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�. <br /> , Pf1BLIC WORICS D&PARTMSNT <br /> CBECKOFF SHEET <br /> Sach of the fol2ow�ng checked ttems must be siqned off and dated as approved <br /> prior to issuance of occupancy permtt. <br /> � �r,��t e o b <br /> .lddress 0 � — � <br /> � R1D B8 COMPLI6D WITH APPROYED 6 DATED <br /> OCurbs and Cutter <br /> OJlsphalt On Street <br /> ( �/1 .lephalt On Site �� ���/ �=L <br /> `J <br /> O/Sidewalk � ~ <br /> f✓i Driveway '��� -�i ,i� <br /> `� <br /> ONheeZchatr Ramps O On-8ite Sides O Natching Sides <br /> OCasSno Road Standard Improver.ient <br /> Sewer (Pipe� Bedding� MateriaZ� Restoration�yCatch BasinsJ <br /> /`�A,+�l,�.��ES' <br /> Sewer Test <br /> ODratnage (Pipe� Bedding� MateriaZ, Restaration� <br /> Catch BasinsJ ROW <br /> ODratnage (Pipe� Bedding� Material� Restoration� <br /> Catch BasinsJ On-Site <br /> ODrainage Detention/Retention F Control Devices <br /> UTemporary Erosion ControZ <br /> OCZearing� Grubbing� Grading� 6 Excavation <br /> Inspection (Materia2s) <br /> OCZearing, Grubbing� Gradzng� & Excavation <br /> (Erosion Control) <br /> OSteep SZope (Dry We22� N.ateriaZ� RestorationJ <br /> � Traffic Control Signs <br /> Short Plat Inspection (specify) <br /> . .G <br /> 0 <br />