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Home My WebLink AboutReview Checklist Location': AM�_ LOT �S/J Date of Subdivision Approval 2//-8'Q ' , S�reet ' ! � u��dQ � Zone of Contribution: In Out Village �v Commercial Resice� ' 1 � ► - Owner_ �'�j�-�S �� _ . Installer � �Sb -f�5 � . _ .� Builder �� •�� Engine�r � _ _ p . ,3 -.2�� - . N/A Yes No 1. Recuired nurr�c�Y of ccoie� re�eived. � — 2. Data of soils exa:-n anc ��=c�iatien t�st ncL olcer than 2 vear=. I 3 � fe�� oi na__�=�lv ccc_-�==nc ce�vious mat�_;ai, above wate� t�1e.1 4. Fcunca�icn 2 ze_� ai�ove nicn coint in frcntina coad. I �C I 5. t,ia��_ availa�:litv 12��c zrcm :vate� De�ar;.me:�t. � " � • 6. Ee:�c:��r.ar�c incic�t� anc szcw�n. � � ( 7. Euilcina �et�e_ cces nc� exit ce:�ce� oi hc�,�_e. � �( 8- ��c:c tanx a mz�i��.�n c= 10 fe�� frcm ncu=e ar.d dec::. I ° Le�c:�ir.c a m.:::,:;�:.� ci �� fe3c Z�c:n hcuse anc 10 f2e� Lt�:n ce_::. ' � � 10. Laac:�inc a mi.^.�r.a:.^� oi 1C� Lee� ircm we�'.ancs. � tic � 11. La�cninc a mzn_:�L.a ci 1�� fee� frcm we11_. � � 12. Svst_:� rr.e�� ai'_ o�.^.ec _e_��c:: re�uireme►:�_ . � � � 13- U�G� ac,ust:�en:. �1�2� i�� .^1dX1TUIi1 hiah cr�unauacet. � 1�. Lzac�inc � fee_.-accve ac-;:scad watet tanie or bot��:.i oi tes� o:" I 15. Gv�t=m no� Ln cc� cr �L�scil�or 10 fcot remcval. � 1t�. P":�� c�at�::r ar2-R:�a�ie. � 17. Svste:n r;ee�s sic�e cec�.:_re:nent�. I I � 18. Svste:n �nee�= o:eaxcut cer.:i:eren:. - c3ic�iat�cns snc�n. i k 19 S^ec�tie� teJ siz.es e ^•^� � � � 1.nvV� 20. S�wac2 =�ou i:.^.ce_ �0,C00 cx fer oarce!. , ! 21. yo car�ace c:��o�a, � � 22. Svst�:�:� acac;:a�=!v s::.ec "�; its intence� u:e. � x 2� Encinee� tc c�_- =v: „ a. Clavi ce.^.�c:�a?. � b. 2� f co� re.�va:. � x c. Ticnc in�c�ilac_cn. � d. C;.�rne�cial svsLem. � x 24. Er.cinee= anc :.�.T� �� ;•e�►c: �tz.m� and Sicnatvre. � 25. HZ� Gca��na ::n=_� sv�`_:�;� •� �un-ie�- to veRic•.:lar tra== � :c. 26. T�c?a = ac�:�c��_�z _.�c `� sicnec bv lice::�ed insc�i:e:. 27. Ecunca�:�n zc:,:.:nc � =2�� acove adiust� water table. � 28. Got sL:^rcivice� �ricr tc Juiv 31, i986 - Nitrate Loac:r.a. ( 29. Su�divzced or:or �o aor�_ 7, 198° - Phcs�ncrous Zone :.fl0' � Plan revie�e:i by: " 7/6/89 l P.M:ld