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�. • <br />t � <br />PUBLIC WORICS DEPARTMENT <br />C9fiCKOFF SBSET <br />6ach oF the fol2owtng checked items must be signed off and dated as appmved <br />prior to issua.�ce of occupanoy permit. <br />permt t A� % —�. 3 (r� <br />Address � 3 '3 / ,3 �.• �.• .� � �� r � r <br />_� R1D BS COMPLIBD WITN <br />OCurbs and Gutter <br />AsphaIt On Street <br />AsphaZt On Site <br />Sl denalk <br />Dclver+ay <br />Wheelchair Ramps O On-Site Sides [ ldlatching Sides <br />\.J <br />Cas�no Road Standard Improvement � <br />Sewer (Pipe� L'edding� hlateria2� Restoration,yCatch Basins) <br />Sewer Test • MA�J/lvt[� <br />ODrainage (Pipe� lledding� Material� Restoration� <br />Catch.Dasins) RO;� <br />ODrainage.(Pipe� Dedding, Material�.Restoration� <br />Catch BasinsJ On-Site <br />ODrainage Detention/Retention & Control Devices <br />OTe�nporary Erosion Control <br />OClearing� Crubbing� Cradinq� & Excavation <br />Inspection (MatPrialsJ <br />� Clearing, Grubbing, Cradiri�� & Excavation <br />, (Erosion Control) <br />� Steep SZope (Dry WeZZ� Materia2� Restoration) <br />( 1 Traffic Control Signs <br />`J <br />Short PZat Inspection (specifyl <br />.G <br />� <br /><i�--�! ,. � ' _ ;- � „ _ . <br />. , ; <br />APPROV6D 6 DAT'SD <br />d <br />