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Home My WebLink About2022 Sign off Transmittal - Partial basement finish '',,k TOWN OF YARMOUTH HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: Building Site Location: Are /42".2,,,44/i 4:,2-47,..r— Proposed 67JProposed Improvement: /i1i4f'iq/6 -yi✓ F.1/ J 7�" 61o4-rev ✓'Gclw^ Applicant: ---7f.v;✓.v' F f//itivd/ /.¢-CIF,r/.St/ Tel. No.: 7j7–y9 'may' Address: ZCZ, �i�,��.e, cr7k4671, y noe..//ir ,4,1 Date Filed: **/fyou would like e-mail notification of sign off please provide e-mail address: .c:: 7/1 ��.5Z.A.V s Q0/ �o i Owner Name: ,�£.ri/ticl (h'//r9iY,vv_ �,rZf�f.✓sf f Owner Address: 1J /47-)e../AP-46i/4"(2/Owner Tel. No.: RESIDENTIAL AND/OR COMMERCIAL BUILDING HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e.; Requirements g � 0� � For Septage Disposal and other Public Health Activities. ,� 222 Please submit three (3) copies of plans, to include: MAY a (1.) Site Plan showing existing buildings, water line location, M.ALTH DEPT. and septic system location; (2.) Floor plan fabeling 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: ! DATE: S"— d, 0 PLEASE NOTE COMMENTS/CONDITIONS: 2 X 10 HEADS I ' 30 va III ` � r' 2,_ J. iL -� it �__.—:_ �,�--...� _� E -1314 —6•.7314.. = II I. _7 3 t` 6� —3`G' — i -6- ��tir �, ,tr !,� 7-8'.i'L — ` •� ty'�' 3 tIC7��L r 2452 GJX10HE�2 iN1INDv'N�WInV -——-----—--——— .!Jill E ;i loj Jill + `, 2452 2452 it ------ p 26U8'X � 1�\ \GVU5-GAiRC 3 _ i � 1 1 1 I i I 22.9 3r4,. rl !_ I t ;J I �' I k I _.__.__ »_� - I I F.�J •:(!r" , >i i--„2 A1 c n -c r; -:, r 65 I! + # -I G 5 5cq "A` �- t - _ --- - - - - - - - - - - - - - ; t il T11, t i t z m I — INSIDE MITER NOVUS-;tAYCEILI\G LINE I I I I OF'NALL GNRC33 E, SCREENED 'ORCH a I' G { # PI { SUN ROOM 3 X 49 i(6,24510 K . i r--- --XrYK 15' I 5Vrv. �O G- OPE ItiG PE I Ntr i T : ,A"EA RE:Y,A GS I IivFN X !-c[G� i � I 3`314'X83 C 'I 38 3l4` X E'3.. I I 28' 168' 1 { -- }'G 6 8r I �; r"l�� 3T�_X_EG. 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