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� <br />PIDBLIC VIiQ►Rl�� <br />IN�PECTIOfd R��9����;� <br />i`,ddres� �%��—L-v �' �LIi�/� _ <br />Contractor <br />Oevner ���_[7���.�„y� _ <br />Date �! a�p_/� Time <br />TYPE OF INSPECTION REQUESTEDLd�20 � <br />�J SIDE SEWE�t n <br />C CURB/GUTTER/SIDEWALI< ��%rMf ��3G � <br />❑ STREET <br />oC <br />INS CTION REOUESTED ON @ <br />ua,� ,vse <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />�7 ViOLATION ❑ CORRECTION REQUfRED <br />C Corrections listed below MUST BE MADE be(ore work can be approved. <br />❑ Please contacl inspector and arrange for appointment. <br />❑ VVas not able to perform inspection. <br />❑ CALL'[59-8010 FOR RFINSPECTION — 2q hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POST�D ON <br />TFIE PREMISES PRIOR TO OCCUPANCY. <br />