HomeMy WebLinkAbout2009 Sign Off Transmittal - Bedroom and Bath on Sona Tubest
TOW]\ OF YARMOUTH
HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
Tb be compleled by Applicant:
Building Site Location:
Proposed Improvement
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OwnerAddress: )7f s€4v, tr4fr 9o ?4/?Owner Tel. No.J , f - rt?^ 3"e?
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations, i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit four (4) copies of plans, to include:(1.) Site Plan showing existing buildings, water line location,
and septic system location;
(2.) Floor plan labeling {!! rooms within building
(all existing and proposed) -
Note: Floor plans not requiredlor decks, sheds, windou,s, roofing;
(3.) If necessara, Title 5 application signed by licensed installer
with fee.
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RESIDENTIAL AND/OR COMMERCIAL BUILDING
REVIEWED BY:f,t
PLEASE NOTE
COMMENTS/CONDITIONS:fi
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40 MIL HDPE PTASIIC UNER,
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AID ELA45.63 TO PREVENT
BRr}KOUT
PROFOSED RETANING WAI'I
TO EE APFRO\r'ED EY OWNER,
ONE RR TIE IN HAGHT (6't MINIMUM)
TO CREATE FLAT APEA IN YARD
ToF EL=49.6 MINIMUM
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