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FOR OFFICE USE ONLY <br />Received By: , <br />Zoning Validation <br />Date: <br /> <br />._~o~erelal fDgF - ~ily ~e ~owl s ...... Rc~ldenhal Sinele Family <br />$~t,~ ~valuatioa, fi~t 1000 ~. Dg~ ,2~,~:~ 20,00 $j~ ~valu~o% fi~ ~t 245,~ 20.~ <br />Site Evalaatioa.~a. ~dl, 5~ ~1. DSF ...... ,, 7~.00 20.~/m ~t= Evalo~oa,~ ~dh 10t .......... ~05.~. ., 20,0~ <br />~c°nsi~=t on & Repa'r Pc~ ~ 2~5'~"' ~ns melton pc~$ .......... ~' <br /> <br /> $245,00 + S I 5 gash .~.~[~ $~ g~l, ~F I0.~ Di~al ~a~ in ganmlito 245.~ 10.0~ <br /> <br /> Frustum Di~m~vtJo~ 350,~ 10,~ ~nd ~illet ......... ~5-~ I0.00 <br /> Redundant S~aem ~ ~.~ 10.~ ~a~ T~nch ~45,,~,, lO.O0 <br /> Sand ~[tor 44f,~ 10.~ ,S~ Slo~ 245,~ <br /> <br /> St~p Slopo 245.00 10-~ A[~to~ 245,~ 10,~ <br /> T;!~ ~watefing Sy~em 3~.00 lO.0~ ............ ~air~ Major (d~n~ld) I I S.00 10.~ <br /> <br /> >6o0 gal. DS~,< l~l gal_ DSF 100,00 _~ .~a~cfion ~it ~ne~ (~le~ Visit) t~O~O I0.~ <br /> Reg~i,rt,Minoc 75~ 10.00 Aulho~tion NNi~ ~o Fi*Id V~it} gS.~ 10,~ <br /> <br /> Aulho~ion ~oti~ ~icld Visit 150,00 10.00 Ru~ A~ vat,ce Silo ~u~on 2a$,~ ..... ~O',~b" <br /> Authofi~tion Hot[~ ~0 F~M Vja~) 85,~ ~ ~ <br /> Aau,g Evaluation ofAlte~e ~em 150.00 10.00 <br /> <br />(Mark if ApplicaMe to this Application) <br />(,~) Tea Holes ar~ Dug <br /> ) I will call when Te~l Holes Dug <br /> <br />the ordi~ of Mafiou Couaty, <br /> <br />~_~P~ICANT (please print): <br /> F API~LICANT. DATI~. <br /> <br />) I am a regitaured builder or ( ) thc authori~d t~ptegnt~vg <br /> <br />MC 15.SE tU~V 2/93 <br /> <br /> <br />