Laserfiche WebLink
1 <br /> � <br /> � _ . <br /> � <br /> _ tiuii.ui.,�a rt.x.�u i ti�r �n.�:n i iv,. � - •, I <br /> ADDRE55 ` � - !�'-� <br /> iJ '%%'-'' � DATE /��,�� <br /> TT"r'E GF EiiILDING // ' - , <br /> 11 SGILD::'�'i PER\iIT FEE , �' �'' �� <br /> IA1 ?LA':v CHECH: FEE 5 /S'�.OS � I I <br /> I <br /> 2} R:AT=R SFR\'ICE TO BE PhID SEFORE IIUILDI':v � � ��J� L� _ <br /> PER:�i1T IS LSSL'ED -�= i <br /> (A) TC 13E DE?Ek.�LtiED SS' PLT3G. I:�'SP.�_ I::C:� ' <br /> (g) ��yS7', �4ATErt SER�'IGE, APPL, \G. � <br /> ., � � <br /> (Cl LCCATIO:� � C�y. Si���uJ�o lU Cll Q C!J <br /> r <br /> �/� �G1�s; �i- � Po� 1'v �� lf��.�v�CI�ART ' <br /> 5 � Dfii\'r.\;:q�' FEA`.iIT TO b� �'i+iD EiFC:.:. BL'ILDi:<G �Q �� � <br /> PER\:i? IS 155�JED �'T. Df;;': �I`-'nF� 5 <br /> �p p�l ry1 r i([c:v—�� �"Q/ <br /> • TCTAL S �4�•�S _ I <br /> � ; �TA?;.;5 Ci' SE�'�Efi CFiA;GES: <br /> EC\D��� DIST�ICT __ I�CC"I'AGE <br /> ErU \, 5. i, l:. <br /> ' :\DtiCA?� \QTES SL.�`�EP. CO:�\ECSIC:� G:_yRGES: � <br /> - -- TRi::i?�: S <br /> LA 1�R.AL 5 -` — <br /> TOTAL CG1TtiECT:C\ CiiARG� S <br /> SE�tiER PER`v1IT FEE 5_,,3'O:pp_ _ <br /> CATGH II:+SI:� PEF.:.SIT Fz�F. S //� 6) , <br /> TOTAL SEtiti'ER PERh1IT FEES S �IS �Gt� <br /> ?I '.'C\THLl SE�t'ER CHAFGES: � • <br /> SE�S'ER CO\STRUCTION: �- <br /> TRUNK 5 <br /> LATEP,A7. 5 �� <br /> SEtVER SERVICE: � 5��`"�'���� <br /> LCCAT;Cti OF SIDE SEVJER OR TEE L\ TNE A'IAIN: CY4F.T -� '. _ <br /> 7F� is G3:_._N._�F MAN_LfD��B-T_ 3_9_ � ���-�x_-�tip�fl �� <br /> i SEC GA(�r�ING f�t= F?�1/T �Zl�oo� <br /> s ,'p/� GO� �5 /�6c��T la DEEP � �AIDT i,�sp�c-r-��� -ro DA-rT L <br /> /' DA T E � .J ''.' — <br /> �,:�C �p�iPILED SY': <�✓ .�, <br /> RE�'IE��': �� �� ` DATE �5��� <br /> TRnFFIG DIYISION <br /> q.PPRO\'AL: DATE 7.� � . <br /> E�G I�EEF.I�G DEPARTIv1ENT :^f��' <br /> �`This total must be paid before building permit is issued. <br /> � � <br />