405a
ADDRESS OWNER OCCUPANCY
405 E • 5th St . Car ific of Occupancy:
LEGAL DESCRIPTION
Date Approved:
BF,IILOING CONTRACTOR
Sub. R eg's, Apply: Yes No
BUILDING:
BUILDING RECORD
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Final Inspection
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FEES:
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
[OVER]
Maintenance Bond