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, <br /> ' . PUBLIC WORKS DEPARTMENT . <br /> CHECKOFF SHBET ' <br /> Each of the following checked items must be signed off and dated as approved <br /> pr3or to issuance of xcupancy permit. <br /> Permit M ��- ! 7 � <br /> Address �� � ��� <br /> TO BE COMPLIEU WZTR APPROVSD 6 DATfiD <br /> OCurbs and Gutter <br /> OAsphalt On Street <br /> OAsphaZt On Site <br /> OStdesoalk <br /> ODriveway <br /> OWheelchair Ramps O On-Site Sides O Matching Sides <br /> ( ) Castno Road Standard Improvement <br /> �.J <br /> O Sewer (P3pe� liedding� Material� Restoration,yCatch Basins) <br /> MA�//fotEs <br /> OSewer Test <br /> O Drainage (P�pe� Bedding� Material� Restoration, <br /> Catch. Basins) ROW <br /> (� /1 Dratnage (Pipe� Bedding� Material� Restoration� <br /> ���� Catch Basins) On-Site <br /> ODrainage Detention/Retention & Control Devices <br /> ( 1 Temporary Erosion Contro2 <br /> \J <br /> O Clearing� Grabbing� Grading, 6 Sxcavation <br /> Inspection (MaterialsJ <br /> OCleartn9� Grubbing, Grading� � Exravation <br /> (6roston Control) <br /> � Steep Slope (Dr; We1Z, MateriaZ� RestorationJ <br /> OTraff�c Control Signs <br /> Short P2at Inspection (specifyl <br /> G �= <br /> � <br />