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HomeMy WebLinkAboutSign Off Transmittal 2006 Garage Expansion -, "77 r. r , r TOWN OF YARMOUTH 1;/ �': HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET • To be completed by Applicant: Building Site Location: O . C Get., (2-3l(b Map No.: Lot No.: Proposed Improvement: 4 a2 A Ct k C Applicant: J . Tel. No.: 71 Address: C oi1jc Ca.c, Date Filed: t •oA' **Ifyou would like e-mail notification of sign off please provide e-mail address: Owner Name: , ese 01,• Owner Address: cAr1,),A, C202-4j Owner Tel. No.:61,1- - 1G-1 (c-3 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 four(4) 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: j4. DATE: 7// Y v C c' � PLEASE NOTE COMMENT S/CONDITIONS: ...... Y .. - _ c_OV . ' OA 12 4 1 ►08•og' q, 0 3S 1 s, 34 ft 17ap5 d Ad01 IDIIJ mit 7-1.1 - E hit: -' _ VWELLIIJ4 ` IAkik o Com( l z.- _ = D ELK MI kri -= op rre/2)0 PIAG ALILI' 1 N a eXi5.1"; tp , I 4AItA46 --1;04/_b l i, 3s•, d I 17'= -- ►Zs.eq' , OOH' --- LO,t' 30 PREPARED FOS_;__ OMAU CONST. i iiT CE.42T/F/Et, PLOT PLA/V " , ocATioxf I41_4t' (AI?MOUTH 1 HA. a CE © (1, 0 W CI D SCALE : N30' DATE : 11i1 .2EFE•E'EA./GE : Lor G 1 SEP 1 8 2006 PC... 6.e. PS. L,C.P. i447.G1 . 1 HEALTH DEPT. F[_ooD zowlE "i S" Ay,,. I HE,@EBY CERTIFY THAT THE. BU/LD/&/6 ��' ,-.:;, ' \ 1' 5/-{oZ.JA/ oN 7H/5 Pt-AAJ /5 Loc ' TED ortJ THE g'��Y r. GROQ D A6 SHOI�JAI/ HEEEOAJ f7AJD THAT IT ' .. ow ,� 2066 CLzA/FOIQ/M TO ?NE c o,J/ti./ I CA ! By LAi.J6 OF THE ToWAv of YARMow ii . 4i • 7 4c)��. WHEN/ coh/ Ti2uCTED . `, .1I - ces,1, LOWWE L L E I ', inc . ►l'r..,.,,rei 7/4 MfgIAl 5TREET .7��AJ �/.i.e6 Y1 iaN70UT14, MA55 . 19i9TE le .r__... n_