HomeMy WebLinkAbout2022 Sign off Transmittal - Garage Extention At TOWN OF YARMOUTH
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HEALTH DEPARTMENT
'''•�N•`' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: q 621 (2,5 P M
Proposed Improvement: 1 D 7k -xTe&V 5 I on.) o E X i 5 01/416 e e riG e-
c — rl—t 7—Zz
Applicant: C\‘(--) V-. 1.e4 e s Tel.No.: Stic? 3 9 y J oo6
Address: \ L \k 's eo - - X !V
at-tro o G eY Date Filed: ,fyloo.,
**If you would like e-mail notification of sign off please provide e-mail address: cAn Q i e.] 0 cc}mCR4 -. rk€-
Owner Name: C \0..-t eL% F. -' e i
Owner Address: r k S moo, Owner Tel. No.: Suer 29 Y S"6,0
50 "lc�.�c cou (Yin- a a G cY..:_
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: DATE: Ii - 17 Z
PLEASE NOTE �'II � UVI=J
COMMENTS/CONDITIONS:
NOV 1 . 2022
HEALTH DFPT
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NOV 1 7 2022
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HEALTH DEPT.
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RES. ZONE: "R-40" This MORTGAGE INSPECTION Plan is For FLOOD ZONE.' "0"
Bank Use On1v
TOWN: _S_QU_T _.I_'6RMQl1TH REGISTRY OWNER: CLL4L LES F & DONNA T_ N''RVES 'p
DEED REF: _F9_41f33 -. -BUYER: _REEINAYCE __..
DATE: _j/5 96 PLAN REF: 192/7 SCALE:1"= 50 _FT. li
I HEREBY CERTIFY TO _ APE_CQD_CQQP�'RATJY Y__ s..-..,
THAT THE BUILDING /0•>---:---2,� J \ �`' YANKEE SURVEY
SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS i?r,L . S
SHOWN AND THAT ITS POSITION DOES CONFORM :F. `- CONSULTANTS
TO THE ZONING LAW SETBACK REQUIREMENTS OF THE E , ^; ' 40B INDUSTRY ROAD
TOWN OF —__.'4,11 Q.UIH AND THAT � � s
MARSTONS MILLS, MA. 02648
IT DOES NOT LIE WITHIN THE SPECIAL FLOOD HAZARD "' " u< `
"a`��.,�: �.�'i�.; ;,. l�` TEL 428-0055
AREA AS SHOWN ON THE H.U.D. MAP DATED_??/��__ N,'„'41�imxa .:44 FAX 420-5553
Co itv—Panel 250015 0002 D =��.;#1F
�� �• THIS PLAN NOT MADE FROM AN INSTRUMENT
PAIIL A—IvLERITHEW,PLS SURVEY- NOT TO EE USED FOR FENCES, ETC. If�19 JI
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,,/ NOV 7 ( 2022 /
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HEALTH DEpr
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RES, ZONE: "11?-40" This MORTGAGE INSPECTION Plan is For FLOOD ZONE, "C"
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0 : . _IA ut REGISTRY OWNER. _C:11,4111.1f....4-_.ROAINA...,r.jveRv.C5_,,
DEED REF: _d9.4.12/00- RUYER- .R.EF/LVAN.C.EL_„_________
D ATE-. 1/.0./,9.4 PLAN REF: L9_2/7 -sTTe i"-- .50 FT.
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I HEREBY CERTIFY TO _CAEE coa...coQazezirLys ,...--, , 'r ..
THAT THE BUILDING 4,.t`,.r.,------:•,'''::'.. YANKEE SURVEY
SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS ',Z." ,
SHOWN AND THAT ITS POSITION DOES _ CONFORM :, 4 . .:, •iffo CONS U',TAN r
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TO THE ZONING LAW SETBACK REQUIREMEN OF THE ' - '- r' 408 INDUSTRY ROAD
TOWN OF _YAR.)1101,TH AND THAT ', ' • ' I I MARSTONS MILLS, MA 02648
IT DOES_Iv_kr._ LIE WITHIN THE SPECIAL FLOOD HAZARD '',::,1 **"<!:t.:--1.,',. It TEL 428-0055
AREA, AS SHOWN ON THE H.U.D. MAP DATED_ /—k _ ..';;'-=•:;,?..::7:t;r: FAX 420-5553
Coimowitv-Panel 4 2500/5 000e D
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