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HomeMy WebLinkAbout2019 May 15 - Sign Off Transmittal, Plot Plan - Reducing Size of Deck 1 °te , TOWN OF YARMOUTH 11 1-,°� HEALTH DEPARTMENT $1 PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: % ♦ ' ♦► . i r /, „- ,4 7 .X Proposed Improvement:: ,4,1 Z. ,2. i o (. C. I / (,fix Ti., C 5 i .> Applicant: i-_-„), 47' /4/7)0 jTel. No.: O & g/..3 36.:2O Address: 115 'r)fre ir-r1,,v0'", 6, t R , ► ( A(31./. (t A,14. Date Filed: 0 c ._ l f - /3 **ifyou would like e-mail notification of sign off please provide e-mail address: Owner Name: R b i3 F ikr 1,4„,/0 r: I /- Owner Address:33 L),.L.,LA .5747 „4 ,L p©13 t.Aq Owner Tel. No.: S0 'S40 1912_ 1 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. j 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 1 (all existing and proposed)— I 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: 3”_. / <, i 91, 1 PLEASE NOTE i COMMENTS/CONDITIONS: "l- S . s� RECEIVED `��� • MAY 1 62919 60 art= -c.lc • C), c5 HEALTH DEPT. NO `�0 , , • ,� ,la iii/if on, I"- N IP (P "II oo. ,4;4 go s4 ti J 1- �d'9 `, `- ROBIN ��;+ 7,9 4) X30 ROBIN , .„ ;Z W. IAM a _. ) •'4 • 06,, X� WILLIAM 4- �:� WI LC ` 1- Oki/ 8 WiLCOX cn:;. ro No. 3134 ` No. 31341Q �o ,.- <ks, G/ST`S •`�'/ '9 `'c�, FG/STE�(c"QJ�' J /CIA'±L LAND Sv 0& /pyo AY L LANA%-/. TO THE BEST OF MY INFORMATION, "AS-BUILT" PLOT PLAN KNOWLEDGE, AND BELIEF THE WEST YARMOUTH, MASS. FOUNDATION SHOWN ON THIS PLAN PL. BK. 556 PG. 42 HAS BEEN LOCATED ON THE GROUND DATE OCT. 3, 2018 SCALE 1" = 20' AS INDICATED. JOB 4587-00 CLIENT MORIN 1o/3/2o18 Z--3 SWEETSER ENGINEERING 235 GREAT WESTERN ROAD DATE PROFESSIONAL LAND SURVEYOR PO BOX 713 SOUTH DENNIS, MA 02660 off. 508-398-3922 fox. 508-398-3063 C: \S8\PROJ\4587-OO\dwg`4587-CPP.DWG 0 2018 SWEETSER ENGINEERING