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Fees to be Char ed ��fS �Ip , <br /> _ _ . .. .. <br /> Ptan Review <br /> fnvestigation Fee <br /> ��, , <br /> . _ .. _. , . _ <br /> Sewer�Connection <br /> _ _ <br /> Park��e <br /> Other�(s:pscif�) <br /> '�Calca�latecl"8�.: �� <br /> ` S uare foota. e > �;! r S uace Feota e <br /> Basement : X = ' ,� <br /> ��Fioor X = .$ <br /> 2"d Ffoor .; �C _ : $ <br /> :Garage ` X _ � <br /> Estimated Construction Ualue: $ �S��OO °� <br /> Orona.ins:pec'tions Required �llFork Requiring Separate Permits Required'State Fsrm:its <br /> � Site Piumbing � Grading J Filiing � �lVell <br /> D Hardcover Removal A�9eci}anical 0 �ire � Elsctrical <br /> � Footing n Septic D 1Nater�onnection <br /> fl Poured Wall ' �irep:lac� 0.Sewer-Connection <br /> � fo:unda#ion Survey � Nfasonry � .Lawn Ir�igation <br /> � Rador� Rock Bed �IVIfg. <br /> ���J �ther(specify) <br /> ; l� lnsulation <br /> 0 �is-;B�i1t Survey : : _ <br /> Final , , <br /> ,� �ther(specify) <br /> REN1At�KS (in-fior�se): <br /> OthenRe�i�eanr: ReviewerJ#�y: Date ApRro�e�tl: <br /> �1�cess:E�cisting: 0 YE5 .[7 NCO Neuv: � YES 0 �10 <br /> REM�4�KS (TD BE NOTE:D ON PE�M1T iAND;tAIITIALLED BY PEt�tSON PULLING PERMIT) <br /> `Updated: 09/1112AD9 <br /> z:lfiorms\plan re�iew checklist:docx <br />