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HomeMy WebLinkAbout2023 Sign off Transmittal - Deck / Porch rebuild TOWN OF YARMOUTH HEALTH DEPARTMENT o -�. .47 ' PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: BuildingSite Location: /0 f kaoc((_ 6 4 �, nYYICIC��I po r 1 Proposed Improvement: ��0 c d v/ diptip,treii) Applicant: b 0 OW (C / a/ I Tel. No.: Hv v f 2 f Address: it it4C I n-ic6l ! r Wi/ iCA ', lO)ODate Filed: r **If you would like e-mail notification of sign off 1please provide e-mail address: Owner Name: 0O I i] /C., (47/CY f 7 f Owner Address: Se, 1A4S Owner Tel. No.: 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, MOM(3® and septic system location; FA (2.) Floor plan labeling ALL rooms within building FEB z 3 202 (all existing and proposed)— Note:Floor plans not required for decks, sheds, windows, roofing; HEALTH DE=Ffi. (3.) If necessary, Title 5 application signed by licensed installer fee. REVIEWED BY: DATE: J P EASE NOTE COMMENTS/CONDITIONS: „ems tri 'a`ig :: o r iw plys ey & ' e o0 O N {. en tk oe r n. a4 tag — / /. O / '� (0 a ml C9 Lc-IL t0 LTD- ” tom,_ vy N nQ tnw2 s LLm LLm� CO OM Q2Qm t. o ch ch O_ N t ° m ,., t oy 010,"„ l \� . ., , xv ��. 'ro M N (6— CD 4 „ w O l�VINN1/!0o o N°tM 1.coo°.N cu `I'O OOR O'Ih VI ~� Q ; U^ 1`Df1OhN ,O W M I� p p —, O.. co i U.r �_ Q'O.O.O d N i-i.y 4. 0 N M N z =. Co ° 000_ o e ooee000�o .�. � O ry j �e?N�r F. �000 orio°'oerio V M M t- N in M,. ONhNON 1 y O R �D co 00 N ,D R� U.. .. hN M N M rl CJ N O O [� N O O O W IN U fi 4Z W .. 00 D r r ti 0W V ti :. 0 a N dn: ��e°viN ee•,o a k cO .C.) c o aGi 0 U 0 W 0 o°i Z U� Q o t°. rx p 0.0 ::U ro ,. 000 .°, ti > aaa a o°�o�ooveivoio oeo ,- o¢1 oe A .g8 U -Io4 e ^ °F : E >a� g g w, i e 8 N °cA a E R a -0.,aU d aaay N y 400$ U t' Ueeel d ?• d 0 u a x o > 0 0 0•-•- 5,r 0tol o, Q zo4Q AoC > OwwUUo OQAAU � � oo 3..00aoe..o re M.wN yl.�R O 00 CVi L. 1 a t -.on V� Ot 'E o "'. e4 w �m.. � fi co,P. I— E. 3.a.a i2 o1 J.� = E o o a Ul A C� ei Cy O H▪ or -- d3 Q Q es w44Q cap � fIIHLhI E . P'� at o°�° N o l`�t) —� C� . a .°a.°„ 0O C d 0 .i O •b U .G t h»y a �. .. pCd' .. 3Cu ; EcaccRZ \O q ..0 'e1CCC w' is cgs z..3 ° CLI CIr M h U N .. VI V1 .. M M M V1 °t ,I M R .. t0 t� ° U °k°', $0 u eve a ee .. �n .. -+ oeeee eeeesno +1 .yWy>r W nrL o - - „ _ N E - x LA o" ostm tq v 3033c. w ; m � 8 � c ooc..N - tu I.IL cv �, �, • ' ° 0 y U 0 0 0 `o w E, Gq 41 x X a ti 0 o O o .y °' d o o a0i aCi aCi e e �" s s id m o Z zMz.M.1 C�V1 v�A.V] 8 0 is x o 0 0 d U o 0 0 0 0 A • U01g0., ddxOAm 41 v/ c7v1 ° wwxx44 .5 = = ¢ FFF-. FE. MX umw agwr�ri,w� 0 0 0 O 0 0 0 0 0 0 U O 0 C L e O M V,'CV SS = M N = es V N N en •Z ;N.r R y N R en zz e.-, 'CS Sra .. .� C h h ,.rw z if)5-4 F. d +. j�N �.; v o 00 'w 4 o m N V 1 Q Or7UCN V�j NT O N �` ti a' C.4 y y 4 co en .. 'ZS N N N �Cii,y�eG1�e7�1. C 000 01 O �U eery MM [r y t o ,GUiG i4 a ERR CS y 0�00 y 4.1 so A ,O O.M O, o>.N N N Q �. 'V V_ U ''SOU OR F L ; N VD N R V .co NM co�� W Wp`0=2= cn4. CL q = y A oo C7 ., 3 00 CC N1 O J y j N.-. R .. ao Q es Q Z w h q ed c.El .. c u Ly d W, b 9 G Si, v > N T.3 k' [. ooe e y ti e`a o T. t~i1 as tn 'C C' .. Q 44 4 U L ti O N.r R vo00 �..,t 4, 7 aS a7 y ,�a. a 4- h u)1 N N N C,1 To' > > eC = v w U M M M [r tte 01 4 > a O .os cn ... 'D �t G `. d C NNN **C.{ co 1�`. [' f� y..1..I O O� 'i IV •Q• .�. 0 0 0 O t b 'O 'O 'O GL G y 3 N N N.. 04 (j•CS NNN bNee'1 O_.� 41 y a Q. ..- Ti E - pO.�.Na U - MMM ti'CCkM a: y e1 es e7 es .0 'Fs' en O NON... ... �7 �`e� e[ a as a as a�i d 1,71 �°i F ee�e . W `0 3 Q ] O.; Q •W •A W 4 N N N U y w w Z o X4X U enenen 4 v og g0 0 CA U U U NNN £ U A g W C) tq C Vj o "' e c C V e W U o 0 r, Uq C y� Ze 3 U� L . A 0. W p o v, -O ii Om h �z 6 o W � p'c 00 .1. 0. cee itif ..►. W V "" •.. C j, .34 el C ' dW at oO. Ial a F" � � a •• g W W a p 'E" a d q m �Q N R — EC o. II• > Imo.,OOo4 h q p o o. = O U = r4 a �., W»o. y o U a W •�'o e r' a. 0 0. a �C � y cil L W �' Q h a s of': Wes: 44 W U V z W a X _ ,d yea C � CZ W [rv, x cn W $ 0) h 3 �` � �r�� r y vim" �_ o O ti n. 0 1' 01 e • N d en C. S .'70° C7v k co o o '" q er 00 N a oo 1 c ti C' se N0 m Q W C• ZW o tq m a o W a 4, kJal c O -a 10— A 0;4 4 O A 41: O 9 •� u w."t ,d V O fi 5 C. U .: t 1Wr � ZJ Co] ZO q) al Qo p yOZU00. NO ZO = 0 e., o to] F6 o 6, O v No a F in0. •30 Q Fz 44 N ° W F o a O 04 DOa,o d O z Op N "- - ENw Aa F[-y W. : IXa " M W H 0E V W Z W CA F 'moo p u .�-i 1y Wdm. Cr LU °cc zz ,,a a Z vh Z z © .�WoCW Ex-0 WW r„ p� a ca o z z p z A hzF C 1.1 ACA me U N A a lies y cs N L.0. 0 >-Z00 �w �J Z A aW, 4oee �U een o. ... a a w 4 4c)— a o as a a a a ; ° mom — a. > Foo9 >e F.E: O - U 30 M v,