HomeMy WebLinkAbout2023 Sign off Transmittal - Bedroom bump out ,01C- k TOWN OF YARMOUTH
s4c, HEALTH DEPARTMENT
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PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant: / Y
Building Site Location: I ' 5-"'"''f s tat L ^• ` 4�,,,��•c}� �or�
Proposed Improvement: 130 M e.&' k r.,:t 5 ic. of) r,Atccc- b e-c4,c n- ID I.
e a c,3, i \,e. MdI-;ter- Llose
Applicant: NVt-\C < ‘r\ Tel. No.: /7g •
Address: 1 N • Vee-lt , b c' zl7 Date Filed: 41' 13. 23
**If you would like e-mail notification of sign off,please provide e-mail address: Mc,rk l�14.-fs- e A/ci.hoe. Go M
Owner Name: �\4.
/ v Owner Address: ca.1%d'1s l 4& lam - �o MPI.Owner Tel. No.: ?/9 r •Yin
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:
G+�' (1.) Site Plan showing existing buildings,water line location,
4P„� `FO and septic system location;
404 75 o (2.) Floor plan labeling ALL rooms within building
y (all existing and proposed) -
40FAi. 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: / c 'c,U3
PLEASE NOTE
COMMENTS/CONDITIONS:
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