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M^ <br /> P <br /> , <br /> " • PUBLIC WORKS DEPARTD1fiNT <br /> CBECKOFF SHSET <br /> � Sach of the following <br /> checked items must be signed off and dated as approved <br /> prior to issuance of occupancy permit. <br /> � <br /> ' Permt t N 7(�"- `� � '� <br /> �� Address �O ��� � f�.L( . <br /> � - <br /> I RPPROVSD & DAT6D <br /> � - TO BS COMPLISD WITH <br /> OCurbs and Gutter . <br /> , /� 3� F� <br /> t, � Asphalt On Street � <br /> C^.J � � 3 r <br /> �AsphaSt On Sfte <br /> U Sldewa2k <br /> �(r 35cda <br /> Driveway <br /> O Wheelcha3r Ramps O On-Site Sides [ 1 Matching Sides <br /> \.J <br /> OCasfno Road Standard Smprovement M1 <br /> O Sewer (Pipe� Dedding� MateriaZ� Restoratibn�yCatch Basins) <br /> `J MAn/flctEs <br /> � Sewer Test <br /> ' O Drainage (Pipe� Eeddtng� Material, Restoration, . <br /> Catch.Basins) ROW <br /> O Drainage. fPipe� Dedding� Material,.Restoration� <br /> Catch Basins) On-Site <br /> ODrafnage Datention/Retention 6 Controi Devices <br /> OTemporary Erosion Control <br /> O CZear3ng, Grabbtng� Grading� 6 Excavation <br /> Inspection (Materials) <br /> OClearing� Crubbtng� Grading� � Excavation <br /> , (Erosion Control) <br /> � Steep Slope (Dry WeZ2, Materia2� Restoration) <br /> n Traffic Control S.{gns <br /> \J <br /> Short Plat Inspection (specifyl <br /> . .G = � � <br /> O <br />