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'�.�02�.���„� <br />ADDRESS `� ��' <br />TYPE OF BUILDING -S <br />PERMIT INFORMA?'7 <br />���--�_-� i� <br />1) BliILDING PERMIT FEE <br />(A) PLAN GHECK ,� E� <br />2) �'VATER SERVICE 1'O BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED <br />(A) TO BE DETERMINED �� PLBG. It1SP. INCH <br />Il nG�f'�'/� // <br />(B) EXIST.� �'�A ER SERVICE, APPL. NO. 7/p�' <br />(C) LOCATION <br />C i�IA R T <br />3) DRIVEtiVAY PERMIT TO BE PAID BEFORE BUILDING <br />PERr4IT IS ISS�JED :� I FT. �lf`C�/'�Jl�-- D/W (TYPE) <br />4) STATUS OF SE�V]�R CHARGES: <br />BOND DISTRICT <br />LANDSCAPE A'OTES <br />TOTAL' <br />�%1�G% i.�/�='r'�/.� <br />FOOTAGE <br />— N, S, E, W. <br />SE11'ER CUNNECTION CHARGES: <br />TRUNK <br />LATERAL <br />TOTAL COA'NECTION CI-IARGE <br />SE�VER PERMIT FEE <br />CATCH BASL\ PERAQIT FEE <br />TOTAL SEIYER PERMIT FEES <br />5) MONTHLY SE�VER CIiARGES: <br />SEWER CONSTRUCTION: <br />SEWER SERVICE: <br />LOCATION OF SIDE SEWER OR TEE IN <br />: �`uJ�iC� � ;�'i %�=f� � etJ,G-'s j <br />_r'�f /-/ �iv ��� �' ,���%'�� � � D,� <br />INFO COMPILED BY: � � � ����� <br />REVIEW: <br />APPROV� <br />TRUNK <br />LATER.AL <br />� MAIN: CHART <br />� ��,���f <br />DA T E �% / 1 _ �/.� <br />g g�_ o v <br />$ 4� .49 0 <br />N �� <br />�.S'/G� � Tr7�i✓�w <br />$�'��•l/L/iY 1;Ylie�� <br />i <br />P��� <br />s ��''- � U <br />g / S� •SZ� <br />� "�— <br />S <br />� -�C. D C� <br />� — <br />s _JC',C.%Q <br />$ �'�` .�(`l <br />�- �c� -� 9-s <br />�%3 ' Sd UriS� c�F <br />�`This total must be paid before building permit is issued. <br />DATE� �/./,) <br />DATE '4 Ig %s <br />DATE ZZ ,/ <br />