HomeMy WebLinkAbout2015 Apr 01 - Sign Off Transmittal Sheet, Floor Plans _... , � , _ _ . _. _ _
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�of�a�r,y TOWN OF YARMOUTH
� �� HEALTH DEPARTMENT
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"��•°D � PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To be�mpleted by Applicant:
Building Site Locarion: 0 �� v Q A7 °� 4JLMv u
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Proposed Improvement: t 'r'1 �i '��r f
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Applicant �� ���t C x 2�/Li e���,U Tel.No.: L�/3 -�(o�/�I/y
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Ad s•.i n ���,�pi r'w e(�i�_�i �`� lV 1 q fl�a30 Date Filed: �" '-�
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*'Ijyou would lrke e-mail noh;fication of sign ofj,please prmide e-mai!address:
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OwnerName: V1�'fU'1 �'�/LRi.� �'�vb
Owner Address:��/ C'D���c e i��► W al y Owner Tel.No.: 'y�3�� -6�(5
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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
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��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.
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REVIEWED BY: DATE: L� � I�
PLEASE NOTE
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