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Cv7��
<br /> ` " .�5'aG
<br /> .�vii,i�rnc nriin�rr rrsroti;�tn•rro�r �,3� - ��
<br /> nnzn:r•.ss SJ/4 rl �,�o .l�lL�� GCJ � j��/�j
<br /> TYPE OI� T3iIILDING_ ���, I?n'.rr,
<br /> 1) P,UII,DING PT;RA4IT I'EL ,�'�r�j"�.,, c, t�� �; �0�, C�O^
<br /> (A) PLAN CIIrC1C i'T�� $ l0'Z • �T:
<br /> 1.) 1'rA1'1:R SERVICI: TO 13L•' P.S1D I3I.7�OJtI� T3UILllING
<br /> : PE12N11' 15 1SSLT]'s1J � /�O, L�
<br /> -�-�__-'
<br /> (A) TO J3I: DI.T'I:12YfIIVISD 13Y PLL'G. IN5P, � INCI-I fJL/��c� ��,pU
<br /> . « /../��j-+�' �� C.'J(�
<br /> (L) EXIST. WATL'R SERVIC7., APPL. 1��0, :• �
<br /> (C) LOCATION 4 �� C •Z. /4�"T /�� b� !� UF' �0;��>,F-i...)L,�..�r
<br /> � -�1,_� �.vr /.(J O.J /�SP,�l�A 7,er C HA P.T �.(,-'� (
<br /> 3) DP.IVE\VAY PEi�;�1IT TO BE PAI P1,1�OR� }3UII,llI\G
<br /> PERA4IT IS ISS�:TED � FT. �C- ll/W (T1 P�) � l'Z, �j�
<br /> TOTAL�` 5
<br /> 4) STATl1S OF SEIVER �:1-IAP,GF.S: _
<br /> EONll � DISTRICT `Z� ' P'OOTAGE ;
<br /> ��, s, r, ���. -
<br /> _____.._._�-•._::_•,c_,��, 1�oTrs is�.n��R co��rcTic� crLarzcrs:
<br /> -- - TRUtiK S "��D. OJ
<br /> LATERAL � --�—�
<br /> TOT L COATA�ECTlO\ CFj� R.GE $ �G�Q• D�.�
<br /> $�`l�l� aI�j02-C� -
<br /> S�\1' �It PI7It\4IT F�F 4° $ JQ• fJ��
<br /> g /q �-�7 3o. ,,-t�"
<br /> CA�l'CIT BASI\' PEl't�.tIT FEE y �� "—
<br /> TOTAL SE�t��R PEP.�fIT FEES $ ;�7• �`J['�
<br /> 5) \i0\TALY SF_�Y�R CIiARGF_S:
<br /> SEWER CONSTRUCTION:
<br /> � TRU\'I{ � �:/�j�
<br /> L•��'1"r:RAL $ ---'
<br /> �
<br /> SE�V�R S�RVIC�: � i� , L ,-jJ �'
<br /> LOCATION OF SIDr SL.'�V�R OP. TE� 1N TI-IE A4AIN; CHART _L/- �c�-z�j�
<br /> '' /i.ri��.cl /.r/ l�•�/UA7t�_ ,(?.�, G,U's�7Gdc. �I���NE7v 'rti-: 3-"Y`� - �*r- N/�/ "-
<br /> � -.L�,I�ii�r�� `Li� L.n7�7?�! -i�� � . ,�.`_, _ �G � ,��f r.': 'p . /C��'T. l7G��?
<br /> 1\TFC CO\]PII,T'll iSY: ' �
<br /> T.)ATE
<br /> P�\'IL11': DA1'L:
<br /> '1'ItA 1�L'iC I�IV IS1UN "'
<br /> APPP.OVAL: _._ DA'1�
<br /> � L:\GIIV1�:l�lt[[�'G lll:J'AR'1'b1LNT' —�-"—
<br /> '� Thi:: lnlal. n�url hc p:�id bcforc In�ildin(; perrnil is icsucd.
<br /> ..,.,_ __
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