HomeMy WebLinkAbout2019 May 15 - Revised Sign Off and Site Plan Showing Swing TiesTOWN OF YARMOUTH
HEALTH DEPARTMENT
` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
Ibe completed by Applicant:
Building Site Location: t"'1 C l(CAV
Proposed Improvement: 1 X 4Gil YOor� `,C' � `'j v '1
Applicant:
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Tel. No.: 6 3(V
Address:
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Date Filed: f &I /
**Ifyou would like e-mail notification ofsign off, please provide e-mail address:
Owner Name: L h r ' <�c,4r Fir ,,ti n,\
Owner Address: 1.1 6 "� VV C' \,'? Owner Tel. No.: 1-7?— `irk " 13-� /
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: '`(! �"�--- �3;;� DATE:
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COMMENTS/CONDITIONS: /
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PLEASE NOTE
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\ po-4ed \
RECEIVED � o� \ \\
CP
MAY 15 2019 Lo
HEALTH DEPT.
Proposed
Sunroom
Addition
(on open tube
& post foundation)
A B X
ST inlet
45.2'
16.3'
18.2'
ST outlet
48.0'
22.6'
21.0'
Dist. Box
.49.4'.25.1'
22.7'
SAS IP
27'
39'
19'
SCALE: 1 "=20'
0 20 40 60
V
,oracle i
0
EX�S�\NG
LOT 4'7
Area = 12,794 SFf
or 0.29 Acf
A>.
X
`•
CB/DH
FN D
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