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HomeMy WebLinkAbout2019 Mar 27 - Sign Off Transmittal, Plans - Breezeway, Attached 2-car Garage of TOWN OF YARMOUTH x; - G HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: -n LAr Building Site Location: 43 6 Ii-v-A-n-t-L Proposed Improvement: BUS c ' g a eiezot414 , NTD itrPAC?I cam? CA-12- 0'111246-C -TD / use -r Applicant: `.,t c `>EP N M G C L U S k tU E Tel. No.: 5vig 32- -Noy Address: /I (fl OSS ST" / it72-1,0 IC-P)Y&r Date Filed: e3/2-7//9 J **If you would like e-mail notification of sign off please provide e-mail address: Owner Name: PA-0 t. S4 ye-2- Owner Address: •-3 0 i- ZDZ. LA t\i€ Owner Tel. No.: i, 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. rr r -, REVIEWED BY: T\A. /r DATE: ) A7/1�� PLEASE NOTE COMMENTS/CONDITIONS: 1 t r Wd 414:914:L 8408/L8/4 4 T o In a Q E in a' ^¢ J -CO / .0-SZ / g ..;') CC ' m' i \ ` O uS .-,Z- \ \ IILI IIf III II LIIII YlttIlI II1I15JIIlY VIII fll lJ lifllJ 11 c O ¢2 ,- 02 2 . ,..,_ l t J d E I F-- E a.� Cr) 2 a-0 ,A-.4Z \ / o f,2, r w \ / d ❑ 0 0 z� Q¢QUA \\ // a0 '4_3 \ / , r\ d = m I x a a -n - I ¢31 / \ '� . az / \ - ¢� 11.< � / \ o / F- w¢ p 'w / \ o QE pa ap 0F �Z9 I '� —N Ow apQ I) .2 1 , X03 a� ¢ o w0¢ ar: _ / o S. X Wiz. ... w `'f • 3F RoZo Q \ / E Q p a J w ¢ti \ n LE n3�Q''¢ f= ~ m O , 4D k . , ,5 \ / . 8 _ _ > C%*ii......ck C p / \ 1- II N J m3 wm (n '� `.� S ar Er. o // \\ o •- '.' U w / \ O 0 0 - _ o \-- a< ■ ,A'.8 N - I� Q) �:' \ 0 � • \ \• \ it viii irirI [I . � \ V J 4--• 11.7 EF; vim' N O CO CZ 10 © ;flvv O CD cZ w F z 2 C 1 ‘>1 O w ct O N 0 -1 � a v d2 j o /E 5t a O -2-.5 2 E 1 • C7 m• V/ ceti}m , i i i f I I '-j- . 00 �• � 2' • •. civ � ..&):%)1- co • 0 4 • ;p , P7 . 41Z:'-'14-: -•‘.! -‘: . . - 3-7 . . . : : l O .471k. l t- •�• ->t . ..•\ ' i _.cs 1" t ¢ � '• . �a �— tib 1 Q J O F. r. • 1. . o t • 9i •- , is � � ls3 Z — ti ii - �:'-% , :: . - 1 .o '-, r . • • o° ate!_p H", -- - L.y.. 7. ,Q,Qa • .._. . .. : i.. . A ,. .......... , . • , .. . li. , .. , . . , . ... .. .. ... ,. ......_ ... . . . .. . . .. ... .. . ... .. . .: .••• .... • • .. .... . . . ... ... . .. . . • . . .. . _ .. ... . . . . , , y, .' _ . . _ _ 1,.... 7.0........71..,. _.: ._ / . .• • .r. . . ... .. , . . . .. .. . . .. . . ..... . . . . .. . .. .. . _ • . ..._ • • . ... ... .. . ... . . . . : __.. .. . .• . ... . _ , . . .. . .. . . .. . . • Ae.„..... : _o4a _........ • ... . , . . .... . . . .. . . - Ong .... . ....,.......... . R.- / V i a i i f i i f I 1