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• PIIBLIC WORKS DEPARTM6NT <br /> CHECKOFF SAGS7' <br /> Sach of the following checked items must be s�gned off and dated as approved <br /> prior to issuance of occupancy permtt. <br /> Permit N '3 b ` <br /> Addresa �� � � 1���^� <br /> • 1'O OB COMPL26D WITH APP� �VSD 6 DAT6D <br /> ( 1 Curba nnd Cutter <br /> \1 <br /> OAaphalt On 5treet — <br /> OAsphalt On Slte <br /> OSldewnik <br /> ODriveway <br /> OWheelchatr Ramps O On-Site Sides O Natchtng Sides <br /> 1 � /1 Casino Road Standard Improvement <br /> t:J <br /> Sewer fPipe, Uedding� Material� Restoration�yCatch BaslnsJ <br /> MAN/k«s <br /> Sewer Test <br /> O .Orainege fPtpe, Dedding� Material, Restoration, <br /> Catch Bastnsl ROW <br /> O Dreinage (Pipe� Beddtng� Naterial� Restoration� <br /> Catch Bastns) On-Stte <br /> ODretnege Detention/Retention & Control Devices <br /> OTemporary Sr�slon ControI <br /> O Clearing� Crubbing� CradSng� e &xcavation <br /> Inspectlon (Matertalsl <br /> O Clearing, Crubbing� Grading, 6 sxcavatton <br /> (8roaion Control) <br /> OSteep Slope (Dry Well, Natertal, RestorationJ <br /> ( 1 Ttafftc Control Signs <br /> \.J <br /> Short Plet Inspection (specifyl <br /> � _ <br /> � <br />