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HomeMy WebLinkAbout2023 Sign off Transmittal - Replace deck footings `;t � TOWN OF YARMOUTH F:j "w HEALTH DEPARTMENT '4(0' PERMIT APPLICATION SIGN OFF TRANSMITTAL SIXTH DEPT. To he completed by Applicant: ` f� Building Site Location: Proposed m rovement: tAbe--1 E 5 :/ 1 FC'ÔT 7/6 a L X Y g' J•t.). Applicant: LAI r;41.4) Tel. No.: zs0 65 Address: /6 o 4 K tAf-) Date Filed: 21 2 2 **Ifyou would like e-mail notification of sign off please provide e-mail address: r b 904) 9 re-( €)(7 °`1 - Owner Name: W I so-i) J Owner Address: l e '4`k Owner Tel. No.: E -Z- ‘s37- 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 • h fee. REVIEWED BY: DATE: <7^ P SE NOTE COMMENTS/CONDITIONS: . 741 r 5/3 0/L LA S thfrvi7-1 FU1 p M4,•( 7° c r�C(62 /c),,o_ er Ro(4e F vc G —4> S 61 "44— Gfrw ' f Amu:4x ar2. C - •04-46'-'" - 404 . . 4".• d-.A'• ------r-___. - ._ 4 OA*14, 8•••,, , :r.=.;:'- ,.... ti ,- . ON 11,1APti4 31') Alle ..„.-1 .t' - .4 * 41' reiJE •e-s d'- I .r- -1.:46,•)0f4/...-..4..3-..--.t-.,...4.,.F,..6 ii I ,t-,r.6.6....,7r1...4.t-_c,4.,0-..0,_•,.l 4...-1-41.7.7.•..4..e-.;1.,..l.)..o.,A0.,e.'„ir1'.'1 it,t-.:,—.—,.`41Zt•n.3 4J—t0-.,a fV . ir T 1 ./ SEPT1.iL0..64r +T t'I . 1- C -i-W ? ? ' ro - -_., uar i ) sPr lP.15T;' O. I i •if i7 i ' -1 (/ i ck1 _U ri er / 1 , • ,• .... kd'''''... --. ...r...-:-... ..*.........41." - ..t ".;j so' . r* ---- ,„...I wo..., ,i; -`-'" . . ,..----- , .,,,, •• zeor4-4.' 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"A.t., 18 Oak Grove Rd South Yarmouth MA _ Property Address William and Jill Milot 8 North Walker Street Owner Owner's Name information IsTaunton MA 02780 02/02/2022 required for every page. Ctty/Town State Zlp Code Date of Inspection D. System Information (dont.) 14. Sketch Of Sewage Disposal System: . Provide a view of the sewage disposal system, including ties to at least two permanent reference • landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Check one of the boxes below: Z hand-sketch in the area below ❑ drawing attached separately . 1 ' ; I ', ►f lift l86 i ' . 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