11943 SW 125TH COURT u
ADDRESS:
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F CE=RTIFICATE: OF
CITY OF T1 GARD OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. .. . . . . . a 146T)&-027!
13125 SW Hall Blvd.Tigard,Oregon 97223»8199 (503)839.4171 DATE: ISSUED: 08/04/93
PARCEL: 131.33DD-1 1017.10
ITE: ADDRE 5 .- 11943 SW 125TH CT
-;UBD I V I S I ON. . . . e V I L...L.AGE AT SUMMER LAKE PARK 4 ON L NG t R--4. 5
f:A-OCK. . . . . . . . . . . LOT. . . . . . . . . . . ., . .. 1.47
I,LASS OF WORK. :NCW
TYPE OF USE. . . :SF
OCCUPANCY GRP. :R3
OCCUPANCY L_OPD a 223 4
'TENANT NAME:. . . :,
�"&mark% - P01,14 1
DON MOR I SSETTE_ HOMES
15555 SW SANDY RD #201
t_AKE 013WEGU OR 97035
Phone 0. 620'-7538
Contractor i -_.._.._
DON MORISSE:TTE BUILDER,93, INC.
15555 SW SANGY RD.
;1201
LAKE~ OSW!~v0 OR 97035
I'llione #A 620--7538
Re,g 11,. . a 315533
Orc,spasncy of the above rei'erenced building is hereby givers, and certifies
the compliance with the ritatfa Of (lregc>n 5pL-c:ialty Codes foo, the rlroup,
()cct.)pArsr.y, and Use Under' which the refer•e►sced permit was isr�'led.
F I RL" C)E C�ARTMF.N7 G� '%"'" l3 I S LC T OP
- BUILDINO UF CIAL
PCIt~T IN CONSPICUOUS
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CITY 4FTIGARD 4 'i"fll V ly;A S1. L it. . . . Li. . .11
.COMMUNITY DEVELOPMENT DEPARTMENT OATE'
13125 SW Hall Blvd,Tigard,Oregon 97223.8199 (503)639.4171
f i Lj D R L'_- !:W i"'b VH LL T
LZ 01\1 I NG. R 4. zt,
.jt..ft�6 I V I S I UN VIL_L_A�-K' AT SUMMER LAKE PAW,,
. . . . . . . JA7
BUILDING:)
L-A."L JN I*1"i).' 1 0
yi�H.JL�j Uc :NLW BLDRr". "4 Bi-i rHS 3 GARACA . . . . . . 43121
'F,Y PE OF 0!i�1 E-E fI3ACK5' --
YPE I Of CCNi t);"l F I klI j40 sf LEFT. . :5 ft RIGH1 .
k SEL DNLi.. . . - 11"312171 f FRONT. - aV, 'e' L REAR..
Tf URI E S. . THI ki). -121 sf Rr.QU I RED
TL
t I U"HIL.- F Sly)(Af',L DE -GTCIRI . :'y
p A L U E . . . . . s ., I I lb 3-00 PIA RK 1 i\jG SPACES. . -t 1
14 e ill a r k pp FI; I
��:'LLPw I NLJ
. . . . . . . . . . . N :0 EALKPLOW PREVNTFR'_� . . 0
LAVAi-UpkiLS, WA'TLR FiLAI .11 TRAPS. . . . . . . . . . . :0
Tuo S1 luwL 1 0 CATC1.1 131051111EI.
WAILR CLO'.jL'J .-,. 3 bLAR LINE. (ft ) . .21 GRLASE TRAPS. . . . . . . :0
I Ek LINE 0'"t ) . " 1.+11111 0 TFILN f- IX . . . . . ..1.1
DISP. . . . I UIHIN L)RN1N (f"t) . 10
'WAS141NO '111ACIAW S& NA11N 1;,144iN,3. . 1
UNP i-l", fib.. Iii t y pe A m o .-m t by dato
.DUEL T-Yi
/+ 0s/ VENI Tl F $ 1461".'. 00 J54 01 /,t:Eb
hnX iNI-1- B'W B P R 1, JI{ 0 1 8/
i Llf-A -0 11 Li 0 J)!;) BPLC 4 2,09. < 6 JL11 11 /
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lit i -XI001; W U L. V L. D 5 r-';C 01/2ij
CLO ORYERS. I SSI)c L844. I ill 0 1/L:a/(
1+1c,!'; UNI 'I ju I P'Wil", s
b;4S 011)Lr:T5 1 MDPT 45. 0m JH 01/L8
lyl I'-L.C tI. kt� Ji 1 0 1 L'8
MSPL s JH 0 1 E� 9 3
V'V'16 "1 1 4+io 00 J14 wllirEAPM
1:.*,5 f.1 L LAO il'i
CC 06 "T 1)1 ViL
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lh,16PEGIIONS)
Fout/ foolld Insp Fireplace 1,
Prist/Deom Strttrt Gas Line ln�,p
Post /Seam Meehan Insulatiun I n p
1.1i 1141 S.,p
ro/undsiab Ins(:, Gyl:i Boal'd
PLM/UndevfIour Rain o I
e c I-t e 7 lac A 1, 1 n s p WaLec Ling Ell,
Plumb Iop 0'tt Appt-,/5dwlk
1:rominq ins►�i lyk?L I aJlll 70,411
1 1 c%r-- tinti 639-41
CITY OF T)CARD -- RE.CEjp'r DF' PAYMENT PECEIPT NO. a 93
CHECK AMOUNT a 4888. 86
NAME a MOR Ir)Gr--TTE, UON (.,'Af-.iH AMOUNT a 0. 00
ADDRESS e PAYMENT DATE e 04/05/9:,,
SUDDIVISION
PURPOSE OF POYMENT AMOUNT PA I D PURPOSE Or' PAYMENT AMOUNT PAID
BUILDING PERM 473. 50 Pl-UMBING PERM 140. 410
MECHANICAL- r,F' 45. 00 �,T. BUILA) PER 33. 03
PLAN CHECK FE 70. 33 GFWFR 1.113A ploo. 00
SEWER INSPFCT 35. lAo PARKS ISDC 250. 00
STORM DRAIN SDC P-80. 01A RESIDENTIAL. TRAFFIC FEES, 1350. 00
mAss TRAN17,17 TIF FEES I I(A. 00
I-OT 1,47 VILLAGE AT SUMMeRl-ARE
1194,2', SW 125TH CT
TOTAL AMOUNT PATI) 41388. 86
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CITE' I_'.....OF TIGARD PERMIT #
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED:
13125 SW Hall Blvd.Tigard,Oregon 97223.81 09 (503)839-4171
0 D R L 5 L*1 I j 943 5W 1L TH GT PARCLL: IS I 33DD—I i 01i.11,
IING��- R-4. '
0" 131UMMER I—AKE P"ARI: It
... . . . . . . . . . . . . . . : 147
. . . . . . . . . . . F1 X TU R E UNI ['4j.
U'l I 1 ':i. I
-0S, 131 ' WGI K. — :i'-Lv� DWELLING I
VdL OF LIGL. . . . . :SF NO. OF BUILDINGS I
4SI i._ I YPE. . . -BUSWh IMPERV .SI. RF S T
i;iexr-ks: PATH .1
FEES
,01 I`v10k1'j'.'JL`I VL type AmoLtrit by date ir,e C.-P,
)J5'Lj'._j SW DANGY 1— 4#L01 PIRM,r $ 2100. 00 JH 01/c:8/93
ii.," ;�L 05WE'AA) Q '37035
;
JIB NOT ON F I L.L�
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RE'QU I Rk:D I N GPL L. r I o f 4E.*.')
is Applicant :greet to comply mitr 611 the rules and regulaticris Liewet, ] r?!-,pA
ecirjn
the Unifiec Sewage Agency. The pt! it expires 180 days fros
date issued, The total asourt p�.c bt fe-feited if the
i:lrei. 'he F4vncy dct, nut Iq+.-,irantt� tre aixuracy of the
I lateraiq, 11 I-,it ';timer is na. located at the seasuretent
Er, tr-,t Instaiier shal.1 prospect I feet in all directions NO
distance giver. If not su locatfu, tt'r'Ancta'lei, shall purchase
Tap anc SAF aeoert' Permit a tllc :411nCj Will 1tall a lateral.
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INSPECTION NOTICE
City or Tigard Building Departaent
13125 SII Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone)s 639-4175 Business Phone: 639-4171
Inspection: `L V1
Footing Plbg. Underelab Mech. Rough-in Appr/adwlk
Pound. Plbg. Top Out Gas Line
Post/Beam Struct. San. Sewer framing (� �Bldg.
Post/Beam Mach. Rain Drain Iusulation P1tlBb.>
Plbg. Underfloor Water Line Gyp. Bd. �lppb,
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Date Requastedt�0 Timet pK
Address: ( ' -I [�+ Permit
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Builder: 1",Q)( ; �� 'Q Q 2 3 70
THE FOLLOWI1W OOURNMION3 ARE REQUIRED:
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inspectors Dates
APFFAM b 028"PROVlD APPROVED SUBJECT TO ARM
Wi! ror wasp.
NI NI SPECTION N(r.I—CE �
City of Tigard Building Deps-tsent
13125 SM Hall Blvd. Tigard. Oregon 97223
InspAttion Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in . Apps/Sdwlk
Found. Plbq. Top Out Gas Lina PINALt
Post/Beam Struct. San. Sewer Framing -814q.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor ) Water
/Lino gyp. Bd. �-lgrah.
Date Requestedt / -L "(I� - �[� Times -1/LJAM PH
Address.. f �J Permit #: r2 22_
guilders /
TBE FOLLOWING CORRECTIONS ARE REQUIREDt
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InBpBalort bates - -
ApPNON1D DISAPPROVtD APPROVED SUFURCT TO ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
131.25 411 Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec--O--Phone): 639-4175 Business Phone: 639-4171
Inspection:.__
Footing P1bg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Grain Insulation -Plumb.
Plbg. Underfloor 1 Water Line Oyp. ed. -Hoch.
Date Requested: f J Time: /-aW PM
Addresstr`7 Zap Permit #e �!�
Builder:
THE FOLLOWING OORRECTIONS ARE RRQ')IRED:
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Inspectors Date?
APPROVED DI3)1PPAOVED APPROVED SUBJECT TO ABOVE
Call For Reinap.
INSPECTION M13TICE
City of Tigard Building Department
13125 SII Hall Blvd. Tigard, Oregon 97223
Inspection Line (ReC-O- ne): 639-4175 Business Phone: 639-4171
Inspect ton:��'
Footing Plbg. Underalab Meoh. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALt
Post/Beam Struck. Sen. Sewer Framing -Bldg.
Post/Beam Meeh. Rain Drain insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Rd. -!tech.
Dete Requestedt6 —1 ___Tl.. y AM PM
Addreast
Permit tr
Bulkier:
THE FOLLOWING CORRECTIONS ARE REQUIRED!
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Tnepeato1rt Dates
APPROVED DTBAPPROVIM 1/ APPROVED SUBJECT TO ABOVIr
_call For Reinsp.
INSPECTION NOTICE
' city of 'Tigard Building Dopartaent
13125 VW Rall Blvd. Tigard, Oregon 97223
Inspection Ltne (Rec-O-Phone)s 639-4175 Buaineea Phones 639-4171
Inspection:-------___ vn , -
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Found. Plbq. Top Out gaff Line FINAL:
Poet/Beam Struct. San. Sewer Framing -.Bldg.
Poet/Beam Mech. Rain Drain l Insulation -Plumb.
Plbq. Underfloor Water Line �701yp. -Hoch.
Date RequestCe�d, I z� Z D J Times y� AM -_y-PH
Addrees: 1 [ [t^'i^..,� �7.#�}� ft=Ltt 1t `/L -C2
RutldersJ , 1V�(JY-IS�J� 1_ - n?�� - 1 f i(9
THR FOLLOWING CORRECTIONS ARE REQUIRED:
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APPROVtO nIRAPPRf"D APPMOM BVSJWT TO A9oVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Departarent '
131115 SIR Hall Blvd. Tigard, Oregon 97;223
inspection Line AW-O-Phone)t 639-4175 Business Phones 639-4171
Inspection: - al+4/V_
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Poet/"'cam struct. Ben. sewer ��� rasing -Bldg.
Po . 'Beam Mach. Rain Drain Insulation') -Plumb.
Plbg. Underfloor Nater Linw a". Rd. / -Mech.
Date Reque+steed}t_ Timet AM
Address:_ \, ` ZPermit fr
Builders
(THE FOLLONIXG CORRECTIONS ARE A1iQUIlRRDs `^
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11?lbDVsb `� DI8APPR0VRD /'APPROVED SUBJECT To ABOVt
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Budding Department
13125 SW Bal.l Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phones 639-4171
Inspection:
Footing Plbg. Underelab Mech. Rough-in Apps/84w1k
Found. Plbg. Top Out Gas Line l`f$IALI
Poet/Beam Struct. San. 5a ter Framing
Post/Beam Mech. Rain Drain Insulation
Plbg. Underfloor Water Line Gyp. Rd. -Nash,
Date Requested: PH
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Addreas:__�L , I Permit #s I
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Builder:�A , I ✓ i j -i -.J
THEFOLLOWING CORRECTIONS ARL REQUIRED:
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Inspector: `-- nate: / ,Z
_�APFROVlfl �DI$11Pp1l0VED APPROVED SUBJEC'}' TO ABOVE
✓/-call For Reinsp.
INSPECTION NOTICE
city or Tigard Building Department
13125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639175 iusineee Phone: 639-417{
Ins •coon:
Footing Plbg. Undereleb Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. sewer l ',-�EDq -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Pl.bg. Underfloor Nater Line on. ed. -Hoch.
Date Roquestedt_ _Times.�� AM _ PH
Permit it
Builders �/ I•/� I
4HE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspeotorl J Dater 2-� -13
APPROVED DISAPPROVKD V APPROVED SUB.?ECT TO ABOVE
Call For Reinsp.
Gfmrorrow{Mo gpnuc-rsoua uns NO
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i APPROVED DISAPPROVED I/APPROVED SUBJECT TO ABOVE
Cell For Relnpp.
INSPECTION NOTICE
Citi of Tigard Building Deportment
13125 S* Hall Blvd. Tigard, Oregon 97223
inspection Lina (Rec-o-Pho; a): 639-4175 Business Phone: 639-4171
Inspection:
F•oting Plbg. Underslab Mach. Rough-in Appr/Sdwik
Found. Plbg. Top Out Gas Line FINALt
Post/Beam Struct. S&P. Set.;ar Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plty . Underfloor water Lane Gyp. Bd. h.
Date Requestedt_6 _L Time: XX
Address: 1Lyy-� / Ct Permit � ` 7S
Butider: l
THE FOT.*AMING CORRECTIONS ARE REQUIRED:
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APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call Fnr Reinap.
I[ sPECTION NOTICE
City of Tigard Badding Department
13125 671 Ball Blvd. Tigard, Ontgon 97223
Inspection Line (Rec-O-Pho�ie)s 639-4175 8s,siness Phones 639-4171
Inspection:
Footing Plbg. Underslab Hoch. Rough-in Appr/sdwlk
Found. Plbg. Top Out rias Line FINAL:
poster 1tZvgt. San. Sewer Framing -Bldg.
Rain Drain Insulation -Plumb.
bg. UnMrfloor Nater Line Gyp. Bd. -Hoch.
Date Requaistodsz 3 Times _ AH _PH
a C.
Addre..s Permit ,s
Builders_� �[
THE FOLLOWING OORRECTIO118 ARS REQUIRED:
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Inspectors Dates
APl O DISAPPROVED APPROVED SUBJECT To ABOVE
Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-o-Phone): 639-4175 Business Phone: 639-4171
Inspection: —_ —
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. <gpp,_�g`Wor Framing -Bldg.
Post/Beam Mech. �WK Wain Insulation -Plumb.
Plbg. Underfloor ter-7;)7fe Gyp. Bd. -Mdch.
Date Requested: ?C J (/ Time: N A:" _ PM
Address: `1 t� �' �C�S / YL Permit 1:�Zp — 014?y}
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector Date:
_�APPROVlD GISAPPROVSD APPROVED SUBJECT TO ABOVE
Call Por Reinap.
INSPECTION NOTICE
City of Tigard Building Department
13125 SN Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: _ _
Footing Plbg. Underslab Mech. Rough-tn Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbq. Underfloor Nater Line Gyp. Bd. -Mech.
Date RequestedtZ9 3 Time: AM ' PM
Addresses (�- 1�'.". Permit is Z Q t 7S-
Builders
THE FOLLUNING CORRECTIONS ARE REQUIRED:
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Inspector:____�1
APPROVED DISAPPROVED APPROVED SUB.;RCT TO ABOVE
Call For Reinap.
CITY OF TlGARD RECEIPT OF PAYMENT RECEIPT Nn. :92-233(306
(,.',HE(',K OMOUNT 250. 00
14f)ME a DON MORISSPTTE HOME-76 CASH AMOUNT L71. 0 LA
ADDRESS PAYMPNT [)ATF
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF' PAYMENT AMOUNT PAID
V11--nN CHECK FE ~ 21,50.
CD
PLAN CHECK 11--3'7R
11943 SW 125TH COURT
TOTAL (AMOUNT PAID 00
13us sw Ha a�a
CITY OF TIGARD PLNCK/RECT
PO Box 23.797 PERMIT / m Sf��_ 0,175-
COMMUNITY DEVELOPMENT DEPARTMENT T'�O-4o"
(50)63M171 DATE ISSUED
JOB ADDRESS: I1q 5vV TAX MAP/LOT
SUB: C�� Ire Sl (l �kY1 � LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: �, _ �1' 1SSP rn� oz, REISSUE OF:
ADDRESS: #��� LAST REISSUE:
FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR APPR64ALS REQUIRED
In
NAME: )�:>n ` l �'� ����� « IJP I� I �� PLANNING: O -
ADDRESS: `� ` Vv' "t U`ENGINEERING:
-KC VV _ FIRE DEPT:
PHONE: t' �`, OTHER: CF
CONTR. BOARD f: EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: sdld.fla LIST/SUBCONTRACTORS:
MECH: ,� US TAX: _
RCH ENGINEER CALCULATIONS:
NAME: _�� L —,^��� U TRUSS DETAILS:
ADDRESS: P OTHER: _
PHONE:
PROPOSED BLDG. USE: _
COMMENTS: — —
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Ap0L -CANT SIG ATURE
Received By: Date Received:
PERMIT : ACCT R DESCRIPTION AMOUNT AMOUNT PD- BAL. O8E
m>fvz otos" 10-432 00 Buil,di'ng Permit Fees Sv �� 7 •5v
10-431 00 Plumbing Permit Fees 1�1L—� l q U "
10-431 01 Mechanical Permit Fees �� �J �"a
10-230 01 State Building Tax (5%) 33,03 �� 3.3,63
Building z 3. ?b'
Plumbing 2 ,0
Mechanical 21 ?5*
10-433 00 Plans Check Fee 3 0.,j 3 .IS o 7o , 3 3
Building -;cy , � r
Plumbing
Mechanical
10-230 06 Fire —
� 14,1 30-202 00 Sewer Connection
30-444 00 Sewer Inspection 3�1 — 3.j-
25-448-02
'25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees _
25-448-06 Institutional TIF Fees _
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees 3 so i" _ /J S0
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) Ps
31-450 00 Storm Drainage Syst Dev Chrg
n-
(SSDC) _��rd _ �2S-u
;` 24-445-01 Water Quality (Fee in lieu of) _
r 24-445--02 Water Quantity (Fee in lieu oft _
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TOTAL -5/:3�.b
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nm/3587P.WPF