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OWNEF2B
Korth -e"r r i ro n Certificate of 0
OCCUPANCY
LEGAL DESCRIPTION
Date Approved:
25- 19- 30 -5AG- 0411 -006 Ea 54' of Lo 6,�_� 54'nf iVe 2h.5' of T.nt 7� Rlk 4, '[`r 11, 'I'nwn of
BUILDING CONTRACTOR - - SUb. RBg Apply: Yes �
_ONDEMNATI N GR UP Report t8 0 - 9 5 9 BUILDING
BUILDING RECORD p
Final inspection
8 -15 -80 permit x/15050 Cod °�'" ® FEES:
Roosevelt Green- Repair damage & paint��
Gf Development Fees
($900,) Streets Paved Unpaved
I/11iY11.D7 �' �2117�1 L�r?a �i
UUU Street Paving Fee
UTILITIES:
Water Lines
Meter Set
Sewer Lines
Sewer Tap
Storm Sewer
ENGINEERING/PUB. WORKS:
Drainage
Street Paving
Street ]Name Signs
a
Street Lights
[OVERT Maintenance Bond
ADDRESS
PLUMBING ELECTRICAL MECHANICAL
CONTRACTOR CONTRACTOR CONTRACTOR
FIXTURES FIXTURES FIXTURES
INSPECTIONS INSPECTIONS INSPECTIONS
ROUGH IN ROUGH IN ROUGH IN
FINAL ¢ 1 INAL "` FINAL