HomeMy WebLinkAbout2005 Sign off Transmittal - Platform on sona tubes �b a.•. ,. 'fir=
. .°v."4:'4,- TOWN OF YARMOUTH
4, c HEALTH DEPARTMENT
�„t PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: 1-�,, \-V, . Map No.: / I Lot No.: Co 2--
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Proposed Improvement: ---.1t�, �, s R,,' ,\ C, 0. a,.p x/ to '
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Applicant: •-(\,-e_ " ---4. ..,_ ' v;A --v _. ::.--,, .No.: 7 c- 1 ? C ? . r, 1 3
Address: ?1 f\ea Q i