HomeMy WebLinkAbout2020 Sign off Transmittal - Add Attached Garage oN._ ' 4.47 TOWN OF YARMOUTH
ate. HEALTH DEPARTMENT
' •` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
Building Site Location: V- /0 PA wk/4,VNAW lcORI✓C 5P,yitRou6tz.f-N/Mn, o2FF'/
Proposed Improvement: /.5 , .15
Applicant: / � � "1- Tel. No.:ycc':-
Address: /0 011.4441.-- %o 2t/uvi� _> Date Filed: //-.1-10.,20
**If you would like e-mail notification of sign off please provide e-mail address:
Owner Name: ,t%.h$
Owner Address: (--e PetiVkANA/A-v tt* PR(u Owner Tel. No.:
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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: /71/(14/1— DATE: /Le /20
PLEASE NOTE
COMMENTS/CONDITIONS:
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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 LOT 12, PL BK. 211, PC. 133
HAS BEEN LOCATED ON THE GROUND DATE 913/2020 SCALE 1" = 30'
AS INDICATED.
JOB 8421-00 CLIENT GRAVELINE
g/3/2020 ""- SWEETSER ENGINEERING
203 SETIJCKET ROAD
5 DATE PROFESSIONAL LAND SURVEYOR PO BOX 713 SOUTH DENNIS. MA 02660
1..------- OFF. 508-385-6900 FAX. 508-385-6991
C: i S8 I PROJ I 8421-00 1 dwg I 8421-PPP.DWG 0 2020 SWEETSER ENGINEERING