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FOR OFFICE~LY <br />Zoning V~alidaJ~a ~ <br /> <br />COnmereia! (DSF - Daily Sewage Flow) <br />Slt~ ~val~ioat fi~,10~ ~1, D~F 245,~~ 20.~ <br />Sit~ Evalu~oa, ~a, ~dl. 5~ ~I, D~ 75,00 20,00lin' <br />~l,~ ~tt 4!$.o0 1o.oo <br />DisDos~ T~n~hea in ~mlil~ 245.~ 10.00 <br />Gray W~e W~ste D~spos~l Sump , 120.00 <br />HoMinR Tank ,, , 245.~ 10.~ <br />~*m~ D~gdbution ~O,~ 10.00 <br />Re~undant ~o~ , 24~,00 I0.00 <br />Band ~iltor , ~,oo 10,0O <br />Sce~ T~nci~ 245.00 10-00 <br />Pla~ Re~icw <br />it ~now~,(~i~!~,,Vi~jg~) 150.~ 10~0 <br />it Renewal ~O Fie~ Vis~): 85.00 <br />~i~tlng ~m Evalu~j,~,a ~a 150,00 10.00 <br />flannel Ev~Iu~ioA,,Rf, A ~m~ive ~stem ....... ', . ,1 ~0 O0 10.00 <br />~per ~k ln~t~n~ Pi~ tack, ...... ,.30.00 .00 <br /> <br />(Mock ifApplieahk to this <br />( ) Ta$~ I'I61~ am ~8 <br />( ) I~'¢all When ~ Holes Dug <br /> <br />(~) t am peffo~ing work on * ptope~y I own or ~upy <br />( ) ~ am a regis~d builder ~r ( <br />( )')~w~ck~ill~peffo~cdbyaD~a~dlns~ll~r <br /> <br />MC 5-Si REV 2/93 <br /> <br /> Residential ginnie <br /> ~it¢ Evaluation, flr~ lot . 245.00 20,00 <br /> ~n~mctio9 ~e~it <br /> Gay W~r Dispo~ <br /> <br /> Redund~t 245.~ ~ ~0,0~ <br /> <br /> ~a~t~¢tla~it Rcncwal ~o Field Vi~t). 85.~ t.~.,.~.9 <br />...Roinn~flqg.~oo 25-00 ..... tOO .. <br />Auth~ fi~tlon Notice {Fiel~ Visit) <br /> <br />~Ama ~a~C* gi~ ~alualion 24~'~00 20,00 <br /> <br />NAME OF APPLICANT(please print): <br /> <br /> <br />