HomeMy WebLinkAboutHealth sign off 4/24/23TOWN OF YARMOUTH
�r M HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant:
Building Site Location:
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Proposed Improvement:
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Applicant: \ tL�` j Tel. No.:
Address:[G� { }kR;,'-\ID 4 .!'�� , i� � „ E? 7��,• Date Filed: 5 i `'
"Ifyou would like e-mail notification ofsign off, please provide e-mail address: L'I L_Cyyi l,ty ai
Owner Name: ", i fi&
Owner Address: 5,NN-vt:
Owner Tel. No.: >k�ubt
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:
L OU J (1.) Site Plan showing existing buildings, water line location,
and septic system location;
MAR 2 7 2023 (2•) Floor plan labeling ALL rooms within building
(all existing and proposed) —
HEALiFI DEPT, Note: Floorplans not required for decks, slzeds, windows, roofing;
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(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: DATE: L` 2 -/ ,) 3
PLEASE NOTE
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