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Location: AM�_ LOT�1� Date of Subdivision Approval � /- �zc+�---- ` Street 7 ' _ ,Z� . "! u�� � Zone of Contribution: In Out , � Village h? � Commercial Resid�at a� + - � Owner �jp�i//7`:� L� ��c�Y//���� Installer �"�� � Builder Engineer , S,��jje �uy,!/�[lOG%`L� - 3�1f;'� ��7:7 y � N/A Ye=_ No 1. Recuired nutr�- of ccnie� received. �— - — 2. Da�e of soils esam anc cercoiation tzst noL olce= than 2 year=. � 4 fe_� oi nac�rzllv c ___r:ac cervious maLe_ia1, aLrove wate= t:�1e.1 �. Fcunca�icn 2 fe=� aecvz nicn coint in f:cntina roac. � � 5. W��ar availacilicv 1a__=r trcm Water �e^.ar�meat. I K� I ' 6. eenc:�saric indicacec a*:c =neun. I X I 7. Euildine =e��ar cce_ nc� esit ceacer oi hcu�e. � 8- Sa�c:c tanx a minir�m o= 10 fz=� frcm hcuse anc decx. I ° Leac�ir.c a mia_ma^� of 2� te�* ircm hcuse and 10 fze= uc:n ce:s. i 10. LaacZiac a min_mL� oz 1C� [2e= [=cm ae�'_ancs. � 11, Geacainc a mint�ua ci 1:0 L2ec f=cm ue11=. I x 12. Svste^� rt:ee�� ail oc::ac =z_�acz ceauireme.^.�s. � x >;• U=G3 ad'usc-ea� u=ed fcr ::aximum hiah cround�.racer. � 14. Laacninc a teet..ar,cve. ac-;csc�d vacer tacle_ tt�� ot te�t o:�. I X 15. Svst=m no� in �co c: _��_�i'�or fcoc ce:.^.cva1.- � 16. P:c�os� cczL—�re�^�acle. � 17. Svs[2m ,;,ee�s sicre cec:::re.^.tients. � 18. Sv�tem me=c= ereaxcut C?�.:l:e�enc - caic�iac.ens SRC.T7, j 19. Scec_fied tz= sizes ar= -c;zr. ; Z0. Seuace i:oa i:r:ce_ ZO.COOVcx foc oarcel. � ,� � � 21. �o car�ace c::x�ai. I x ( 2=. Svst=_m acac::a�ziv s:�ea : : its intenced use. � 2�. Encinea� Co cer�_iv: I a. Clav ee.^.ic:�aL b. 25 fco� re.�vai. � c. Tic�L inscailac:cn. � x- d. Ccrnercial svs�am. � �, 24. Er:cinee= ano ��.^.� �;:r.•e��c: Stzm� and Sicnatvre. j 25. HZD Lcac:na 'wf�E.^, �V�L�^,� �$ �l]jD'je�� to venic::lar trai=`_c. � • ZE. TZC�2 ���2C�11^2L_CII cRc :� sicnec bv Lice.^.:ed insta::e_. � 27. Ecunca:._cn ic�t.nc � fee� arove adiuste� waLer table. x 28. Lot si:�civiced cr:�r tc Juiv 31, 1°B6 - Nitrate Loac:r.a. � 29. SucdivZczd or_o: to aor.1 7, 1989 - Phcscnorous Zone �00' I � Plan revieue3� bY-�ti�9 ���17�/I ���� / j�J ,� L � ����rr�<� , �. !/C/6%IYH�I p / .LL(/�'1� (L� /TCy /�t-/ �/"' (l / - b'h-i� �S/ yI�� ' . � �ICE� f� LF�:y/�: a r 7 r_ v�q L,r?j/ .�� /%�Q6"C!`!n-�� 7/6/89 � � G��«�v�i:c . Tdi��l� �ca��vz� �e �� / PM:ld pL '�QN�t.f '�� � i%l�t /`� 'y � � �� � � �>�� s��- � „r.�-��:�`�`' � �����c�� ��� � � �t , /; � � S�°L" l° � ,y� ��q� �eP. I�`v�eu�.c�a-I � � /1,.{'�"�`. C�U��v+'� �. Srl.ot'I � J� I" '('f^' � V'Z � n�9��""�-'�.`�. � ,���""w` "5 "'��""�1 ��"-�'l`��"� f� �,�re��, 5�4za, �p (� ��tc�cv'ti � _ `R I \ �� _ / - \(� �\ � �` ' � � �'�'L �� T'�i f ����' ��'�� �- �` ��L'� %r`J ��� �� � � . . I i i I