HomeMy WebLinkAbout2019 Sep 05 - Sign Off Transmittal, Plans - 1st Floor Remodel; 2nd Floor Addition pt-Y'41 if TOWN OF YARMOUTH
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\t'' � PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
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Building Site Location: 6 6- 6 ' 2' .4 je i kA.1
Pr. ..sed Improvement: )? tf oc '} I /5/15 7.— ,1---16-0, a er
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Applicant: /. .r.J 42s50,74.'2"T Tel. No.•`J aS- 7 3 - t3'371( / I
Address:(0c l/to° ( V Aei Date Filed: ?/11.9f 7
**Ifyou would like e-�notrfication of sign offplease provide e-mail address:
Owner Name: V/] 4,^ ha
Owner Address:541/2". . Owner Tel.No.:--CQ 8-" tic®"56
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.
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REVIEWED BY: Or17---." DATE: l 7
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PLEASE NOTE
COMMENTS/CONDITIONS: ,..
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