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<br /> <br />Submittal Date: <br /> <br />Owner's Name: <br /> <br />Mailing Address: <br /> <br />Project Address: <br /> <br />Legal Description: <br /> <br />Contractor: <br /> <br />Address: <br /> <br />Street <br /> <br />uescribe Work: <br /> <br />Phone: <br /> <br />Alt. Phone: <br /> <br />Fax: <br /> <br />Acreage: <br /> <br />City <br /> <br /> <br />State <br /> <br />Zip <br /> <br />,,: *PLEASE, NOTE:,-The Planning "Depa,rtrnent reserves the right. toin.spect the placement of soil- <br />and-recommend .changes as-necessary-toalleviate possible flooding of-neighboring properties. <br /> <br />**THIS AREA FOR CITY STAFF USEONLY** <br /> <br />BY I DATE: <br />BY I DATE: <br /> <br />BY I DATE: <br /> <br />BFE: <br /> <br />o SKETCH REVIEWED <br />o SKETCH APPROVED <br /> <br />o PERMIT APPROVED <br /> <br />FLOOD ZQNE: <br /> <br />MAXIMUM NO. OF TRUCKLOADS: <br /> <br />.:iPECIAL CONDITIONS: <br /> <br />PERMIT NUMBER ISSUED: <br /> <br />DATE: <br />