HomeMy WebLinkAbout2023 Sign off Transmittal - Bumb out and Addition cat -Y-1, TOWN OF YARMOUTH
_ HEALTH DEPARTMENT
--4.0., PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location: S a- Sprtw�.Qv- L. ...vt__
Proposed Improvement: Sr-c,vta.st. rt-tokrcivw_., Sit is iv rF v -1t 0-k- kkvvs-
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Applicant: ,S vA2 ..- t-S..sc: . ‘i thib,A-s.\sar-r Tel.No.: -S-og 34y 22.1.5-
Address: IVq CA G-AROrige_ t 0OiLlt> Date Filed: yi2-4ri7-.7--S
"If you would like e-mail notification of sign off please provide e-mail address:
Owner Name: Stftsv oft -k- Svsw Wh k_ ‘N
Owner Address: la 5 C- SI Cry la-b l`f - Mq Owner Tel. No.:SW 3 4'f 1.Z3 r
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:
r =-(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: S - /k ' LJ
PLEASE NOTE
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