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HomeMy WebLinkAboutHealth sign off 5/18/23 CUL 3----10b0( TOWN OF YARMOUTH 4;o HEALTH DEPARTMENT 404 '- "`` PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: 2j CEVeL1 T>CU u - `r©QM, 1fk O71 s Proposed Improvement: Cot\L7e(I-%0 ezi b•411c'I-,ec►..tA hj t,„,0, rn A-- k.k. 1K- oul cot,' ..,..,,AA,- C. t ,,tti<=) Applicant: ,ea, ( Tel. No.: 5 0%-Z1-1.i 3-1 Address: ' Co je 1 Ty Z lk�/ y®a txn�Alra for-forpo Date Filed:pay•I q+• .3 **If you would like e-mail notification of sign off please provide e-mail address: Owner Name: Owner Address:, COOec.t ,Ve, yiA,rhok►k6. •Vv4 Owner Tel. No.: rvos• t•3'l 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: APR 1 4 2023 (1.) Site Plan showing existing buildings, water line location, HEALTH DEPT. 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:laiv.. -1.---, DATE: ^ /f - ‘2,..3 PLEASE NOTE COMMENTS/CONDITIONS: 3 Covey Drive - Yarmouth, MA Second Level Iiimilimmoi OPHITOrnow I 9 Main Level B 10 Tx* T 6'=4 al_.asno [ mata l i I� BEDROOM d VV� FAMILY 2R'■16' N - Li?: BEOMW I.— Mr Ell; ill32111111MiliMk Lower Level , _ Mn©Li LAWDRY , 1trzM - J f WM ROW 15••1r FIN 12' o This floor plan is an approximation,and Is intended for marketing purposes only.This information has been provided with the sellers permission.®2022 Glasshouse Media Inc.. a I 1 \, ?„.„3 Q,1 „dry..J. Li�GCOCICau APR 1 4 2023 HEALTH DEPT. co. C AY4 / I -e-a j vol ca_ t ,..-- r pe"NC I. V s\......) , 1'f%\ 1......._____ _____________ ..............____________—f 1 I , 1 I ..... & .. , ... , k1 , i6..... \ ; ; 1 .L...... . 1 , ; 1 i \ \ \ i i ..........66 . .....................7;____,‘i '1"), .....-----------.--- 1 liv,,l' i ; 1 I . . I I) 1 1 ) 1 II ii•N . i 1 ! { ft f 1 1 t 1 1 -1 0 1 -;1 Vitl li (ci 1 1 .s..- .......2 •=-___4', -o ro to, c€,1• _ -4 i I. ,. .ter 1�r LOT i r 12)..csq s,F, r ( r'al,e-1, %trt. -} ,i tii 31r- 'i— il \ A 34. > \I 81 e ' . fG ) //'. - Di "'A * \ 1 — 4 I ' 'oitir/ . 7,4. " I . „..,e,,A ,, ,v,,t4ta , ,, . _44., , R Ili v iogo to-t .- r / . e'sash / rIsi Esy p t T..- 1 gu'c-.-- , r . • t� ! r SAsi kJ 34 _r .,r' l \ "--.- --———— — —— ——— — — -- ——— / GS PND• 54 —., 1 1, 6 . , , a �, ; El.= 3Z.44 F FpVeMB Pl. CVO'' ET FCA 1;2- . Ar-TL: YE 'g'resIC off'-O, g PROJECT )atit ca.) a41 TITLE _.aaa... JCS'[ .//{1: