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T1119 110101,11 Los TID tocolo a. I?M IN" M *MIM We hwpw.,q-,/1/
by 1111/211115 . Aa IOW W M "L&, me naw A e slwass
or Tae Darr. 0► comons1TT DaTaLOPImIR orywr 011 rag ger
Ir ART Or TU II An RILL IWOWL&M M Fes "a' a �
1NSPRCTIOM TSIP RILL COIF 020.00 FOS MMUMnAL Ale "e,N iM
COMMaC I AL AID MOOT ee PMePA i D UP= a tlweNNI nWPWeeme 10 /me
AMD A FINAL CtaTIFiCATt Or OCCD►AMCT Ili,
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CAMEL/CLAY L PARIWOff OF Oc6bo ri1TY LaNa JoPllim w1 •loot w ISN w Oir {M rylliisq
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BUILDING POWT of Nl itlt {Ni / to i.
RIXi uw PLar PIAN IWORIMM
The below listed isfolpe tion mat be included on all site or plot. plane ahioh ars to be
suhaitted to the Caml/Clay Daparasevot of Odsnnity Development an a part of the
Nuildirg Pwe3it review p000sen.
If Baited, pertinent infonation is desired fma the Departomet of otasaslity Development,
a five (5) day aaitim period ICY, be required in order to search files for the
desired iatasaatiaw.
?be below l lnfoeMation can be escwed from the landowner or land develOW:
LAM drawn to scale
All dimmewiotr -
Scale and Nath arrow
All Bonds, alleys, etc., right -of- AY
All Othw utility and det►inRp riot -of -way and ams is '
Atq, applicable flood plain area
NaildinN Pd elevation mod lot oornes elevations
All accessory buiidLOW esi tLt4 Or proposed
All sid"&LYs and driveways
seer, and Rater lines, septic systM end Mail location
Dralmlpe flow arrO m
All drainp ssalsr and facilities (reteatias/drtswtios armee Ks.)
Dissnsfowal F, r seatians of all dralwys swalso-
Ail wbmrtaos dMIMp facilities
I an if7 that all of the $bow listed lafoasation is dwm COWIRWIY and MgMtrlr
as the attrdled plot or site plan as slAMdtted with a building pondt application
to the (ysmel/Clay DeparOMM of camwoity Developlaant
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MME OF PLIMM CONTRACTOR: �LfflO�
UALID STATE LICENSE MAW: /0423y