HomeMy WebLinkAboutSign off Transmittal - inground pool 2020 OC: h TOWN OF YARMOUTH
,, - ,° HEALTH DEPARTMENT
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'I!.,gut` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant:
BuildingSite Location: 3-7 Ar C� CcAtt
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Proposed Improvem t: 1,6 X��-? �r Sk C` Lj(r t� V 'i i� /cr1(c 1��10v/,4
Applicant:1th ( a/0 Sp/. 0 Tel. No.: ` 7 ' 1`133
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Address:(? L,0 bin`Sc ( , i C^^-,&n rl/7(S ► i 4 (g O Date Filed: I/)5 I
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Owner Name: C (olh
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Owner Address: 7 kiH,vr 6t4/C. Owner Tel. No.:&9? 3 > 2
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
with fee.
REVIEWED BY:
?)71,i, DATE: /A eiakao\c):
PLEASE NOTE
COMMENTS/CONDITIONS: