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HomeMy WebLinkAbout2019 Sep 26 - Sign Off Transmittal, Plans - 10x12 Addition et-Yak TOWN OF YARMOUTH 4 $.1 HEALTH DEPARTMENT /. '' ..`' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: 45' /41:47774 c A -.c., Prop9sfd Improvement: 0 ,7/ . /''i: id 7--, b i , c'c1 /`e • l rc.k7"" c ( e , i .Applicant: 2 U E' • Zai<toTel. No. = -- Address: 6O3 l ), i r`- Date Filed: "/ ( / **/f you would like e-mail nail ication of sign off please provide e-mail address: Owner Name: ti '\ /-"7C3 f// 5 Owner Address: _�,/ .. )1A774c4 :,�� ( l/-?j 7%�f �,e. Owner Tel. No.• � -- RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e.,Requirements For Septage Disposal and other Public Health Activities. Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buildings, water line location, and septic system location; (2.) Floor plan labeling ALL rooms within building (all existing and proposed) — Note:Floor plans not required for decks,sheds, windows,roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: fr-4,17V------- DATE: 7/1'4(7'T PLEASE NOTE COMMENTS/CONDITIONS: 1 1 • \ N. tv 1 9i St ...,;.„;? ..' V v ',`•' 9 LO 14 �� O �✓' .0, I` E;,!c£.=F h eX1ST eelspoP:. -, ��` ‘s /� i ' / • 1- i\Nh 1 jam' )-„ I �J �f'/ t tea' \- `` i •` r / .� t Agfa <7:116111); 1' /, ► a1`. / oma; RECEIVED >7.--- \, ,1/41„. SEP 2 62019 j NI'y . • d'� AVIV -• Lig HEALTH DEPT. r 1 . 75406 I CE.e7",/F/�E4© AV... AA/ c ?" A Ail/ u PREPARED FOR: ' .� r Y, 'at/^,VT-;ILOMAT/O.V: =0~ IL M T1�.��� ; . l�KiuffiLp ........7;. 1 , r 17 .E�EFECG,�/CE: cpsre, 1.15 I • Z s-eeeBY CEGT/FY 7-.0%4:47- T//E BN/A..0/.VG • , ' i :1;44Ob%AI on./ i'/,//.s PLQ.'-/ /s L oc.9 TEO OA/ 7%1 :i•eOVNa .qtr .S ,o WA/ HE4CaO.4./. Wt �` 1 W . �4�,�t ARHL s- W '{ crown c8� e/ ?/nceri/?? i$ 0j cr 1-0 I L.07.4./r) .3u rvorova {>: f; . /9I� N. ,.�4rjnear- / ._E., � _� 11.0:,...a J cOCJTE GA--Y.q.CMOc/7"N, Aof.40sO. aNTe- .ec•G. L, • • - sc40evr►ro.e - 1 f te.4.4.404. 4. , } 4 ' . . . , — ;....i, 0 cr) 1...: kr - _tr4; W '—' a. i..4 ... .5 ' > .g 14.1 ..Q. f. X' Ca: ...... to 0 . . h. L ...i cr, . . , - o .) ...c ...c -,-. , It 1 4-, = @) I ,r- z.: ; , .. 1 i On 4 ,_ E CU .„.. ----....... . . C i C t 7' -,.. •t _ / ...-. 0 = . ....-, ., ...- ,.- Ct 76 0 Em e ....--4-"*- .w. --..- \.:) .. Cs1 - ..^ ,,j I. CO LA ,.. , - 4..: >" (N/ ,.'" .. *. QJ . ''''' en d' • ..,-.1,.. --,„4 t CV a) VI: 1 "? 1/4, 00 CY) 0 , i....,1 Lo . •• a) (..) .— . (.3 C 0 .\e,-/ =WM CU E I (no 43 13 e-f • .01. •••••=1 e-I —' '–I CO 4. ..6.• -....,, .., to ....., >.1m• i . ..,-: ........ 4:4. a) , \-.., - i- c 0 . , ,c „„,_--- CA ,... L.11 L.. Vi. ....... ----4.,,., - t.... G.) = st ,,,,--- "s,) .....t, 0.1 0.... o (..) - --.• ,--.. . .- ........ CI- . `1,44, ti........ V.I.. - . . i . , .L, III , 0 • , . i i . / / - ---- - / - . .' ,.41 / / 1 _ , ,./. ' - , ./ , - , . . . . , ., ....L. c...-i „.., . ..S. , 1. . 1 , .i , , ,/ / - I 1 / '' / / ,, H .. / , , * 1 l 3. j •......9, •-,,, . -• ,,,,:„:/ , ')` !`...... .i.- . • i 1 N . - ... ., ,, \ : . > -., . • t. \ i . , \41tirgi S l ,• t< A twr4 ' ''' ...„. tot,.... ,......,,, / . , ...- i ,a, ,,2 .....4-, -.1:, . •'!- , , , _, -..... „,. - ....... ,-,3X-- /- (C., - -4 . .„ . 0 ..._. " \ - ,-- --- „_-4 ... -.. , --.'•-,,, vo.., / ,-.. - , - ti NS: .....' ,,../ o' 'L ----- ' -- , ... .../ ",,„---' 4-** ' ,.- - - t:- .:, \ - . ttt t----- \\ .., _ ..... t i „.., . %.,..., ... . ...,: , ...”. , ,. 4,...- ., 424,1 . ., . . -;,.....t . . , . ..„ . . -• ',:, ' 'i,:- ' '''''''; • .`,. '... .... ... ,. ,. f t. ''' •,4,,, -,-;,.,. , .... ' ---. - -4- , --'-,,-