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u <br />DFiART1�IENT OF CGMMUNi7Y DEYFLOPti1EN7 SE+ivICcS <br />3LJ��.D3�1G �ER�'��� -lNF�R���r��a0y <br />ADDRF.�S i . >_� �,: r — Tl'PF -� /- !1 <br />(1) BUILDING PERMIT FEE _� t� % �' �' ✓ � ^ : `'' • ° � <br />(A) PLAN CHECK FFE — <br />(2) PLUh181NG <br />(3) MECHANICAL <br />(4) WATER SERVICE TO E3E PAID PRIOR TO BUI�DING PE4h11T ISSUANC[ <br />(A) TO 8E DETERMINED BY BLDG INSFECTOR _ INCH <br />(B) EXIST. WATER SERYICE, APPLICATION NO. <br />(CJ APPROX. LOCATION <br />/'�. 0 O <br />/.�-o� <br />�,n. aC-- <br />CHART - <br />(5) DRIVEWAY- PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) 5 %. SD <br />_ _. <br />�7J STATUS OF SErWER CHARGES: <br />BOND �l � DISTRICT <br />NOTES <br />FQC�TAC � <br />N, . 5, E, W <br />S�WFR CUNNECTION CHARGES <br />YEAR �a TRUNK <br />LATERAI <br />TOTAL CONNECTION CHARGES <br />�EWER PERMIT FEE <br />CATCH BASIN PERM17 FEE <br />TOTAL SEWER PERMIT FEES <br />;-) �.v��r�-iLY SE`NER CHARGES: <br />�E�VER CONSTRUCTION <br />c� <br />b <br />� 70 � <br />c� <br />s _ 30 — <br />� O � <br />5 ' <br />TRUCK 5 _ <br />I.ATERAL <br />5l:1VER SERViCE <br />f,PP;���1 L�J.-�� (ION OF SIDE ScWER OR TEE IN THE MAIN: <br />I^��O CO`-1PILED BY: <br />,\i, '1`.'\� --- <br />CH:�RT _ <br />o,�rE. <br />DAT� <br />