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'� DEPARTMF.NT nf COMMUNITY DEVELCPMENT SERVICES <br /> i , ' <br /> Bl1 � LDl ��� �'EF�11� IT' tNFC)RI�IATIOF� <br /> ADDR[SS /O�/Z ��7%�_.U��. S c ' _ Tl'PE S C=2. <br /> (1) BUILDING PF°1v11T FEE ����`�' �' $ �2¢'- `�� <br /> (P,) PLAN CNECK FEE �' S�' n��C' <br /> (2) PL'UMBING ��` ��O <br /> (3) h'�ECHA��1C/�L 22' '� <br /> (4) WATER )ERVICE TO BE PAID PRIOR TO I3UILDING PERMIT ISSUANCE ��� v` v _ <br /> (f�) TO LE UETERMINED 6Y k:LDG IPJSPECTCR _ 3 4-- INCH <br /> (B) EXIST. WATER Si RVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION 5�'��i':•'at� Tn Py(i_ nPP.Q,�x 3l��' <br /> : E OL �-/�li>. �'�'�_ o� LoTCHAR'i � -/�/'28-•5 <br /> (5) DRNE�'VAY PER�ti11T TO BE PAID PPIOR TO BUILDING PERMIT IS- <br /> ' SUANCE fEF7 __ DRIVEWAY (TYP[) 3 2O'�� <br /> S <br /> (7) STATUS OF SE\�'FR CHARGES: <br /> � 30ND �' _DISTRIC:T _FOOTAGE <br /> � N, S, E, W <br /> NOTES <br /> f UEj�' Dt-�.��Ci��J7 f='� <br /> Q20 �/5 �U <br /> l�2�� 2 <br /> ��:� � � <'. 3��. ov <br /> � <br /> i <br /> � SEWER CONNECTION CHARGES C <br /> YEAR �¢ TRUNK S 3-3G • �� �, <br /> �-. <br /> , LATERAL � <br /> TOTAL CONNECTION CHARGES R -���"�� <br /> . � � <br /> SEWER PERMIT FEE $ 3�'0� � - <br /> � s <br /> CATCH BA51N PERMIT �EE c '_ <br /> T'�T'AL SEWER PERMIT FEES $ t���� C' � <br /> J � <br /> � . <br /> (7) MONTHLY SEb1'ER CHARGES: <br /> SEWER CONSTRUCTION TRUCK 5 `� <br /> r . <br /> LATERAL > <br /> SEWER SERVICE / = � <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: `�T�e/�� T� PJs�Qpp���� ' <br /> � <br /> 2 2 G> � oi- .<./- LU ��,e o� L o T S a��F'e[� 5 F-r TJc�"7�• <br /> CHART ����� 2�'S ` <br /> � ; <br /> r <br /> INFO COMPILED E3Y: UATE � <br /> z <br /> APPROvnL: _ DATE •� <br /> 9-1 i9 <br />