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HomeMy WebLinkAbout2245 CAMINO VIDA ROBLE; ; SE883268; Permit(Ettg of Carlebab CASHIER'S VALIDATION SEWER PERMIT APPLICATION APPLICANT TO FILL IN SHADED AREA RiJilftAto AnnRPSR- 2,*?^ <T CA NhRf'O" * - \/l*£:A \\ ; . b. t_ £L. ^ <^5~T^L , " A" ; < : nwyt»i";: -..- rT>.iW t:.-*V M f^S',*? T' " MAN INrt AnnHFRR- . V* :~' f ' ' £ ' A N ' < M t J \ /'. L-> A I*4»%L p {f A JL-^i- A J :. :/ -A 9^^ mryfiidtOR- <" • « . • U< ,i^>' -tv T^K^' : M A AJIMI ADDRESS: - r'"';fd s" A M' i l\t 4 '„ V Ai"1 1\ ' ^-.iRltu. J: /" A.A.::L'^4.^ A fy*/W'2i^.: LKSAltUESCRIPTION: 1 " Ai 3 C ' *r.l_ r f ^- A iCC „ 1 , - 4t- • ' ' .i "&&' i" i y) AD " M<>, ^G^? ' < •1 rT *'" V '"" * n . „. ,.r T~T i l Ail-. ^\i\^ AVk't-^urr. i:.::ce^ t^ ( * ? * ' ' ; . x . • * •' !- *"7 * '% x-"1 r^-" ,!-, - ^7 AASSiSSORS PARCEL NUMBER: ^~l~\ C> i» (;„ .^C-*f COMMENTS: SEWER PERMIT NUMBER: SE ^?^^ BUILDING PLAN CHECK NUMBER: PC 'f.-- 7.7 BUILDING TYPE: - •• > • . ,. NUMBER OF EDU'S: 1 tfQ CALCULATIONS: 0<fcto»k. /aw // , 11.95&J rfic/3r(^ e^fixr ^ — 3o6 eba. I.W £n) .__ - CONNECTION FEE nnST PER UNIT /P-5/9 -^ x NO. UNITS ' -fO r*^75»- LATERAL CHARGE: ^1-a ^7£T ££TOTAL CHARGES: ^ 0 / D PRPPARED BY: ' ' ' v -i ' ; (PRINTED NAME) WHITE: DPS GREEN: Finance CANARY: Water PINK: Building GOLD: Applicant