HomeMy WebLinkAbout2015 Sep 21 - Sign Off Transmittal, Notes, Floor Plan - Minor Remodel. 'Act's
TOWN OF YARMOUTH`
HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: c, I S (E-11 t A ,/,4r_�OU-af ti 0
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Applicant:
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**If you would like e-mail notification of sign off, please provide e-mail address:
Date Filed: ` /U h
Owner Name:
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RESIDENTIAL ANWOR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
REVIEWED BY:
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;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
DATE: �h'r
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ARCHITECTURE
LAND PLANNING
INTERIOR DESIGN
3 D VISUALIZATION
833 TURNPIKE ROAD
P.O. BOX 104
NEW IPSWICH
NEW HAMPSHIRE 03071
T1415 DE51C AND 714E DRAW1NGs
THEREFORE, PREPARED FOR T14I5 ARPROJEGT�
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