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HomeMy WebLinkAbout2023 Sign off Transmittal - Bump out TOWN OF YARMOUTH r HEALTH DEPARTMENT • PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To he completed by Applicant: Building Site Location: +�j;� (�,1�-r; ('A I I I,t- Proposed Improvement: &kelvin atru, aecl'zm �'j(j I'� ' 614 c-j icct Applicant: JWM se- `. 04II 3(I141it Tel. No.5-bct-,+31-'1069< Address: 35 ' (p m'6 Date Filed: **/fyou would like e-mail notification of sign off, please provide e-mail address k04- (1 1, j(0,661 C-14K Owner Name: 5'IJ'YU ttA Ll/10(5 � Owner Address: SOU CV) A t.. Owner Tel. No.:S'a,hK-a--- 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; .) Floor plan labeling ALL rooms within building FEB 77 2023 (all existing and proposed) — Note: Floor plans not required for decks, sheds, windows, roofing; HEALTH DEPT. 3.) If necessary, Title 5 application signed by licensed installer with fee. REVIEWED BY: DATE: J 17 -2--L PLEASE NOTE COMMENTS/CONDITIONS: FEB-05-01 12 :37 PM DOWN CAPE ENGINEERING 508 362 9880 P. 03 _.��_im STOCKADE FENCE __ - ;ALL 123.14' • • cos-T. I 1 I \ BLDG. I1 I ECCEOWED ,. \JI IAN OA put OWNER 0 TOOL i s� - ..)74. .1 I v ( is 1 1023/ 11 \ >� 45.6 II ' • „ / I .�-41.s j HEALTHb PT fl %i/1/2�i// jJ-/ • �}/43.0 / / 4 / 7,/,/„+ . re7///,, `�/f' /�' , Ai siso PROPsoL PRE S / /,'/i i/i,,' / is 47// an+a %/,.4, j;/i /Atl AR I v� , •' //.!:/ ao.� k Exisi. BLOC. / ii J \ \ 0.6 Ptl -\` ------1•�}•'azt' _f-1---- • 3 O gopXED / i \ , tH1 J II F BQANcv{E f 11.3' j 1 i F I CEDARS +41. —,..c- N.,1 - 1.9 -- 1 A1.3/ 1+40.6 .,S, SEE ? 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WAS OR � ' '/., s•j/,� ': 418 41.7 aa.6 LINE CROSSO • U•5 ;; ;J -1 / WATER NE I 41.4 i s , QQ3se nAQiy Sf- Ja.6.e tiv e r\ w \ 1111 11II FEB 1 T 2023 HEALTH DEPT. k ( A 3S` ma.,, 54- *Ay- � Lev Ha,c Litin Ro,v-‘ ryvus{Cl Dint Pall4kSedt kr ' exvnn / geAcIso Rim FEB 17 2023 HEALTH DEPT. ar\& Leoe\‘ -Bedrozs Vv\ 'R:Ar v, FI CA r r6 Tf T FEB 1 7 2023 HEALTH DEPT. e+ 4 W\a" 5+ 34 Level Hi Hi: AThc FEB 1 7 2023 HEALTH DEPT. • POW c«RA.NEMO¢w/.9C1•'L.,. ixrs I CI—O' -{I r 4 r r o' i '� - -�' /\ m { D - A- tv"z.-v.i-1 a tMG UE W�1 ',,,,,G A _. _ 1 _: _L +_1.P _ _ ,: C --xk In . . x .7 \ —_ -4 \1. iIII iii—D_„isr L_ r ..�" 1 ' 1 ' I '41 _ —r U C)<, Pill - CST') Fil v N.:, Q -1 w 0 /b'o 8-6 R'_ . IC t Gauc R.-07-au 14 be 2A. 9n Fcc wf 4 T '1Nsau 0.o , 'e IN/ 7.,..r1'2K6< M OFG .cuee. £_lA =i''i-T Te 0.4.. r6:T I e-, C" 4 b P.T.ax,o o �h 6e.y �.. 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