3109ADORES$
3109 Country Club Rd.
OWNEF,
PVz1O
occurmcv
Certificate of Occupancy:
LEGAL DESCRIPTION Date Approved:
Lot 54, New Upsala PB 1 PG 67
13ULLDING CONTRACTOR
BUILDING RECORD Final Inspection
������¢ •�- FEES
Sef _ Development Fees
rd�iZ/1� St reets Paved Unpaved
�Y�l'�c treet Paving Fee , e[� V� r "E i -jr n - c X - 44 ,
5-;a C- 3 einspec -- e L TILITIES:
( -10 - 33 4 fo -13 $a-. g +nSp -" 1 Water Lines
wee L
Meter Set
Sewer Lines
6
Sewer Tap
Storm Sewer
ENGINEERING/PUB. WORKS:
Drainage
Street Paving
Street Name Signs
Street Lights
Maintenance Bond
C OVER