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HomeMy WebLinkAbout2015 Jun 03 - Sign Off Transmittal Sheet; Floor Plan - Finish Portion of Basement roF�a�r,� TOWN OF YARMOUTH 3 ° "e HEALTH DEPARTMENT � '^• ��%�$ PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET To be completed by Applicant: Building Site Location: (iY LQ�u,,,o.�..(.c,�Q�( fQi( ue,,,. a 02�7� Pmposed Impmvement: tta.;e,�. Acn�:s„_. � (,�.,,,.,...�„� r,,,il'.� CJ - Ce�,�i..... t�ba�.u�.,,:.L C �� ~ _. Applicant: ,.�, ./L(X.�, , _ Tel.No.:T�9 493 vaJ7 � Address:�� � L�'�,,,,�o,., `�/�. p�� �b � Date Filed: 3 � **If you woitld like e-mail notrfication of sigrr off,please prrnide e-mai!address:G�1��r i.�'J p�, b e y�'on _C e n. Owner Name: /Cai�,,..C.e /[eu.� Owner Address: (�y ��,( ►(�( , Owner Tel.No.:Sv8 7yy 7� r '] RESIDENTIAL AND/OR COhII1ZERCIAL BUILDING HEALTH DEPARTMENT: Determines Comptiance to State and Town Regulations; i.e., Requirements ` For Septage Disposal and other Pubiic Hea7th Activities. Please submit three (3) copies of plans, to include: (1.) Site Plan showing ezisting buildings,water line location, and septic system location; ��� (2.) Floor plan labeling ALL rooms within building (all ezisting and proposed)— Note:Floor plans not required for decks,sheds, windows, roofing; (3.) If necessary, Title 5 application signed by licensed installer wit6 fee. .................................................................... ...._...... ..._............................_._......._............... � � REVIEWED BY: DATE: PLEASE NOTE COMMENTS/CONDITIONS: � a : ee . . . . ' .... � : � � �L ._ ..�.. . ._______ � .: . '.. -.. � ..._. .. __.�._.�_ �y Gy� $ . . _... � .. . .. 9 tl C. . . ..._._. _ .�_ � m _. .... _ . � . a OQ LC'] � . ; ' __.�.. _ . _ .__. _ . .. �a � m E m � r�n --o -W -- � - -- -- - tf` �{ �b ,R - � '--G�I'. . .` �3 L D � a--- �-0--� . . .� �_ -- .� .. �, � _ �o� a g . . __ f ___ - � G. w � € m u P �� � Z . -4� ; _ '_ '_' _._'_ _ _.' .$L' ___ 1 __— .� � 3 C � g � �- _ . � __ �.�-. .__. --. @ „m.� - -- -- - _ " . - -- -�-- -- -w . a -- � a -- --- mmmm . . .—_�r.'__'_ �.._ . . ... --_'__ 6 o E m _ __ . � � i1 � ' Oy� g .. . —_'-- - ' :- _' -'1-��-"' � 9,a Q E . ' __._ ___ __ _--_ ___ m a ---- . .. �� �9 �� - --- --- � � - --- -- $� "a t � _-_ _ _-- ,_. m m= m N \- _ _- --_:. ----. --. __ E r x s g ...._ _— a .._____ -- m°s �m m _. .. -_- . _-- � m .���1f � � ' . �.. . . .. ... .... _ P�L_ � �a $ � � . ___ _. _._.._ . . E q t0 G __ _ . . - .. %� 26 _ __ "__"_- m . I "_._.__ m 0 $ OI fq 9 U Gmm � __. � x N n a � -- -� --- __.__ � m n � -__ _- � __- m ¢ o _ .__'--__ . wmvc • '__-_-__.- __._ _._ _ __'_ _"_ -1 � o m L° .- --� - -'��- � - , . _ " a - - ---- ------- � � -- ---- ------ �— CJ r�n U g- -� - _.-----_ ._ .� _- I - � ' . ..._.. __-_ ___ � ' . .__-_ -. .. . ._' r__ . . . _ __ .__.. — � . s__ ry-� -��-.__..-.-_-_— . ___: ^ _______ -.. � , ,. ., __. -_ . . _._�:__-.___.. - -.__ __- - ...-__._ l� a_.-_ �. f . .. . .__ �.. . .. �. � ___.. -__._ 6 . .._ . : � . � --- --.._- .-.--- � .. - -- �---- N x_'_ -_ _- ..� . .T___ r -..___ '_ � --- -__ . � �- -- _- _ �----- _ - --- s .--- — - � --- - - ,- — — r � ,_------• -�-_.._ --- --- -- p a ----.. . T. ._ _ `_� �-- -_- -�, .. __._ , .,� �_.. _._- __- __.-. � __.-- .' - ! _i -_- - -'_ ___ __-_- , g—. _. � _ y ...__� �_- .._ . . ; . � _. __-_ ___- � &_._ _. _' � __. ' . '.___-__- . " . . _- . . - ._ . . _._- _._ ..._-_ �,� ,. __""__. _ � � __-_-_-... _ , . a _" , -___ I . _--" _ �_ _ _ � J � `R ��_ �f_ _ _ � _ __' `a 9C E N '� . -`T_- --_"_.__- .' _ __ _ _ -_ __ e „ � _ �s�a � '_ I . . ._' -_ _.__---_ ' � = g €� - --- -- a e;� a ---+t-..._---- -�----- . ' � . �.-__- -- - - - � -- --- �v E a ."_— . . �. . I o __"-_._ "_ '-'_.__ . _--. ', Z � (� .'___. ` _'--. -___—._ . .. _ __'_ _—_ . -. � ..._ __.__ _.__ . . . . ._-_" -_'_- ' ..-�-___'— '� _—'.. � . �� �—__ .._— _ _._ __ '_ . _-- � ' 9 �— _-_"..._ ____._ _.___'__ . Z W a � _.___ -- ._ . _ _- __._... .-- -1- -.-__ . mp � _ (� .. . ___... . _. _.-. _ _ _-. _ . o � o y -' __ _. _ ' .___ - U U U __._i___ _ _ _ - _ _-- .-'_ -T �' "'_ ' � M - �__..._ _(� .... . _ � . .. ._. ._. ._ _ . . .._._- ...._ .._. _._- _ .__. F.. _ __ L� _ __ - - - -- Z _ ' �r _. _- � � ---�� � � . - a --T- _ __ --- - - � � � - ---ti--- ; -- , .. - - ---� __ _ � • - -- - -- c�i ai a -- --_ t�-�--- - - --- ' � --- -- � :_-�� -� -� _ • -_.__ . -�� .--� - _ — - � _ __ _ - __ � :---- � -- — -. - �t��---'---T-�-�__ __ N • O .. ... ._..... . . 2 : - J&. a p a z 8 $ 6 3 R :. � R E 3 ' �L �r ��