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HomeMy WebLinkAbout2018 Sep 25 - Sign Off Transmittal, Plan, Info - Work on Enclosed Porch of TOWN OF YARMOUTH �� ;"''.--'c HEALTH DEPARTMENT �:`% PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET f To be completed by Applicant: BuildingSite Location: 16 L) i ?ct1GI, �e 54- ' ;12 McA"- Q/0� Proposed Improvem nt: 't" r x1(01. '- kk cc 5I j' J 1 f i u d i Pcf c �j x /b r . /l .! l,At1 tb �, e�iACPAP VC44 S 4x►S41 9 U-UZ- t 4r / Qi... I S 4/141-1– S-1► fA I t N '' i_. Applicant: ' do :.\(--`' Tel. No.: Sei`SCse' j9! L.-- Address: _Address: ti i);f JA S` til. I CLa A Date Filed: O.`1. 15, /S **Ifyou would like e-mail notification of sign off,please provide e-mail address: Owner Name: 4)50 4- f C .L¢4 0 11/ cif ," Owner Address: "' S. A~ A 5 A 6J-e- '— 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. r ,-- , 0 REVIEWED BY: DATE: er—.0.L.. `-- (C). / PLEASE NOTE COMMENTS/CONDITIONS: 1-0 R-eQ` i r v-d ` 2 in c ( c P o ✓c (1 -- N G h t' cx. ;> a ,V g a < Z '< '< y4 y ",, <p 81K to.. wog <. _ 1 [r;' Ig .i/ :std 3 0.. W �a.''mtE Lq 'id X! ' ! qi R_, m ':.w t .- (9� ae , W �oAl' a-i a z^a JJJI N .J -. m {; [�i� Gi w, �Ti3NggF g G x n C J�' < U a R w� -RN ,. s gii€ 5 V iaggo gWg., Q Wa A �ymz ~`y -'' J < x P''i ;9.11 to osxg F "Woigr. iV 0 .® Mo,,. n4 w +oma a.. 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