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: - -------------- -- - - -- ----- <br /> .. , , <br /> ' Pl/BLIC WORKS DBPARTN6NT <br /> CBEC(COFF S96ET <br /> Bach of the following checked items rnust be s.igned off and dated as appmved <br /> pr.tor to tssuance of occupancy permft. <br /> Perm.f t / 7�1 -� ']� <br /> Aadress _i Y : ; /��<<.' /-��- <br /> � TO BB COMPLIL•'D WZTN <br /> APPROVBD 6 lL1TSD <br /> �Curbs and Cutter_ <br /> � - U <br /> (, i'r'Asphalt On Street <br /> ��✓��/ �,�� Z •-zS--Sv <br /> ( �T Asphalt On Site � / <br /> \/ �F/ '1 -if'r- h- v <br /> �SfdenaZk �_ <br /> ^ �—_j _ ��'- � u <br /> ( �J-Drtveway <br /> � �„l� � 3 - 28-90 <br /> OWheeZchair Ramps O On-Site Sides � Matching Sides <br /> OCasino Road .;tandard Improvement � <br /> ( J Sewez (Pipe� IIeddiny� Material� Restoration�yCatch Basins) ' <br /> O .�ewer Test M'�NyOt� <br /> Q�Drainage (Pipe� 1?eddtng, Material� Res�oration, � <br /> Catch.Dasinsl RO'r! � �.��' 1 '�'Ss ' S <br /> ODrainage (Pipe� Dedding� Material�.Restoration� .�, �J, 3 - ig--F d <br /> Catch Basins) On-Site � <br /> ODrainage A tentioa/Retention � Control Devi� �s <br /> 1 1 Temporary Erosion Control � <br /> \._l <br /> OClearing� Grobbir.g, Crading, & Excavation <br /> Inspection fMaterialsl <br /> OClearing� Grubbing� Grading� & Excavation <br /> . (Erosion Controll <br /> � Steep Slppe (Dry WeZZ� Material� Restoration) <br /> ( 1 Ttaffic ControZ Signs � <br /> �`� <br /> Short Plat lnspection (specify) <br /> G <br /> C� . <br />