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HomeMy WebLinkAbout2007 Nov 09 - Sigh Off Transmittal Sheet, Floor Plan - Use & Occupancy� _ __ _ _ _ ._,_�� _ : _ . _ _ _ � � � � i ,�°��Y'�� TOWN OF YARMOUTH ! ! o � c HEALTH DEPARTMENT � �'' ,:;, � �, �y" - i �"°""""°" � PERMTTAPPLICATION SIGN OFF TRANSMITTAL SHEET i Ili • i To be completed by Applicant: � �F, II,� I Building Site Locarion: I2' Z ltJ I\��s � Map No.: Lot No.: I � ProposedImprovement: �C3�C � 6L�N�� `{��,Z/�1,'� ` NC3 ��°'�-� � I �lo STav--Q_._' I No i-• �.f n-� I I APPlicant: �atJ Sd� � i t1�6,�/ � CFCiZU Ac,f-[v Tel. No.: i r�� i Address:� � � M �7N �X! "(N � �1 r.rx.mwt}-► Y1�� 1�' Date Filed: V� 1 0 � ;#]fyou would[ike e-mai[notifrcakon ofsign ofJ;please provide e-marl address: ! Owner Name: ' i I Owner Address: � Owner Tel. No.: ' i __ _ - _.. _....... � � � ~ � 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. j Please submit four (4) copies of plans, to include: (1.) Site Plan showing e�sting buildings, water line location, and sepfic system location; (2.) Floor plan labeling ALL rooms within building � ;'- (all existing and proposed)- � Note: F7oor plans not required for decks, sheds, windows, roo n ' .� Si (3.) If necessary, Title 5 application signed by licensed installer � with fee. ' i _. __ ___ _.... _ _ __ _.... � REVIEWED BY:�__�y���� DATE: �� I ��G� �� ( i ' PLEASE NOTE ' I CO1vIMENTS/CONDITIONS: Iv5 � in SG / ti' f� I� ��o-r �� ( iQ {.� i0 n. � e K .� �1 �11' v�7 �'�.lfrl� - T'�, �) 7LcV�li3/c I`� 2 ��,� � �NS� • � i __ _—------_-- -- -- ----- , W`i+`N`Jc�� --, ul +�-��' , ` ;� ; ---�-T-'r I � � I i � � � � o� i � IaE � ; � - - � _�___.� � i NG' i i ' '� 4 + ' . i - �I �I I i � i � r�-� ; � � . � � i i �I �I ' _.1'L _,_-�;; -�':_--�---i-_j- ''I � - ��T--I��- �i- -- � . �I' �� ��I � i 1 I, 'I i i I i . ' i ' ..� - �i i _�-- � � � � 'i 'i .�._ J� �i��j�-���� I , �� -�_ __ -�--.i i i ; ' ; - ��I - _�� �-. L' . -J- -"i , �il � i � ' �,-I J Q-� - �i ii . ;' � �: . "VrC I � ' ' ! 1 -r-- .-F--�---- "�- '� i � � i i :t � _1 -�----�---- ��- �. - `--��-" � i � i �1 r 1 � � ' I j ! � 'i--r- ; -- t-7 � i +_ '- - -+-�-+ i i --- -- I, � '� �- , � , r-� i i i ' �'��, � �� '� ' - - �-- � % ' . .J.--;- �.--{-- -r-----r ��.,' . � � i . . , ' - ----+ - ..�---i �-��--T �_ � ; i ,i , ,, I � I � � �_�-�. � *- � I '; ',_-}--�- �-=r--r--' y-I � ` � f . r J--�i ' � ��I i �� � �-- -�-'r� ��i � '�' '�' I i.--i-�'-�. -r -,."- _ '�I . �._' _1--�`-T-�"'__1-_ . ,�--r +..T � i - ..} � =� t' - i �-_'�_ ' ., I , i __ i - �I i � - .� -`� i i s : r�w � �4_ I�-� y T- � i ' !--- - I It�'PM�t � i . � ; _ 1 i i � , � � � 1 � w � �, i t, �l.�.., . . gu { � C ' �'i,t�'`� ' `'� � ' ���� '� �'��7 � � : i � -� � �l``';� -- ��-a"-�fi�-�- � �r tl-�5�, ! d � ; , , I , s,.� �f , r I , � , ; ' -_ -+--i- -1- =. � - � - --�- '-+ � � i ��' � - -t-__�___ a-- � i �I �, � i I � .-._-�'.� '--'� �� i - + -- �----�;'_'�r �.� ��-i- i � , � i � i -- I , � � � _�_ ! i -i - �� ' ��.- ---�--- --- � ; -�-�� � I '� ' ` --� _ - -- -- I --1--� - .. � i _i _1_..�-- . ;—j � � � , �� � L_ _ _ j. I '� ��__ � ___'_-�--` -�,--. . I. '. � �_.._.J � I i i ' � � _ �' �--�" - i � ` i : - -. _ � �. � q.� � ' - -- `i �;�4itl!DIS�I ( I I � �I i � �-- �--{ �- - � � � � � _�.- ._1-� �. F� �-� --�-- -- � - ,' -�: r �:V�HV'�q - t v�. Z ��.�� 1�__I. .� � i . 'i � �.�µ'� — '� ! —'-- ��'-- � _'.'— �� .y , � � �� +'�_ �,— _.rt"__ i . � � �i q �I � 1 : �_. J-- —�--1—� , ' �.� I , . � I � ! ` "'U7k.�V� ]� � � j � , -i---i � _ i : , � -, , � ' � i ��_ I �, I i ---r i,, �I � i --' � � ' � � � i ' , ' r-�. i iI j---� ,. _ _ '� � . � ; i _.1- -L- ' . j- �I i : � � . � � � i- i I 'N i i � � .. _ ��-�, - i - '�. �c� - ._ _d r--_ . li � { �I '.. j i � � .�. i-_J-L __-�'--.. _ 'i � I ._t---r�----'_'-_ � � � ri ' �'� �i ; �i---~--� - � � _ � '�..-._;- -_._- �� � .. I � I - � I '� ! I � � -� �--- �- � i i ; i� J� �_ ! y.-�-�- , � �� ,. / i ', , i I i .� } T-'r- - � � ;� 1 ; � �-- �-_ --1 -+_ -�-� I , ��, -i_ -{ � � I I , , � � � � ,, I -i- �_�-i- •_-�---�� --;- , i, � ':. L- .--�1- -+---i_i-� - ' �j � I ';. i.1 ! I � _� � � � � ;. �, I ; � ' �..- _�i- - , � � ' �--- -1---I--r�"-"�'�- i I (F ' �__ -+-- '-{ �- I � ' i i � I _�_--+--�'--� � , � � � '', � � _----- - - i �--%--1--�-_I._-t �' �- �`-jl- '��, � ! _ __ '-" i i 1 + ' I I i ! . � � T - � i � -�- - . I i . , � � �� �. ..i�-__--}"--'r��i_.�i i i� � �� 'i ; � . I ! I , 4 ' _� �. '� � �i�,/ �� �I, �� � i j � , � _T —� - ��, �1 � Ys� E=itai�--'�'__ � � __��_.-.� c. �__ ;, 1. ; � �. � � � ; , � i . , , �, . �. , _ _',�_ _— � _,_�� -i . �. --•. � �t �_ �.�-- �._.. �.___._ - '--� . � � �