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HomeMy WebLinkAbout2015 Apr 01 - Sign Off Transmittal Sheet, Floor Plans _... , � , _ _ . _. _ _ ___ ___ � f � �' � (;` _ �r ,� v /�'.�/J / �of�a�r,y TOWN OF YARMOUTH � �� HEALTH DEPARTMENT �.� r �t . ; "��•°D � PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be�mpleted by Applicant: Building Site Locarion: 0 �� v Q A7 °� 4JLMv u / � Proposed Improvement: t 'r'1 �i '��r f � ' � o0 Applicant �� ���t C x 2�/Li e���,U Tel.No.: L�/3 -�(o�/�I/y � � /� Ad s•.i n ���,�pi r'w e(�i�_�i �`� lV 1 q fl�a30 Date Filed: �" '-� -1 G1nl�eh�t1 �lJCS}SlQr *'Ijyou would lrke e-mail noh;fication of sign ofj,please prmide e-mai!address: � � �.' OwnerName: V1�'fU'1 �'�/LRi.� �'�vb Owner Address:��/ C'D���c e i��► W al y Owner Tel.No.: 'y�3�� -6�(5 �' ...�,�. _ � � � . � �� _.......__............._. ��.� ..._...... _.... �.. ...�.��._�..�................. ......... ......._.... ....................._..................._..... ,� .._............_.............._........._. �Ir� " RESIDENTIAL AND/OR COMMERCIAL BUIL�ING HEAL1'H I?EPARTMENT: Det�i����lYance to State and Town Regulations��}Requirements � " �. Fo;C,orf�g`,�D�isposal and other Public Heaith Activi r� ��Please submit three (3) copies of plans, to include: (1.) Site Plan showing existing buiidings,water line location, a�,dY&eptic system location; (2.)� '"�'loor plan labeling ALL rooms within building (all existing and proposed) — No7e:Floor ptans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer with fee. _._.....__..._........_...................._............._...... ... ........_..............................._....................................................................................................................._..................._..........__.........._...........__..............__..._..._...._..__.. REVIEWED BY: DATE: L� � I� PLEASE NOTE C MENTS/CONDITION : � �,� d t l x 2 � 0 S� � q o1 e v'o — I w�J , .,, _ _ .:=� �'� -7�` <"� �'"'� � UP . .\'. � �� � ��_ ��_ � e ' , � � , � �I � . .� � ? 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