HomeMy WebLinkAbout2019 Jul 25 - Sign Off Transmittal, Plans - Garage Addition 1
.. .,,st--,.... , 0 TOWN OF YARMOUTH
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HEALTH DEPARTMENT
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•,1 14, PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
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To be completed by Applicant: _ 1
Building Site Location: CID /4-F#9– ;7-_-1
Proposed Improvement: 3417A106 ieVc-61-64)
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Applicant: , -, Tel. No.: k6() (09"c) 3?9a
Address: 4)/0 Atfr Pcji fr/TuiivL Date Filed: 3- 1; 47'/y
"Ifyou would like e-mail notification ofsign off please provide e-mail address:
Owner Name: /7C&,,) Al2t121R,
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Ownet Address: \ ,- - 11.4k ' Owner Tel. No.: g60 (02-07i9,0,
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RESIDENTIAL AND/OR cpmmERetAL iipLDING
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 syStqn opilon;
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(2.) Floor plan label ALL rooms within building lt,
(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: ej' .-----------) DATE: 2 — ' /7'
PLEASE NOTE
COMMENTS/CONDITIONS:
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LOT 43�_ HEALTH D:-T.
I. easnia ? 8,500.0 f S.F#3
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HEALTH DEPT.
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1_ TOP OF FOUNDATION IS 'ELEVATION
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TO THE BEST OF MY INFORMATION, - ��-- UIT" .PLOT PLAN
KNOWLEDGE, AND BELIEF THE SOUTH -YARMOU111I TIAS u. .
FOUNDATION SHOWN ON THIS PLAN LOT 43, LC. PL 2112A-9
HAS .BEEN LOCATED ON THE GROUND • DATE 9/2/t7 .SCALE to 20'
. ,AS INDICA JOB 7922-00 WENT PAIR= =
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7 SETSER EWGZNE. R£NG
- 203 .SETUCAtze ROAD
DA " -PROFESSIONAL LAND SURVEYOR PO am.713 SOUTH DENNIS. >& 02680
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Cr I S8 1 PRO4T 1 7922-00 16)171 7922-CPP.DAG C 2017 .W�us f
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