HomeMy WebLinkAbout2015 Mar 23 - Sign Off Transmittal Sheet, Plans __ _ _ _�__ _
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�o���,,� TOWN OF YARMOUTH
�* - -�� HEALTH DEPARTMENT
y
Y ^•�••`' $ PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
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To be completed by Applicant:
Building Site Location: ` �'6 �L; c�c � �^ � r 2_ l.t s \I p�n iq-�r j'3'j Fj �
Proposed Lnprovement: d
52 a � � h c r��
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Applicant: T-�„r� ('����{- '. �, Tel.No.:7 7� -Z 1 � -�� �
Address: � � �1.:.� �G p� ���. I.l��C1rC,nAs•��i, n'I A � Date Filed:��
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;slfyou wauld like e-mail not�cation ofsign o,/J;please pravide e-mail address:
Owner Name:� t.e (L� �F '�� .�.
Owner Address: I r6' V-l_'� f�1 �^ �.A Owner Tel. No.:"7'7y-Z� �-t,� 3 �
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RESIDENTL4L AND/OR CONII�IERCIAL BUILBING
HEAL"TI-I DEPARTMENT: Determines Compliance to State and Town Regulations; i.e.,Requirements
For Septage Disposal and other Public Health Activities.
�
' t Please s�ibmit three (3) copies of plans, to include:
� (1.) Site Plan showing Egisting buildings, water liae location,
and septic system location;
(2.) Floor plan labeling ALL rooms within building \��
(all existing and proposed)-
Note:F[oor plans not required for decks,sheds, windows,roofing;
(3.) If necessary, Title 5 application signed by licensed installer
wit6 fee. �
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,
REVIEWED BY: DATE:
PLEASE NOTE
COMIvvIENTS/CONDITIONS:
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TO THE BEST OF MY INFORMATION, "EXISTING" PLOT PLAN
KNOWLEDGE, AND BELIEF
THE
WEST YARMOUTH
STRUCTURES SHOWN � �S•
ON THIS PLAN LOT 99, PL BK. 246 PG. 142 �
HAS BEEN LOCATED ON THE GROUND
AS INDICATED �A�- 9����4 SCALE _ 1" = 20'
' �� � JOB_ 7474-00 CL�ENTSRIFFIN '
9 2O �4 SWEETSER ENGINEERING
DATE PROFESSIONAL LA D SURVEYOR 203 SETUCKET xoAn ,
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