640 BIRCH ST.PDF11111111111111
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640 BIRCH ST
ADDRESS: laY-0 31r'ph,
TAX ACCOUNT/PARCEL NUMBER: 10 (3 0 0 2 1,D o
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS tZ DETERMINATION: F] Conditional Waiver Ej Study Required Ej Waiver
DISCRETIONARY PERMIT #'S:
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:— q /I idbA
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
LATEMP\DS'Ps\Fom1s\Street File Checklist.doc
The City of Edmon&
OWNER ... I ... FAIRt H 9. A4
HOUSE No . ............. i� ... //.0 ......... .................
BACKFn.L WORK ORDER ISSUED .....
SEWER WORK ORDER MRSUED � ........
APPLICATION
I for
SWE SEWElt pERWr
OUTSIDE 0 INSIDE 0 REPAIRS 0
Date
...... .......... DEPOSIT, $ ...............
.............. - ............
CARD No.
EASEMENT No.
s
Approved:
..............
..............