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twf•K+eettew (man km p ►1•n show►,lt the followingI to
obtained from the IanJ«wnwr or land devsl,, t
• Let dram to N•Ie
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$tale saw North &grew
All gombe alleys, right-of-ways, oto.
• Alt •thug Utilities dne draindgw right•of•wsys
And• Any applicable flood Plain area ..s♦ssmonts
Sui,d ift Pad elevation and lot corner elevations
• All ageessory buildings •- existing or proposed
• All sldewalka and driveways
d Sawmr amd Water lines. 6"Ptic system and wall location
• Draiaago flow arrows
All drainago swales and subsurface facilities (retention/detention areas, �c
DimansionaS gross sections of all drainage $wales
• Swaq w
PP (mut"'° Pump pits) showing diactwr`e locations
• Caottere.dl heat pump d:scharde locations
Drat ft Swage:• Al! required drainage swales must be shownllt on CM plot plan
''" `ol-tr—t-vs in all sub.fivisLon* prior to tete ,be
shown of Community
o vperthe fo, rtornZ: m final inspection of any structure peg plans on lila
per the to_,ov:ng: Constructud swales shall be a thin,
With side 410-3 of not lwss than 4 to I. Moan of 1'6" deep
If this information is not submitted'
building permit.• it will extend the time it takes to tet an appro+wd
ONTHE AI CERTIFY ALL O1. THE ABOVE LISTED INFORMATION IS SNOW COMPLETELY AND
ACHED PIAT 03 SITS °'-1N AS sUS.!ITTED WITH A BUI .O1..; p ACCURATELY
CAl4[EL/CLAY DEPART1t�IV- Cy Cr ,.,,,,_ti ,7y :)V,J .'A!'�t£Y' k tM.T APPLICATION TO THE
SIGNATURE•
ADDRESS:,D ttcs�L MO -SE: Ini%SIjS
—�—�'•�l.Gy9 D � l
NViE OF PLIMtI.-VC CONTRACTOR: !f Applicable) /yr-d_� �7 L i
VALID STATE PLL%MTNC LTCE%-E V!m%RR:
• SNSPT C;TTON RFc'c�szr
BUILDER: _ �-h..� ip G
IA ATIOM: L*.G
BUILDING PERMIT NO.:
111.411 10000111 p
Pleat #a"
0191.04% 1111• 1r,Rfm.wtt
1.94011e01�VII 0 ae.MS
NAP Not 1R
Project owaut i 9m►1ck Osnr91
Addreset 9502 An&ola
Bngiasert Paul I. Gripe
Adlra$at 7172 Grahai 1
thenet 642-6777
I. All Phases of the Coaditi,
!. All flan Review chaste$ III
1. Filing with the ladises O
complete end all approval
To the best of my keevl
to complete sad accurate. T
wastewater treatment Plast c
Issued this mei
'Marvin Fib
TML BUILDING SEWER SHALL It
1034 - SDAIS - Pitt MATERIAL
ALL GASKETS: ASTM F-177. PIt
II STONE, TO A DEPTH Of 6 IN
TRLNCM" INSPECTED ICTORe BAC
oto THE Fire.
NO FOOTING OR FOUNDATION ORA
STORM WATER SHALL BL PE1MITT
INSPECTION SROULD BE REQUEST
I NAFL READ THE CONDITIONS 0
i9SPONSIBILITY FOR ALL WORK
SIGNED: 11�i
OWNER'S NAM%
INSPECTION FEE: $25.00
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