HomeMy WebLinkAbout2019 May 08 - Sign Off Transmittal, Floor Plans - Enlarge Door Opening to Kitchen Atz
.708::y:44: TOWN OF YARMOUTH
HEALTH DEPARTMENT
'••!,t1_,..tti.- PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: \\Z.. \.--->co\k- CaPs :4 r,,,tit--k\-) s,-- (...A.1,71k.
Proposed Improvement: rk,v\\0,\(.._c.,-...-- \-•,-A:A.- \'`'L N-3\VY; ', — \--V-VC-; - A \il
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Applicant: IN, ‹,„.t.,NAk.A.-1(--,- ...,) ,al 1,,,N,c....,. Tel. No.;
s---i5- ,ZeFT r1=<c),€ -
Address: '', ',3 .\- c in, (1---i i .-',' . (-_, \ -',,r\v\..v---„ \kiN ',:n.-'' --2(.:-c,) Date Filed: 5( 2-/ 2_10
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**lfyou would like e-mail notification of sign off please provide e-mail address: -.2VA .--....,--4._)v-v\C,01(\AU„..4-\,(uk,(3:3,42. tk
Owner Name: L \ - \„ ,is,„ L,67=.v...A_A...-v.....v-Lp, k\,)
Owner Address: k-k-7-77 ._, 's<tc- C-4\1-Th ...- 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: A"---\176P DATE: SI° Pr
PLEASE NOTE
COMMENTS/CONDITIONS:
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