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� I <br /> DE►A1 AENT OF �OMMUNITI'DEVEIOIMENi AVICEf I <br /> BUILDING PERMIT INFORMATION <br /> ADDRE55 TYPE � u�iT'a� ��Y <br /> (1) BUILDING PERMIT FEE s <br /> (A) PLAN CHECK FEE <br /> (2) PIUMBINC <br /> (3) MECHhNICAL <br /> (4) WATER SERVICE TO BE PAID PRIOR TO 6UILDING PERMIT ISSUANCE <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR _INCH <br /> (B1 EXIST. W11TER SERVICE, APPLICATION NQ. <br /> (C) APPROX. LOCATION 1(s'' �.Z'. �/� �J bPPt=m� 25 <br /> �= S o1� � o-+< <'-�s�••�CHART A- ly-2$ - � _ <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) S _ <br /> S <br /> (7) STATUS OF SEWER CH11RGE5: <br /> BOND _ DISTRICT FOOT/1GE <br /> N, S, E, W <br /> NOTES <br /> ��-�� �--�.�- ��� (QOl42 <br /> a.z� //7/- 8 s- �/3 <br /> �.uAT�-� � �v , <br /> /�1�� // 'S = ! tv 5zc-� � 4/BOs• <br /> s�� - ¢3��� <br /> ac�3 = <br /> (o Dl4Z , <br /> ��g�u� Z�� � SEWER CONNECTION CHARGES <br /> �Z� Z� YEAR �� TRUNK f � 2� ' � <br /> StJA�t'L� LATERAL $�SQ, Sa <br /> � I S TOTAL CONNECTION CHARGtS t �S�`� ' �'� <br /> SEWER PERMIT FEE S — <br /> CATCH BASIN PERMIT FEE — <br /> TOTAL SEWER PERMIT FEES S <br /> (7) MUNTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK s <br /> L1ITER1IL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: S" Md«� l�r•'Pae,c S �� <br /> �S �u e lU ' `to P �. �D PP¢c�v S� <br /> '�-r lIJ � hK U!�2 b°�eov 8 P't 'P�' �T CHART��f4-z$-�i <br /> �V- <br /> INFOCOMPILED BY: DATE <br /> /1PPROVAL: DATE <br /> a•e� � <br />