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POIC 1,%'ORKS DEPATM, 1ENT CHEMIST 1-1 — -7 Date
STREET FILE BUILDING PERMIT REVIEW
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Street Right-of-way Existing
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Access Easements Existing
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Utility Easement Existing
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Lot per Subdivision
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Assessor Map
Site Plan Checked for Accuracy
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Underground Wiring Reqd.
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Check Accuracy of.Legal Description
Environmentally Sensitive Area
Environmental Checklist Reqd.
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Flood Hazard Zone
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Strewn, Creek, Drainage Basin
Existing Zoning Per Code
Amenities Design Board Approval Reqd. ADB # Approval- L--
Board of Adjustment Approval Reqd. -A(
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Review By: Date: 11- 1-7-2W
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Existing Water Main Size C!
Water Main Reqd.
Service Line Reqd.
Hydrant Size Existing
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Hydrant Reqd. Per Fire Code Size
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department Ca7ments.
Water Meter Charge Reqd.
Review by: Date:
Septic Tanl,, Design Apbr-o-�-,,e-c-l---
Septic Tank Permit Reqd. Permit No.
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Sanitary Sewer Availability Proj.
Drawing No. File No.
Side Sewer Availability
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PERMIT FOR WORK IN PUBLIC R/W
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TELEPHONE NUMBER
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NUMBER OF STORIES
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