HomeMy WebLinkAbout2020 Feb 18- Sign Off Transmittal, Plot Plan - Inground Pool oc. TOWN OF YARMOUTH
w' `- A .° HEALTH DEPARTMENT
2.
.,,,`. PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
Building Site Location: .4pito- G e.V,v
Proposed Improvement: , 1 Q au :5I :. ci urs.r _V8,1(e,-1 r I j e y ; � ?-2,1
PS 4
Applicant: Vv.A.A.., ft et.t ro.,.., Tel. No.: (I 1 tis ti1z-4,
Address: A A Iv-y‘ eivi,Ly J . ., y ,`V Date Filed: 2.(i g'l a
**Ifyou would like e-mail notification of sign off please provide e-mail address: Ke\r 41 n.,,� 0. 10-1e\o0. Cors"L
Owner Name: ,CJ),r.: ' N cc,x w,.,,
Owner Address: Liq (Gp C N 41i y-f .
Owner Tel. No.: ton 114 1-117 C
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 j
(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: DATE: / /a .r .6), \•PLEASE NOTE
COMMENTS/CONDITIONS:
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54.9* i;
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LOT 234 / `
/4.800.o.± SF. / hi
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/�_- ROBIN t
WILLIAM r
;ice WILCOX a'
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TO THE BEST OF MY INFORMATION, "PROPOSED" PLOT PLAN
KNOWLEDGE, AND BELIEF THE SOUTH YARMOUTH, MASS.
STRUCTURES SHOWN ON THIS PLAN PL.BK. 199 PG 5 LOT 234
HAS BEEN LOCATED ON THE GROUND DATE 12/22/18 SCALE 1" = 30'
AS INDICATED. -
: �, ,,_-dJB 8136-00 CLIENT PICCININ
12/22/18 ,, ";,..� , , -` SWEETSER ENGINEERING
•
203 SETUCKET ROAD
DATE PROFESSIONAL LAND SURVEYOR PO BOX 713 SOUTH DENNIS, MA 02660
C: 1 S8 I PROD 18138-00 I dwg I816CPP.DWG 0 2018 SWEETSER ENGINEERING
"OFROBIN
1.5
RECEIVED T'' WILLIAM
i"3 "'COX
�e ,1 B 2020 1, N�. 313 1
HEALTH DEPT.
F MY INFORMATION,
D BELIEF THE
OWN ON THIS PLAN
TED ON THE GROUND
LAND SUR i�
gyp �
"PROPO ESD
SOUTH MP LOT pLAN
_PL.BK. 199 PG. UTHT MASS.
DATE 12 22/18 23�
8136- SCALE
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``- CLIENT P►cctlur�� ``
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