1329 6TH PL S.PDFlillIIII 111111115478
1329 6TH PL S
PUBLIC WORKS DEPAT=U CHECKLR
FILE BUILDING PERMIT REVIEW
Wh ea Da
iitPAddress
Street Right -of -Way Existing !f-�j o REQD �\Jpr
Access Easements Existing REQD 1 J
Utility Easement Existing REQD 1
Lot per Subdivision Plat Assessor Map —
Site Plan Checked for Accuracy
Underground Wiring Reqd.
Check Accuracy of Legal Description
Environmentally Sensitive Area
Environmental Checklist Reqd. M
Flood Hazard Zone 0 Q
Shoreline Management Area W co
Slope, Soil, Vegetation �j o
Stream, Creek, Drainage Basin MO
Existing Zoning Per Code 0S - 4 7
Amenities Design Board Approval Reqd. KLOLIE ADB # Approval
Board of Adjustment Approval Reqd. K)() KY9:7
Existing Water Alain Size
Wa Main Reqd.
Service Lin d.
Hydrant Size Existing
Hydrant Reqd. Per Fire Code Size
Detector Check Meter Reqd.
Cross Connection ction
Fire Depar t Comments
Water Meter Charge Reqd.
Review by:
Date:
Sept Permit Reqd. Permit No.
Sanitary Sewe ailability Proj.
Drawing No.
IT,
No.
3 Side Sewer Availability
w Sanitary Sewer Connection qd.
u= Review By: Date:
0
Ditch Existing Regd.
F Culvert Re Size
oG Catch Basin Reqd. ate on Site Plan
0 Shoulder drainage ma ntairi collec swale open runoff
H
Kwdiole reqd. Indicate of Plan
Soil Conditions Growid Water field Checked
Re,,riew b Da. te
Street Paving Reqd.
and Gutter Reqd.
W Sidewalk Req .
W Curb Cut for Driveway
c4 Right -of -I struction Permit Reqd.
Reqd. for Public Improvements
Street Name Sign Reqd.
Other Signing Reqd.
Q iiL Site Inspection made on
z
ra BY: SEWER
H
U
W W WATER
a
'-' STREET
H
ENGINEERING
Special Requirements listed in mem to Community Development Department,
Building Division
BY �1 0 Memo Date
o All items filled in on Building Permit Application
p4 BY Date
c'' Drawings Stamped and Notations Made
w BY
�� Date
Approved by Public -forks Department
Revised: lv 10-1977