HomeMy WebLinkAbout2015 Mar 13 - Sign Off Transmittal Sheet, Plans - Dormer, Remodel ___ _
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�oF;q�?� TOWN OF YARMOUTH
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'`'�=�% PERNIIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be completed by Applicant.•
Building Site Location:_� ) j� � ,- k� ,� -}�;�/� C r S'a u-�-}-� ��,pr,� wT�-t
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Applicant: � ���� �- � � >�t� � �.� �n-.� Tel. No.: ���`d ��-7 .i B.S:f�
Address: �l ��o�� S�- w �S�- � � � �3� �
-�-,.��v .� r"t� Date Filed•��� '�` .
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••Ifyau wauld like e-mail natrfrcation ofsign ojj,please pravide e-marl address: '
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Owner Name: )< ; � 1-I ra � c. j,o tti i r� �� �7�r ..
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Owner Address: ? � \ f n r k N -? : �� L Y, O�h�e�Tel. No.: 7 g�-��`.3 - ,�v G 1
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RESIDENTIAL AND/OR COMhIE&�IAL�iTII.DING� ,/ a f , j
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HEALTH DEPAR'TMENT: Determines Compliance to Stat�a and �Tiown-Re„gulaUons; i.e., Requi�exhents
For Septage Disposal and othei Public Healt��ctivities. �r �
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Please submit three"(3) �o'pies Qfpl`�(s, to include:
(1.) Site Plan showing exi,�ng bilildings, water line location,
and septic system loQation; j �
(2.) Floor plan Iabeli�tg�ALL rooms within building
(all existing and proposed) -
Note:Floor plans not required fo�de(c�rs,sheds, windows, roofing;
(3.) If necessary, Title 5 appli�atib� signed by licensed installer
with fee.
REVIEWED BY: DATE: � �
PLEASE NOTE
COMMENTS/CONDITIONS:
2/16/2015 8:44:30 PM
D:\Users\Said\Dropbox\Public\Richa(d Pomroy\Pomory 02-12-2015.rvt
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EXISTING CONDITION
RICHARD & MARY LEE POMROY
RESIDENCE
31 BARKENTINE CIRCLE
SOUTH YARMOUTH, MA 02664
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