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C CAS CF OCCUPANCY / COMPLETION
This is to certify ify that the building located at
►?n S'T'A'T'EN for
which'-= permit g7_OO 1OO has heretofore been issued on 1049 -ZR
has been completed according to plans and specifications filed in the
office of the Building Official, prior to'the issuance of said building
permit, to wit as 'A{� rV-, . je rate with all the
building, plumb?ng,- electric, zoning a%.d subdivision_ regulations
ordinances of the City of Sanford and with the provisions of these
regulations.
STAFF APPROVAL Subdivision Regulations Apply: Yes No
�p`
t, DATE APPROVAL TE APPROVAL
BU ING: FIRE: I L�b-7
Finaled I 7 . Inspected "O
42ONING:
a � C
Inspected d2 • ORS
UTILITIES:
Water
Lines In
Meter
Set
Reclaimed
Water
1;4111T .
1111-4 9&
Sewer
Lines in
Sewer
Tap
ENGINEERING:
/I CJ�� -��' . Street
Drainage Paved
Maintenance
Bond
PUBLIC WOR:S:
Street
Name I .7 t Street
Signs I �% ��__�_ Lights
Storm
Sewer Driveway
Street
Work
DESCRIPTION
WATER -SEWER IMPACT FEES
01- APPLCTN FEE - BUILDING
01 -FIRE INSPECT - ALTER /RPR
DATE
/, I/-�
10/11 /96
10/11/96
V2 2 %b
AMOUNT
10.00
25.00
OWNE1z BUILDI [a OFFICIAL % DATE
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