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2023 Sign off Transmittal - Finish Basement p� ?? TOWN OF YARMOUTH '>'e HEALTH DEPARTMENT PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: V 7 ol '7y •€f/` G/r -', y�r Proposed ovement: �41I � /1/i'� /ga1 --e-af Applicant: /1'2 `' Tel.No.:SSG" 77-336r Address: 6kA f7/(c>/r'/ //)11,1 -/ Date Filed: **Ifyou would like e-mail notification of sign off,please provide e-mail address: ///11f729 Owner Name: .J��-/4-t t° lnpn J Owner Address: .415 �l//ice j ��t/,rtr.- C Owner Tel. No.:i2 -3 7? 37 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: Zv�ra�bQ'® (1.) Site Plan showing existing buildings, water line location, and septic system location;• i 10?3 (2.) Floor plan labeling ALL rooms within building NE-4L (all existing and proposed)— DFPT. 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: A PLEASE NOTE COMMENTS/CONDITIONS: L N d o w a 0.4 0 g 3 it U m glS tii.. _ (7.'''''''''''' • t1 i '''''' a-w. t , . it , T .., I k ---- 4 !a EMI MIN • 1,-- ,,,,,,, ri ., ,„,„ , g4 I . . 1 1111111 '. • � � 4 , , , II ., .. v .. , ouss Imo .,, .'...4... , „. . . ,...„„,,, 1 „ 1- • c--N,....... i' ."` i ..:. , 0: b ........, .. .,, . c ',... / " \..) >- Z (.7 O m 0) ill0 <— z.(FZL .tr.it / -I w I- N Ili Q Z w'n R. w w uj 0 mo DN a pFo uj O Z 0 O < -§ OC W wI=Y 0• a _, O f.. le to in O a' Q0 wow th w 2w N w3W .. ., .. O (�11.1 Or OZ wrZ O 1W O SW2 J II W N Q 0 O w3 Q OZ Z UO~[II Q d' < N C 4 F z cc= E �2 LL w- o J w r OtZ I- pa LU >0 -Iix ca O in tea O I-Z z =LLw 55 w X • Z w OP OE O 0 0CC og€„ Y1gXW U 15 O a _III Oo Zw ¢ wti0 aNg€ L-sez 11.2 Z „ a= >Ir O= , z~Ce g8 F �o¢n ELL LL~ II-Om W wW0 YLL"§"' o �tV• 0 2 >w Kz ,Kz(Dui m ww1-i d3Y ii glx4 I 1_ _T y m i-l- >= COO O00 O aO1- '"s �g � Eb -CC hl az ? t o O �2.�©1 zoLLa� z eOaZOW QLL LL 3 - a3 cn gW zow w uo W Zf ZF< E_ 01- Ja m -I-• 0 0m ovo >o¢to f ow= — O Z . -. ,7i a ui a n. - I o w h Z j © ' `D J w y COo = _.T 0zo II o i ,D it 0 I-JOiQ—�o z c9DZ� w Z © © '10 Q a CZZ ¢ wizWW — I I�z , � ` v^^ I— I I I Ir I %ww 8 aooa.9 Q J E[i' D a Q c\JO I30 9 0 k NCO pl �� CO lf) LL W - - m aooa.9z tp a 0 a�vinsr+I 1 .1 aooa At A I u, a000.9b ( /- U 4 a I co111 !_' r n LLN. .P.l y a O U v �w T ;N 4 'Z w U wa ' 6 OOU.9z J w I + Q W WN tu .o-z, o d 2 W 0 (n i u § Witititill F. - L.1,. W ~ J O W g W U H > J D W > j#" E i3 z lW -� co CI _ I-LU CO cWc 7 CQco a tY F. w z tr G Z 2 e�- Y Z L' O O w l UW °w IX(0 W Z = a i,, o 2 m %8 .o-zl .o-.r 0 W 0 la• W o� �'I Q J U r w g 3 = a 3 - ' CO J LL z w x O U' W Z it O L..‘, � F O W 2 'l • z to j Z Z~ '0 J O g. ._ f Z Z "o � $ _ : § Z v/Q� > >ea R '�0� g a w�jPi, „� loco a w y �t= 0 WmH - W N > w s= 2 g gE 3 O ,v^ H co WN RI K f r y g Q OP' h a a y os W CD W� !Id ;II $I ° S .1Lucio acn3- 9 ce Z g= ¢9Rititiill' 2 2 W w. W !AIJii�ii'iiAiiVA;' o ae- O o <N 0 z 0 N ooiwg = OWa so CNI 0 _ E CID ill w - N%, oa O,LLLLz.,Kc_ Sa_ a% DIe) R g o th--O � " .,N eio