19011 DELLWOOD DR.PDF11111111111111
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19011 DELLWOOD
DR
0
ADDRESS:
TAX ACCOUNT[PARCEL NUMBER:
BUILDING PER -MIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver Ej Study Required n Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):MM56&dJ
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE LID #: 43q
SHORT PLAT
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE ENCROACHMENT PERMIT
WATER METER TAP CARD DATED
OTHER:
LOT: & BLOCK:
L\TEMP\DS'l7s\Fomis\Strcct File Checklist.doc
APPLICATION
for
The City of Edmoiicls� SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS
OWNER (ko<.C--.A:ltXe-Z--L.�-,x,..-.......---'.16�Y .....
ADDRESS ....
Lu
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LYNN PLANT
No. ....................... ..................
.. . ........
CONTRACTOR . ..... ...... 11 - ------- PERMIT No.
LEGAL DESCRIPTION:
LOT No . .......... Al., .....................
BLOCK No . ..........................................
NAME OF ADDITION ...
14916 Y 1--4
.... . . . ...
................. ...............................
...................... 1 .... (,/'
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Approved:
(67 By il.clu ................ ......... ................
DATE ... W--t--7