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, O�t-!2-200� 09::3� � m-�IJ Y OF ORONC +9E22484616 T-7a9 P-J02/002 F-83Q
<br /> G�.�Y �x G�G�vO �rLi�,H�i�iv rv�.c u�t;:�t� x:r�;KMl`�"a
<br /> ., 73Qa'66 (��50 Kelle}- Parkwayj SE'�?�R/«`A'�'�R �/
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<br /> _, ��'y'stal$ay, :NIN'�;SS3�3 , ' �Y
<br /> �ENER�►L fNFORMAT�O,'V,,
<br /> 1. 'uau-may appi} for�.�cil'lry pei�icsby mail or in parson at tn�Ciry office's.
<br /> 2". ' Mailed iri anplicaeiQns are sub,jeee:o:he pasfage and handling fees s�ovr�z bciow. psr�r,ifcards will��e sent
<br /> by retut'�mail'the�aine day the aaplication is teceived.
<br /> ;.. P'etrn.fi9.ttt'e 7i4t valfd u�til�pu receivc a:permiC card. ,;, , ���'
<br /> 4, , ` ` V4roric niusc r.ot'6egin unless�the�permit card i,s available on the job�site. . .
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<br /> • � 5 Utiliry ca:�nection;permits may be issued ta licensed contractGrs only -.� ; ,
<br /> • -6 ,.�Gnntaccthe'Piiblic�t'crks Deparar�ent�f249-46QQ);fcr urility Stub as-built loc$tions. JO NUT.E�CAVATk ..
<br /> Iiti AhTY STKE�T �.vD DQ:VUT' TAP.A?�1' ?v1AlN>.wichout,exproso ap.p-oval �C;ttie�Public Wbrks
<br /> : "L�epartme�c. :ssuance of.a permit daas not grant this approval, _
<br /> ; �7, , ' ,.�11 warlcmus'•b�done ,�<accordanGe wi�h.StaC�Gode reqj�iremGiits.,
<br /> ��':�,' � ��� �.l�l��,v;+�rk<�mus'�be_lrispected�bef�ie�it is�Sovat�ed,_�A?I��249-G60Q. ,.:- ' � ,
<br /> 24 t�Qur notice requiCed,; � �
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<br /> ;3'�� SrT�A�DI2�S'S: ��C1r-�� ��>�A�o��c.'t�c�c�,0 , �� C �i�EE.r .
<br /> O�cu�an��•y�'Type. �:�.Resicle��ial , Camancrciai'
<br /> .C3�vn�r'�s Naine �j`��J`E��x��:1�LQ/i>Bcii ��'S F�t4ne�T�ber:°���`" -'`%�.�'r�1'� ,t.
<br /> �a�x����,aa��a� �i�i�� ����1�7/�� -��D�� C�ify:�=�,� � �=-�:�����.�.z�
<br /> �Coz�tractor'sN'auie: ��� �,P�� :�'� °g�Qu�Nu�na►ber. <''.�,-�:r,z�.-�,��fr'av.
<br /> ' M�iling Ac�i�res�; l,��/.�L��g� ���.�.:.�. C�ty���F.€_� ����,
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<br /> , �' � ; 1VZaniaip�l�Sew�r'�C'an�e�tiQu,(��3�:�Q�ez s?ub) ��� � , �' �� � �" , !�D �
<br /> �ip�iszz����`]�"f'� i�ic�os, rrf�x� �1 ��chedu.�e, O.�airt�ste��; � �������s�G�rq�
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<br /> ` , �;��a�►C Charge(2000 rste.$�1;i00;.0Q)`must�ccompany all s�iyer:perriit��ppticataar�s�uruess'pre�aid,, , �� ' '
<br /> � �'If zi�it�rep�iu.,'a sewer G�oTu�ectio�permit;�vi11 not be'issued: '
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<br /> :��unic�pa�„`Wat�r:C'oi�no�ri�n'{$3S.a0'p�x�Sc�b� � �'� �` ' '
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<br /> r. , '. .�lp£;S3Z�- ,� � ir�ches,�' mat�ria!�COp�1dT; , ' O�I�T ;� � .
<br /> V4�ATER Iv1ETE�S'miasz be pic��d up',z�riid pa�d`�ur,at City�all.. •
<br /> : '1'�'.ater mexcrs m�stbc;�et and`�ealed�b�Qronb WaterDcparhorie�zt(2�9-4�0�)tapqn�o�nPleti��t �
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<br /> �p'f ru�tGr inst�llat�op�' � �
<br /> R�k�UIR�I�rzin�mum setba��s fram dr�infield a�d�e�g�i'c`,t�.l.s ;�75" � �
<br /> 1�QU�I'R�,D�,setbac�.fxoxn seu,�er izr:� — 20' . �� _ �
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<br /> 1. �.ubtotal of abo�e p�rnzit sequested , , �,. � `_,�lr�,. ; , 1
<br /> � :2 , ����r,ate�5iirclias�e ��,� ' . � �� � � :�� -� , � � �. �g� , ,
<br /> ,'�; ���, 't'}}e�����te;�uiTding�a�da Rivision Surch�rgo'.of$,atY�per p+�rm�it'must�bo,. � ; ' `
<br /> � , � inci���es�for e�ch well; sewer aad'water connectten perr:�;t requesced r � '
<br /> �3 � �o�ta�c,8c��Har�dliri� �(�n15^raail-in��p�plicat�ons7 ;�` 1.��0 '
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<br /> .T}xe�tu�dersigned°Yier�b� a , lies;t tt�:e_ zty of C)rono iasuan.c'e o��T,:;til�ty �'..rmt�,a�Z"��s t�;,d� .
<br /> °,; r�1 work in`-stri�.'acGo� .ce Wic : rdin�,nce the Ci�y'ai�d the r�gu.lat�oi�S of t:he �za�e of°
<br /> N1iru2esp�z, and c�rti.� that ali s t m �ts m e o:�th�zs appl!C1Ti413�'P GQfij?ICXe,tru�arid co�re�t. �
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