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PUBLIC WORKS DEPARTMENT <br />CAECKOFF SHEF•T <br />Each of the following checker; items must be signed of.'f and dated as approved <br />prior to issuan e of occupar.cy permit. <br />Permit a 9 �� J . <br />Address G U p 3 3�'� ° ST _ <br />l� U l� l,- E� <br />- TO BS COMPLIED WITH APPROVED 6 DATSD <br />�urbs and Gutter. <br />\J <br />, Aspha2t On Street <br />OAsphaZt On Site <br />( �.YSidewelk <br />t.J <br />Dri•reway <br />OWheeZchair Ramps O On-Site Sides O Matching Sides <br />� ) Casino Road Standard Smprovement ' <br />\^/ <br />�1 Sewer (Pipe� Leddinq� MateriaZT Restoration�yCatch Basins) <br />J M.�i�/�oGES <br />OSeF�er Test <br />O Drainage (Pipe� Bedding, Maten:al, Restoration� , <br />Catch.IIasinsl R0�9 <br />O Drainage.(Pipe� .7edding� Mater:iaZ�.Restoration, <br />Catch Basins) On-Site <br />( 1 Drainage A=tention/Retention & Contro2 Devices _ <br />�J <br />OTe�nporary Erosion Contro2 — <br />O CZearino� Grubbing� Gra3ing, 6 Excavation _ <br />Insprnction (MaterialsJ <br />OClearing� Grubbing, Gzading� & Excavation <br />, (Erosion CoatroZJ <br />� Steep Slope (Dry We11� Material� Restoration) <br />�� Traffic Control Signs <br />Short P1at Inspection (specify) <br />.G � <br />� <br />