Ya� TOWN OF YARMOUTH
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��4"'���%��� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant.•
Building Site Location: ��J oZ 1�A-GJKA�N�4 W K`fi �•?
Proposed Improvement: �2w Ci����,�,e4� '�cr�v�-Q� —' !� `�j��bOM S
Applicant: Sl-bw C�15� .5�� ��-t2 S �� Tel.No.: �� � � IS�
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Address: �`� �� �`�e�� � �rt Date Filed:� 1 C�
**If you would like e-mail notifacation of sign off','pleas�provide e-maid address:
Ow�er Name: .��,�.e l.•A�wp LC.<
Owner Address: .ZS� ��,��. � ��,y��,-e t� C�, Owner Tel.No.: `�C�q�`?g�
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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:
(l.) 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;
Ij (3.) If necessary, Title 5 application signed by licensed installer
I with fee.
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REVIEWED BY: �(JC� DATE: �� �"'/
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PLEASE NOTE
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Yarmouth HMO Department
APP VED
DONALD I, MEYER
Professional BuildmgDenpa
P.O. Box 532
e • So. Yarmouth, MA 02664
(508)394-5296
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DATE:, -t2 _ /L,O l (0
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Yarmouth HMO Department
APP VED
DONALD I, MEYER
Professional BuildmgDenpa
P.O. Box 532
e • So. Yarmouth, MA 02664
(508)394-5296
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DATE:, -t2 _ /L,O l (0
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DONALD I. MEYER
" Professional BuangDesigner
P.O. Box 532
So. Yamwutk MA 02664
(508) 394-5296
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ft fmmral Building Designer
P.O. Box 532
e So. Yarmouth, MA 02664
(508)394-5296
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DONALD I. MEYER REMm
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