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HomeMy WebLinkAbout2006 Jan 10 - Sign Off Transmittal Sheet, Plot Plan - Addition �,- -_-K-,�._ _��. f � . :�-- C'� -,.� 7.. _ _. �.�-�-� . "_ -. . � , ,:_ . -.-�.,,� .�__-�a .�,��.-.� .-.�.�-.� , . . .. .� .�....r--�.-.,.+.�.,.ar^a�*s+.. _�.. . x..rc�: ... ,...,_ .. . �. .. ... . '.��'� . _.. . . ' ...., ..:.�., ..:.: . . . ., � , � .�.Y'�'�.� TOWN OF YARMOUTH {f�. s� � ° � HEALTH DEPARTMENT � � .. : :�-� � �''=��M``� PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: '7� �-z4"r;��, � � Map No.:�o9 Lot No.: /s$ � Pro�osed Improvement: 14�d t G�r 2! ��'�~�pe,,�,�en �N �."� ��U�f�� t Me +�.�+ t�c��11`4�^+,�i —�� �`^a..T -��.6�►AR �lo f�L"^�'aS �w Fex.M. �1 I�U G r`"t I CZ' r'." pp�' � Ceu. ,..i"'a8�7�G– �&'�/ Applica.nt: �,"4 � ,,-�` Tel. No.:S'a�--3 9�8'c� G' —�— �— ;°` Address: �� ,v,a��,-r,�e��q,�,�,�► �'�'7'�„���,,ii'L Date Filed: �G � **If you woudd like e-mail notification of sign of�;'please provide e-mail address: Owner Name: C,,.1 a L.,,,�, t�;�G,� Owner Address: �"`7��G^d,�R,� 'R a�� .A./..�"1'�.. Owner Tel. No.: 7!�I-3 9/•-�c+S'� -�--.._.......--�------�-----------...:...--�----.,/l,�t..e�,R.�s�.----....M......-..R�-------�Q...:z�.t„S"..�"--------------......�:.:.-------.:.............-....--------�---------............-----------....:.._...:----------------�--------------__..._......:...._ RESIDENTIAL A1VDlOR COMMERCIAL BUILDING � HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements ; � For Septage Disposal and other Public Health Activities. ; ; i � Please submit four(4) copies of plans, to include: (1.) Site Plan showing ezisting buildings, water line location, and septic system location; ' (2.) Floor-plaa-I$b+�ling AI.�:'rooms-wi�thin building (all ezisting and proposed)— Note:Fl��or ptans not required for decks, sheds, windows, roofing; (3.) If necessary,�le S application signed by licensed installer with fee. .........................................-�---.---------------------......- �---�---�---��-�- ----------��------------------------�-- -----� --.....------�-------------------------��---�--...............----.....---�---------------...-------.....--�--...--�----------��----�---...--��-----------------�-----------�-�--------------�-------- REVIEWED BY: DATE: I D �` PLEASE NOTE . COIVIlVIENTS/C NDITIO�tS: �*�S�a,5 — �.Se� a h �� '�c��'�c� �� h�� /Z..u��!- /�c� ;�o c�.. � ��C�t�5 3, ( C�Ct �/�v9.vrn l `�wPr H ��'ROa�"t- G ' � V e �' ,/h 4 1 v'l e► tr0�1.. � � � �, IS-�� Ya c� .��y�l�� � 3 �� q 9 i j � { ; � , / , �' . � � � . 1 `� � � - L�� ` �w'v � . �a:`�r�� - .��lJl�l�� r , � �, c�Jl�{- 'J�ry � . � 1`` � i ► � SrDu � ����� . � � D�iv� � �� __ , � ► -�_��`l��� !_ _ - - - � N � � I � Zi.e 1 �tt�s�� _ ��l ` � � ' ����� � 'O �� � � � � ; � ��2� � � � � � ,� 33'�- � � I i . ; h�i` � L ` J �-��' \���k , �4 -LJ �:�, . , $ ' �j/� �) _ l\ � `� '" ��'� � � 3 ` � � �.. - - -_""' . � � Q � � � � � � , �D 7 Z C� D �,oT 2� ' . � JAN 0 6 2006 . HEALTH DEPT. .�cpr�':r,ctE' L acvs is n�oT rN �g ,�q v r�ft p,�vn�-cn n� - -4t��c:R� P�S7Tt1�1; ,�rv rE; 30°rd of Tr�� a�>r� a� T,�� toT - y�oury�}Ss�SSUl2S,/ylf�FP �q. iS8 a�,so x 3n��, � 2s �� CERTI FI ED PLQT RL.AN Nur�', r� t�P�"ry po�s ko�r F�hc. tv/�i� A LOC�►TK�� ���l.Tl.4�1.!��1�...�,Y.f�?!��... �l�ht �iA2l!"ltD f-"Crrc�1> Zt��, ��v�E "�"��ts sXvu��1 _C�_car�o2 rv�r-r���,vR.�td. 2.SO�JiS- o00 �f{ r!?�P � . .�."=3��. . QATE g 2 GS'. . .. .. 1 .. . _���� �11N�` t7� t?8� Sy �"�./??� �4. PLAN REFERENCE ���'!�SOv .f�±l1.. .. .. -��� �- �c1 ��e��.✓�T.�/.��?r!�j�t.�%-��.f�9�a �rn.l?��.8�!v,�,T,r�o-��/�hr!Avx.�v. . . . .St��".ff{j'i7'�+J 3�,� /Q S�� s�E"���. lz�!sT!f�t?�vB�:B:;"rr�� 1.��. . . . . . . . . . . . . . . . . . . . . . . . 2�`��'`j y i comr�r n+aT rME r�XIS7."�N..G-. f�,v,vS� o JO G,j, SHON►N ON THf� P�AN 13 TED OM THE GROUND . . . . . . . • . . • . . . • . • • - i� LE E � As �t10WN MEREOIiI ���G��� '� E N y . . . . . . .. . '. •. . •. .. 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