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HomeMy WebLinkAbout2017 Jul 26 - Sign Off Transmittal, Plan - Detached Garage with In-Law Apt oti Yqk TOWN OF YARMOUTH �,��, ,. c HEALTH DEPARTMENT ,-i E- PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: 10 COCu�SL`i A:114 , `^J r 14 i?-1-%0•-57.14 Proposed Improvement: A CUEl Two -CA/2 £s A 12/16,-C-- 1 A.) ` LA w AN 2rv1C�f' ABOVE Applicant: -DAN) I Z E . L.-En) Tel. No.: 5s - •GO -3`4`11 Address:. OD Co cuT 7,4-a4 , w T --o.12,1-.0,4-(4 Date Filed: 7"1 a' _17 **If you would like e-mail notification of sign off please provide e-mail address: 7/4 c (TENTS Co i-c4 S I, Nr✓T Owner Name: �A'`''' A S A-3©V C Owner Address: 47.41". 4 5 A-go U C Owner Tel. No.: 5/4- C 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 existipg buildings, water line location, and septic system location (2.) Floor plan labeling ALL room yitl intbuilding (all existing and proposed) — Note:Floor plans not required for decks')sheds(wi,nniorbs, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. , .r' ) `- REVIEWED BY: ( Via/ ' DATE: 7 1 cif/� / PLEASE NOTE CO MENTS/CONDITIONS: �f, te ',, / /� rn.0), ii. 6(ii-C4/04/:„7 el, oy itievifria, / , ta 0,,‘, ' Aee 1 10 i"-'. zr ,7eat,/‘46,67# \ • 4,C" 01 4 io2_s4Ld / .Z f t e°1( t/Y' ii . /( k„--, ,,,,/#1, / - r/ / //G, e,erse /,tt a' ' 7 • L‘• J - -3 - 1 , CO ,e�C1I ..ta w.nn,.��. SIra s o _. __. 30 §\,-1 - 2 $ CI G7 Ii d 4 �,!il< II II, g C •ar3 I re i,,. • .0.. . 6.06 J t LG q , A6 I. 6 t J 1 h —�a ____. ay tl 4 16 ypg i I . 1.-----= ''''''' UfRIttt , pry � , . gis : 1 W 4: Z ® , ©a css k. i a h O n Q1111111 3 ■ ./ ii 14. \,_ m ar N4111111UIPT:ATM 0 ti 22' ill : 1111 4f 4, ' u ,, or NI. I -' j 1,a... el INMIRILE Villiiii b.B b.1 I1 6.0 .t.6 I6.1E 44 6L 441) 0-SI .0 OC J .0 C6 Z B r Z-.9 9.Z ji a Ja Oa te--. @9 Z, I 0 0 I& r 6 i O Q O �S,II ' 3gg ! m j x Fa"iui �s 0 § moi$ $ ■ RIB 0 I Q; ,, Q Wo st ig —. W zottlie ro • a , I ,, gs c g i I , kr,1 , NopzIrw' tig 4 a g ir l i II CC 3 II 1 t. Y xna , it 1 1 d I Iia E QR 2 Q -z� u1 `` •t_ II1i1r1i € I •I * trA ' Z-.9 aR Z b.r 0 I .0 OC { Z-,6 ' 11 / 11111I 1 / 1 1 1 I 6. 06 t RR JII NA ■RR