114.......
ADDRESS OWNrR OCCVPANrY
11 4 . 19 uh S t .
Certificate of Occupancy:
"'- ---
LEGAL_ DESCRIYTEON
Date Approved:
UUILDING CONTRACTOR
Sub, Reg's. Apply: es o
BUIL DING REC ORD
BUILDING.
Finallns eebon
5
Its �( - �3 �unl�sn F'!
Development Fees
Streets Paved Unpaved
Street Paving Fee
UTILITIES:
Water Lines
Meter Set
Sewer Lines
Sewer Tap
Storm Sewer
ENGINEERING /PUB. WORKS:
Drainage
Street Paving
Street Name Signs
Street Lights
Maintenance Bond
( OVER )