HomeMy WebLinkAbout2018 Jun 22 - Sign Off Transmittal, Info, Floor Planso-Yqk TOWN OF YARMOUTH
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�CN�`'' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 7
Proposed Improvement: 1� < < <
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Applicant:
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Tel. No. :720-- Z31— 700(D
Address:'_
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Date Filed: 1 ��
**Ifyou would like e-mail notification ofsign off, please provide e-mail address:
Owner Name:
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Owner Address: _77 � 61)R- ��4 Owner Tel. No.:
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:
(1.) 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;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
......................................................................................................................................................................................................................................................................................................................................................................
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REVIEWED BY:� ' DATE: c ��
PLEASE NOTE
COMMENTS/CONDITIONS :
47-1 1 /2"
21'-b"
ti 4'-4 1 /4" � 2'-8" 8'-4" 2'-8"
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2-10 30' 2, 8„ 2-3 5/5"
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T-10" 21'-01/2" b'-111/2"
44'-10"
42-1 1/2"
15'-1 1l2" 21'-b"
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2'-b"8'-4"�2'-b" 11-H
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W � 2'-10 3/8" 2,-8„ 2-3 5/5"
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2'-10 3/8" 2, 8„ 2'-3 5/8" 2'-b" 1'-2 11/16" 2'-8" 5'-4 5116"
b'-b 1/2" 1'-10" 21'-0 1/2"
44'-10"
5'-6"
b'-11 1/2"
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