HomeMy WebLinkAbout45PRCpow4V"FY SERVICESS F E REVIEW X200I-'i-2—J5
A PPLICATION REVIEW SHEEN
❑ PLAN REVIEW ROUTING SLIP
� DEVELOPMENT
❑ ENVIRONME*iTAL CHECKLIST REVIEW SHEET
❑ ---OTTTER
RECEIVED FROM J114&
e� t �+cErri
APPLICANT:—.a-�s._F^tiP J �--'r--`r�
(date)
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JOB ADDRESS: 90o C7.9e N
GREEN 9 404-Ot— —'Pa-
NATURE OF WORK:
NEED MORE INFORbunON: ❑ IEcxT DFscRIYI70N
■ SPECL3L AfS AND CONNECTION FEES APPL®
con-,ECf7ON FEES ESTLMATED
❑ SQUARE FOOTAGE a O C SLAP
❑ SPECL�L ASSF-SS'�tE1�T5 A*ID
NOT APPROVED FOR APPLICATION OF FEES
O FROM FOOTAGE
O
❑ VESTED ❑ NOT ,-E.STED
❑ This fee re.i— mQers and canccis fee
❑
ABJECT PROPERTY Og
Ki g Co_ T— Acctf foes)
vs
ro do de.Noge owner m ruuce. due dte tees 1 d- betoo may be appiica bte to dx sablrct arywr
of this developarem fee s s Pti a rsvxd n msoll da: on -sire ad
a dre ur be du.- and able ae ehe acne the coosmrerion P
A charges due mar pat
.d fi are Pore _.) Trtg___rug mcchasu. s for dr SDC fees wilt be W.sW or, vrretr Ciry ordiruses and
d ni of nc� pr (crt5. A71 4'oord b.-
mrprovemcros.
-b
,,__oe_ta
:3f-v¢ mq+rovcmevrs ii.c. urdr Sroesad `�'—. strtet
„c>:nwr 7 t_ the applicable Uu]Ky 5
m ar nme of Building Permre'Cwa¢ucdon Permit
Please no¢ due Awe fees arc —bi.. ® change "'°hwe ero�e- Fe^d fees witl be used on ra¢s
Please
e(ien
. Io
Sgrnmre of Res-rn.mg Aurho DATE n o
is within an LID, n is deselo{xrs rrspoturbifty to check with den Finance Dept- for f"aid"—P"A status
-if subject property -
"The square foa ge figures used are uh. _-n front - F-tne C:wnrt Asv'sv r s map ant are approzemate orals y N
EFFECTIVE January a, 2001 eZ� PA e7-i4C CkELVT A)Urr AfrC/&_o ffe8 0006 r
UAJ77L }IEXrFlEfl OA-'
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