HomeMy WebLinkAbout2022 Sign off Transmittal - Retaining Wall rot..Y akar TOWN OF YARMOUTH MAY 7 9 2022
HEALTH DEPARTMENT HEALTH D
S 4DEPT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant.
Building Site Location: cS / i CcsS%. Gc> - ' f 7 ,"100 ?h/
Proposed Improvement: 3 j R c 7u 7-4 c &A 112-S — j� r.'4--0 a 1`Z SY S717-"`r
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Applicant:
.4cApplicant: D/A 74 - cE p tc Tel. No.:')7 y a..2G-c 3S?
Address: / 6PE4k Gt.g y / fes-✓(Ch/ Date Filed: 54941—
*
494`t—**If you would like e-mail notification of sign off, please provide e-mail address: Diel 46 4 S,P&4X044 //o7/1 (..Co-1.
Owner Name: T�1C(4''1p.!t
Owner Address: 5-`i QnJ&,11ao. R-4.4/1,,,A; Owner Tel. No.:--)8/40.5- a?
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: ' t DATE:
, )\-3)3
I PLEASE NOTE
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HEALTH DEPT.
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BUILDING LOCATION FLAN
FOR
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PREPARED FOR
STRUMBA N� ® ANTONIO * EI IZABETh CIAMPA
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, �onq: . WE LLE R ASSOCIATES
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�� a'�. P.O. BOX 4 17 CLNTEKVILLE, MA
i ip ,,'.4_,-1.- 41), TEL: (508) 328-4692
EMAIL: trlsweller@gmail.com
REGISTERED LAND SURVEYORS $ ENVIRONMENTAL CONSULTANT:
Traverse PC