HomeMy WebLinkAbout2014 Nov 13 - Sign Off Transmittal Sheet, Plans - Sunroom Addition _ . .__ , ��.,._.�-._��--. _ ��
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�{QF�R,�c TOWN QF YARMOUTH
° HEALTH DEPARTMENT
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x PERMIT APPLICATI4N SIGN OFF TRANSMITTAL SHEET
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To be completed by.4pplicant: �
Building Site Location: �L� ��L'//�---Q�6��,{ ��
Proposed Improvetnent: SU��`�� �U. Gr9' �"tGi rr ,�
Applicant: �G2'2/��--�C.s'�' �° �v Tel.No.:.S'O� Yd0 ,?d� �
Address:� �'�"' �/�=r �- ��f �v�.-C?�( � Date Filed: //��
•"7fYou would like e-mai!m�tifreatian ofsign o�J;ptease provicte e-mail address:
Owner Name: �j^i.li� �-�C� 7 Z i
Owner Address:,�� /"`Ou�t /� �(/�<�`_.�s�'Qf Owner Tel. No.: d't� �l/`� l�l�C,
ItESII3EN'PIAT.AT�TB/tlit CdM'MEItCIAL STTII.DING .
IHEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirernents ,
iF6r Septage Disposal and other Public Health Activities. '
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� Please submit three (3) copies of plans, to include:
! (1.) 5ite Plan showing ezisting buildings,water line locatian,
and septic system location;
(Z.) Floar ptan labeling ALL roams within building
(all existing and prapased)—
Note:Floar pXans not required for decks,sheds, windows, roofing;
(3.) If necessary, Title 5 appiicatian signed by licensed installer
wit6 fee.
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REVIEWED BY:__cf7���__G��_ DATE: /�'�� �7`
PLEASE NOTE
CQ ICONDI IONS:
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