HomeMy WebLinkAbout2018 Jun 22 - Sign Off Transmittal, Plans a Yqk TOWN OF YARMOUTH
ic HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Buildingt
Site Location: U
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Proposed Improvement: e i4 ,.J� �) ! ,.-0)?
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Applicant: k u \ V8 Tel.No.:(4(3 7� r Cer6
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Address: U U V\t\l S p t\\ k-Yit K.:, Date Filed:
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**If you would like e-mail notification of sign off,please provide e-mail address:
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Owner Name: OIL AAZ.4 u-a 1(li\'
Owner Address: q2e i{meq-t:16{ Owner Tel No.:6/ w-`3P4e
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: /.l.L/ / `
PLEASE NOTE
COMMENTS/CONDITIONS (A-4 ` )`' ‘-•(>v V ft w..L,_,` 1 �' r ( J v`t( C /x�'t` ` k)
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EXIST. DECK
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EXIST. SCREENED PORCH
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EXIST. OPEN PORCH
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EXIST. SHOWER
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EXIST. CESSPOOL
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EXIST. CATCH BASIN
SEINE
POND CONDOS
TOTAL AREA=10.7 ACRES
LOCUS IS A.M. 41, PARCEL 17
STRUCTURES SHOWN ARE ALL IN ZONES X ON FIRM DATED JULY 16, 2014.
MOST STRUCTURES ARE IN THE 0.2% ANNUAL CHANCE OF FLOODING.
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POND -CONDOS- h i
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SITE PLAN
PORTION OF
YARMOUTH COUNTRY CABINS
864 TO 878 RTE 28, SOUTH YARMOUTH, MA
JUNE 1, 2006 SCALE: 1"=40'
RONALD J. CADILLAC, PLS, RS, P.C.
PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN
P.O. BOX 258
WEST YARMOUTH, MA 02673
(508) 775-9700 N/F
CAPOBIANCO
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N/F BASS RIVER REALTY, LLC
L.C. PLAN 29957A
(STATE HIGHWAY --40' WIDE) 28 o
WORK MUST NF RM TO ALL
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-G�OU WATER DEPT DATE
JUN 201 YARM
SHEACTH DEPT.
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