1219AOORrSS
OWNER
OCCUPANCY
12 19 Randolph.
St. Donald J. Anderson
Certificate of occu anc
- LEGA 7�E5CRIPTION
o Lod
o of less
o 5 O Lot
and S 7' of W
20' of Lot 13,
,
B1k. 2, Bel Air
Date
6UILWNG CONTRACTOR
p Approved:
Sub, (leg Apply: Yes Nc '.
rn
BUILDING RECORD
BUILDING,
Final Inspection
8.10 -77 Permit
#12711
FEES:
owner - Replace
shingles -roof
t$ ®�
Development Fees
Streets Paved Unpaved
Street Paving Fee
UTILITIES:
Water Lines
Meter Set
Sewer Lines
Sewer Tap_
Storm Sewer
ENGINEERINGIPUB. WORKS: '
Drainage
Street Paving
Street Name Signs
Street Lights
Maintenance Bond
( OVER)
:p�