|
1' iJ1:1:llii�G i�1:U CO:1:1UIU•1.Y :: J:l:l::i � ,
<br /> - - - - -- — � -- -- . —- -- , -
<br /> � UUIi.D1I1G 1'I:I:HT7' ii;l'QI;ItA'Pi�l'!
<br /> AUllI?1:SS 9 ,. 0 �1'.�t_ rJ�� �,c'C> .—__� �PYl�1i _C,G"r�JJ'�j�r ' _...__.
<br /> 1) ISUII.11I?.0 1'I:1t:1IT I'I:L•' �'�-�' ' ��'�. �?G� � :
<br /> . .
<br /> $ /c'%' j.
<br /> e IA) 1°Llt� Cl!LCI: PIi1i ri/:� $ ����"��
<br /> 2) ]?7.U�tIIING • $ ` i1. .� ��;:.1
<br /> 3] t9EC11ntiiCelL • S �`-�, G'
<br /> 4) 1�ATER S�?:VICP•. TO 13P PAID 13�1'ORL' llUILUIiJG � _
<br /> PE1Z9I'P TS ISSUI;I) ' . $ 1 ` ��
<br /> (A) TO IIE DL'TLRt7I:•lEll BY PLIIG. It•ISP. � - INCIf �
<br /> (R1 EXIST. • i9ATER SLRVICL•', APPL. NO.
<br /> — —�----
<br /> (C) 11PYROY.. LOCATIOt7 _ G •T_ �t..', , i.' :'. .� -i , _;'=,- ! ; r
<br /> � �i� �.:;.= �.,v�f-`r� ;-_/�ii) CIfART =,�'- t � _ . .
<br /> L.i
<br /> i
<br /> 5) D?IVE?1,1Y PI:^J;T_T TO BL Pi�ID BF.I'ORE T3UILUI?r(;
<br /> PEP.)SIT IS ISSUL•'D �l '�� FT. �� % ' U��•7 (TiPE) r., / �i� . _� L- _
<br /> G) Si:�.US OI' SL•'?':li12 CI111[?G�S: , TOTRL $_��""�D-J -- ' :- i
<br /> , , , �
<br /> I30'�D —DISTRICT - FOOTAt;E /�����/.',,; ;, a .;, ' r _
<br /> � • N, S, li, YT. �-', 1S�/�I,�
<br /> . �
<br /> � � S,z.7[9P•.P. C0.'.d:;CCTIOid GiARGES •
<br /> NOTL i •
<br /> YL•'nR T1tU';Y. S /� _,
<br /> �
<br /> i
<br /> � i , `-�� ' LA'PI,RAL $ /�� „
<br /> � (.`..C.��t'.� . �.t.�. _ r � / \� '
<br /> � TOTAL CO'•1A1..CTI0�1 CIIAt;GE$�_ _
<br /> ' �, � �
<br /> Sf'':ER PrR�iT'P F3:P•. S _ _. - ' _
<br /> CATCiI LASTtJ P.]:R:fIi FCE $ "�C) '`-� '�-` �
<br /> TOTnL SEt'.fiR "I.IZRIT I'EES$--- �`�--
<br /> 9) !iO:�TIILY SL•'19ER CfI1�ItGES: . .
<br /> Slil�Ll4 CO��J��,1lIJCTIOi;: � TRUNK $_—,�--^,
<br /> LATI��R7+L $ -
<br /> Sl::•;IiI; S_.Rl'ICL•' S/���f'i��_.E:�.-
<br /> TPPP.OX. LOCATIO:� 0?' SIDli S'i1iWTi:2 OR �TIiE IN 'fllE DSnIN: /'� �� il/_�,[s��.�_ /; . � -- �- -
<br /> ---- `�— � - ; �-�'�, j�� � I�� ���i F: r,��_r LP �, f= ' � /� r
<br /> � '� _.C� - ;i,f
<br /> (� G�'' �'" -- �'�1- !-/I_!� . C11ARP _�_ `
<br /> L- � ' •
<br /> . ._- . .. � .
<br /> ir�r•o ce�tr�r,up »xe ' �n'�'�� ____
<br /> nrrr,o��nr,: ,� �__� � r,m��i; _._ .
<br /> . • �
<br /> . , :
<br /> :
<br />
|