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HomeMy WebLinkAbout2019 Jul 19 - Sign Off Transmittal, Floor Plan Sketch - House from 2BR to 3BR �t-Yq TOWN OF YARMOUTH .• c HEALTH DEPARTMENT =�- PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: 95 *-ettilskr- kvie J, I Proposed Improvem nt:r'9 S C dg7 r©Om 1r� � , 11 ilo' 4e -�- belt room Applicant: JItS - ie Tel. No.: 71I4. / 2 ` / o Address: 1Y606-167 Date Filed: **Ifyou would like e-mail notification ofsign off please provide e-mail address: Owner Name: i1 Owner Address: / -' / 4C " d 1 ,'L/d ill i-"l Owner Tel. No.: lei.- o* ., ................... ...... . 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: DATE: PLEASE NOTE COMMENTS/CON`DITIONS: tt No G 11 C p cid • L G ---6 1. 't../ 1 f • ..). CD C3-. . -b§:2P(/.7 .r.: ,c5?)(9d2(.4 3 ......... .//S. 1111Er 8 al , - j - ' I. .:ice-__ --• • _• •_ _ c _ • _ r.�___ __ ...-._,...1.........• �`` _ 1 , - - 1( " • . :f . r� 1 1- :t _ Z t i� �.�.+ 1:,1— ' t _' .1 -.�— _ —a- -• - i. -•T- • ', _ .:�_ — --tom:__ [- AIL 0 =-..:--_- -- , a - -.t .-... "-: .! '� 1. --i----.-1,,,,=-42:-:-:. < ? 'th 1~11 � 7 _.:_i-_. . _ _ _ - {•:- 1.--....••-•-•-.4=---:--:-_-_.-.-_ -- _ " ri ; .t =111111 1 a . ... , ..... _ • , .,... ..... ..„._ .....I",-7.7-1 . ....)..., •.:144---.....g.: .. -,,,, ......i ". L., '. Ell r ' :;iii-_- - :. -...-- ' _ , - •.. �� t 714% _. +-.- . f I ! •