HomeMy WebLinkAbout2022 Sign off Transmittal - Demo 2 existing homes / Replace with New 9 Bedroom Home ,_.,-)Y-•Y11,,iY TOWN OF YARMOUTH FEB 0 42022
;2414, HEALTH DEPARTMENT
HEALTH DEPT.
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEL l
To he completed by Applicant: A
Building Site Location: / �I i v e S/ S, Ylj h 1-to
Proposed Imp vem`en): e c9 i e 2 S ,, %�f �10 v ce
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Applicant: A�emAl ' /�I Tel. No.:SOT-30/-
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Address: (4.0 3 RA'5 l )�/' Ji a 577/ R2 Date Filed:
**If you would like e-mail notification of sign off, please provide e-mail address:
Owner Name: V c e_ C, //Y('n
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Owner Address: el-r IV Owner Tel. No.: 7/7 - o vO 8
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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: aiwsa C�--4./ DATE: 9®o? - d 2
PLEASE NOTE
COMMENTS/CONDITIONS:
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DONALD L MEYER 1'1-r `_ ,"
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-----. _ __-- --� Professional Building Designer
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RO. Box 532
n 5o. Yarmouth, MA 02664
(508) 394-5296
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DONALD I. MEYER
PmfessionalBuitiingDesiger
. P.O. BOX 532 _ oRANNNG NUM R
So. Yarmouth, MA 03664 j
(508) 394-52% �?