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PUBLIC WORKS DEPARTMENT <br /> CHECKOFF SHEET <br /> Each of the following checked items must be signed off and dated as approved <br /> prior to issuance of occupancy permit. <br /> Permit U _ 3 77 <br /> Address //Z 2 -A6 r"" ��-- <br /> jr HZ O P/-AMu ro Bc SuBr!) Trc p BY y-/g-8� - <br /> TO BE COMPLIED WITH APPROVED & DATED <br /> 0 Curbs and Cutter <br /> t ► Asphalt On Street <br /> GAsphalt On Site <br /> OSidewalk <br /> GDriveway � <br /> OWheelchair ,tamps ( \1 On-Site Sides O Matching Sides <br /> OCasino Road Standard Improvement <br /> O sewer (Pipe, bidding, Material, Restoration,yCatch Basins) <br /> MA,JNo6Es -- <br /> Sewer Test <br /> O Drainage , Pipe, Bedding, Material, Restoration, <br /> Catch lasins) ROW h <br /> ® Drainage (Pipe, Bedding, Material, Restoration, 04z_ �> <br /> Catch Basins) On-Site <br /> Drainage Detention/Retention & Control Devices <br /> OTemporary Erosion Control <br /> O Clearing, Grubbing, Grading, & Excavation <br /> Inspectior (Materials) <br /> 0Clearing, Grubbing, Grading, & Excavation <br /> (Erosion Control) <br /> GSteep Slope (Dry Well, Material, Restoration) <br /> GTraffic Control Signs <br /> Short Plat Inspection (specify) <br /> G <br /> 0 - <br />