HomeMy WebLinkAbout2013 Sep 10 - Sign Off Transmittal, Site Plan - Attached 2 Car Garage orTefkk TOWN OF YARMOUTH
c HEALTH DEPARTMENT
o .44sPERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
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Building Site Location: 2 zh r /0r} v r"
Proposed Improvement: f.17,w-A rA c.dg i �r'•�.fi
Applicant: /'h / , ,. T401711Tel. No.:.SBr -69f7Z�
Address: e u . /2..t'''7 /5,e- J e is et oZ G I/ Date Filed: p/sy, 3
**Ifyou would like e-mail notification of sign off,please provide e-mail address:
Owner Name: 0, ✓t . l"i 4,3 eG'
Owner Address: r" 2 rrA7 t Oe'"'"c Owner Tel.No.: /711 - '99 -812.
RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For geptage 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: CE; DATE: t'G-
PLEASE NOTE
COMMENTS/CONDITIONS:
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`N=d t� STEPHEN A. HAAS
,. ` ,. \ ENGINEERING, INC.
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SEP 10 2013 ''. 923 Route 6A
4 Yarmouthport, MA 02675
HEALTH DEPT. „.,..;......--'1 �r��O
SKETCH PLAN
LOCUS : 5 ZEPHYR DRIVE
WEST YARMOUTH
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JOHN
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REF : PLAN BOOK 207 PAGE 55
( DEMAREST,JR. N
a No.36859„
PLAN PREPARED FOR \ op No‘”
DIMITRIOS PANAGIOTOPOULOS 9�o suRv
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4/2-1/3 -=
SCALE : 1"=40' DATE : 6/27/2013 DATE RE s/ 'ND SURV' OR
ASSESSORS MAP: 106 PARCEL : 7 DEMAREST LAND SURVEYING
338 MAYFAIR ROAD
SOUTH DENNIS, MA
508-364-9049
FILE=13044.DWG