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HomeMy WebLinkAbout2019 Mar 04 - Sign Off Transmittal, Plans - Close in Carport ot` ak TOWN OF YARMOUTH c HEALTH DEPARTMENT o PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: r6 / r= 4(ivy Proposed Improvement: c-i0 ,/' �. 4,,1 t::�' �_-. Applicant: (_ ctsYL30") Tel. No.: 57347 ( y 12 S Address: 0 1 } z�Q.�t�u Virt. , ,I r)- i,.-- !1 Date Filed: _ Z 9 - (7 **Ifyou would like e-mail notification ofsign off please provide e-mail address: III' Owner Name: A_(tA Owner Address: 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. REVIEWED BY: � `: ' DATE: ) /r i PLEASE NOTE COMMENTS/CONDITIONS: 1 L FILE COPY 105.06 EC.17 SHED cs MAP 98, PARCEL 10 m #56 BEACON ST. c YARMOUTH, MA ( Mp PR f2s OrANK X0,7; N �" X 11 o (1;>I.I 11 p PORT DING 0 q. t CZ<i ii 1000000 TOWN OF YARMO TH REVIEWED FOR BUILDING AND ZONING CO k COMPLI- ANCE, ERRORS OR OMISSIONS DO NOT• EVE THE APPLICANT FROM THE RESPONSIBILITY Or BUILT RECEIVED CdMPLiAN DATE: '/ 06 105•06 �• MAR 04 2019 CON S 1«,U oy Sidi o-i crAt. BEA HEALTH DEPT. 12IE © gU \V DD WORK MUST 0 ( I•+ + ALL TOWN C E h 0 6 2006 SEPTIC SYSTEM SHOWY BYLAWS AND • .c, ' 4.,'. S DRAWN FROM OBSERVATIONS OF RECENT EXCAVATION 06 I HEALTH DEPT. 1s'r/' Y. r WA'2* OUT CERTIFIED PLOT PLAN BARRY RESIDENCE I CERTIFY THAT THE IMPROVEMENTS SHOWN OF 56 BEA MA HAVE BEEN LOCATED WITH AN INSTRUMENT a��4- kb DATE AUGDRAWN: RES SURVEY. = nose 2 °`. SCAtE t=30' JiOB $ W0729 o SYKES .a DWG CPP �' No. 35418 'A EASTBOUND d_ Vje . ' LAND SURVEYING, INC. O ZZ =i ✓ P.O. BOX 442 ROBB SYKE� PiA-- !TATEF,4;11;5. / FORESTDAI4 MA 02644 506-477-4511 FILE COPY I. 10 1 W N 1 , ck':',,, V .� tli .ct. 8 -. ._ • r...1 rg •E X ,. • • s .. 1 I . czA... S . .In ` R i . I [ } - f I Q III A f 4 •