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PUBLIC WORXS DSPARTMSNT <br />CXECXOFF SH6ST <br />Each of the f.oZlowing checked ite�rts must be signed off and dated as approved <br />prior.to tssuance of occupancy permtt. <br />Permtt M 7y - 3 3>> <br />Address � � - I�J � <br />R10 .BG COMPLISD WITA <br />Curbs and Cutter <br />Asphalt On Street <br />Asphalt On Stte <br />Sldc�alk <br />Oriveway <br />Wheelchair Ramps � On-Site Stdes O Hatchtng Sfdes <br />Casino Road Scandard Improvement <br />% <br />�rrer (Ptpe� Bedding� Material� P.estoration�yCatch BasinsJ <br />MAN/fotcs <br />Sewer Test <br />VDrainage (P�pe� Bedding� MateriaZ� Restoratton� <br />Catch Bastns) ROW <br />ODrainage (Pipe� Bedding, Materi�l, Restoratton, <br />Catch Basins) On-Site <br />ODrainage Detention/Rztention 6 Contral Devices <br />OTemporary Erosion Control <br />OCleartnu� Crubbing� Gradtng� � Sxcavation <br />Inspection (MaterialsJ <br />OClearing, Cru6bing, Crading� & Sxcavation <br />(Srosion Control) <br />OSteep &Iope (Dry We1I, Material, Restorationl <br />OTraffic Control Signs <br />Short P2at Inspection (specifyJ <br />�G <br />C� _ <br />APPROVED 6 DATSD <br />r�t�r—_i^���.. <br />�2 �' f�7 <br />� J�� <br />