HomeMy WebLinkAbout2019 Jun 13 - Sign Off Transmittal, Proposed Plot Plan - Barn Addition ot % TOWN OF YARMOUTH
HEALTH DEPARTMENT
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``,1x PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 3 y c r-s
Proposed Improvement: 4-4v Gill/l ic.a x a
Applicant: ,)CS 1, rJ yl a r- Tel. No.: SPF-5"v -itct
Address: LI1.n Date Filed: 05//9
**lfyou would like e-mail notification of sign off please provide e-mail address:
Owner Name: 3o S7 , Ct s+-' e
Owner Address: `� C-oc1 rJ�3(Pi, Owner Tel. No.: 3 ' )s0 -/z1-/ L
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. 1
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: DATE: C / / CT-
PLEASE NOTE
COMMENTS/CONDITIONS:
FROM :Sweetser Engineering FAX NO. :508 398 3063 Aug. 01 2006 09:03AM P1
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• COCHESET PAIN
TO THE BEST OF MY INFORMATION, "PROPOSED” PLOT PLAN
KNOWLEDGE, AND BEUEF THE 'PEST YARMOUTH, MASS.
STRUCTURES SHOWN ON THIS PLAN LOT 12 PB 439 PG 24
HAS BEEN LOCATED ON THE GROUND DATE 07/31/06 SCALE 1' = 60'
AS INDICATED. JOB 6408-00 CLIENT FlNNEJ ORE
O��t (� ' SwEE?'SER ENGINEERING
235 GREAT WESTERN ROAD
DATE PROFESSIONAL LAND SURVEYOR PO BOX 713 SOUTH DENNIS, NA 02660 •
en. 506-39e-3922 fox. 502-sae-