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0 0 <br />ADDRESS: l 0`- a <br />TAX ACCOUNTIPARCEL NUMBER: �l�L►O�f'Z C�2�� <br />BUILDING PERMIT (NEW STRUCTURE): q <br />COVENANTS (RECORDED) <br />CRITICAL AREAS:— 9 227- DETERMINATION: ❑ Conditional Waiver ❑ Study Required krWaiver <br />DISCRETIONARY PERMIT #'S:6,�d 03° I Lq <br />DRAINAGE PLAN DATED: <br />PARKING AGREEMENTS DATED: <br />EASEMENT(S) RECORDED FOR: <br />PLANNING DATA CHECKLIST DATED: g �' <br />SCALED PLOT PLAN DATED: r-), I q 94 <br />SEWER LID FEE $: <br />SHORT PLAT FILE: <br />SIDE SEWER AS BUILT DATED: <br />SIDE SEWER PERMIT(S) <br />GEOTECH REPORT DA' <br />STREET USE / ENCROACHMENT PERMIT #: <br />WATER METER TAP CARD DATED: <br />LID #: <br />LOT: Z BLOCK: <br />L:\TBMP\DSTs\Forms\Street File Checklist.doc <br />