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HomeMy WebLinkAbout2022 Sign off Transmittal - Add Sunporch and Deck 0V,Y4, TOWN OF YARMOUTH ° HEALTH DEPARTMENT 0 s> ..' ;`..171 PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: / Building Site Location: .g ,-r';' Uc j/ 5 e—/ _5;‘,// V/-v.‘.•0,-/i( r f Proposed Improvement: 4,..!>1) o/V /2 x „5 57,,,,-,-- .,-?v ,cre.../i 4;,.,,-/� 5- ce,t/'-'1-4.;,f or-C./41 '/`c.J c'/4' c :i.J!-4,—s"N Applicant: e-/), /12 // ,f Tel. No.: 4�/j 7 7`71-`44/.1-- -•• Address: 47‘ S©. /1‘.e.-/y s/- (.?e/‹...A-er/v ,1 iva 25ateFile�d: /- ' **/fyou would like e-mail notification of sign off ple ,-tirse provide e-mail address: € /e, S/ De:il a- -/-er• Ne'7 Owner Name: t V / Owner Address: te. 5-74.- e- / 5 -4 6 ve.. Owner Tel. No.: .5"1-0-e.. 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: ' '` '"1OWCD (1.) Site Plan showing existing buildings, water line location, JUL 2 1 2022 and septic system location; (2.) Floor plan labeling ALL rooms within building HEALDEPT. (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: k ' ' ;/ DATE: g/A_V-2- , �-- PLEASE NOTE COMMENTS/CONDITIONS:J + e -10 r(--t v+,\c( ' ` r"),,, 3 e j,,,, ,, r r"G /J c)cam' .-e, C.- ee r "C y ✓c -c--tLi. ,-