19406 82ND PL W.PDF11111111111111
15347
19406 82ND PL W
ADDRESS: �0/, ZAJ
TAX ACCOUNTAPARCEL, NUM13ER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver E] Study Required F] Waiver
DISCRETIONARY PERMIT
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: -LID#:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: 144WIL
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMPTSTAFomis\Street File Checklist.doc
FILE APPLICATION
for
The City of Edmon s SWE SEWER PEWMT
EASEMENT NO..224:
NEW CONSTRUCTION REPAIRS 0
1496
-'-U� -Sm�HNI�- A 4 F1
CONTRACTOR....................................................................................... PERMIT No . .........................
OWNER . ...............................................................................................................
-LEGAL -DESCRIPTION:- LOT -No.-7- . .............. ....... .. ............... * .....................................
ADDREW ................... ............ . ...................................................
NAME.OF ADDITION ................................................................................................................. ...........