1104 Diffley RdCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
o, f i i lr,,1i
PERMIT SUBTYPE:
i i t I t 'r
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
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I'A{tf; `.101tqGi= F3AkACit
INSPECTION D• • DA
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14:, 1
Psrtnit No. Permit Hotder Date Telephone N
ELECTRIC O Vj3 .3 ?
PLUMBING
HVAC
Inapectlon Dats Insp. Commenta
FOOTINGS /, /j?
u.r?-?.
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FiREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDCi FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL '
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-189
(612) 681-4675
SITE ADDRESS:
L C7T:
17.+D4 p7FFLEY RC
SECT70N 27
PERMIT SUBTYPE:
PUBLIC FFlCIL'ITY
INSPECTION RECORD
PERMIT TYPE
Permit Number:
? Date Issued:
1.4 e ILOcKa 1 APPLICANT:
SUSSEL CORP
(612) 645-0331
TYPE OF WORK:
f]ESCRIPTION
13UIL07NG
0 2G608
11J09J95
NEW
PARK STORAGE GARAGE
INSPECTION
FOOTTNG; D. .
FOUNOATION .•
FRAMING ROOFZNG
INSULATION f;:OUGN IPd PL6G
RpUGH IN HTG FI'NAL PLBG
FINAL HTG FINAL ?
L
.. . .. .. .. . .? ... . . . . . _... . . . . . . . .. . , ?
. . . . . , . . . . . _ ._ . ., ... .... ,.?.?
,111'1116?
.CITY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
11 71. £'ARK STORAOE GRRA6E
B;Uildin'g=..,F'ermit T y p e PUSLYC FACILTTY
Building Wiark Type NEW
? UBC Occupancy?, U-1
Construction T}+P:e V-iV
Zoning F
Building 4a.ngth ' 3A
Building Wid'Ch 34
,-
Building stories 1
.., 1,134
SITE ADDRESS:
PERMIT ? ?Aqqz
PERMITTYPE: suzLocNG
Permit Number. 026688
Date Issued: 11 J m 9/ y 5
11.04 nzFi=i.Ev RD
LOT: 014 BLOCK: 1
SECTION 27
DESCRIPTION:
REMARKS:
FEE SUMMARY:
6ase Fee
Suraharge
Totel Fee
vALuarzoN
$.00
$11.50
gii.5a,
$23,000
CONTRACTOR: - Rpplicant - sT. Lrc. OWNER:
SUSSEI CQfiP 26450331. 0001934 C1TY QF EAGFlN
1852 COMO AVE 3830 PTLOT KN08 RD
ST PAUL MM 55108 EAGAN MN 55122
(612) 64',i-0331 (512)681-4560
I herehy ackricawlecRge thAt I hawe read .this' applicatian and' state tEvat the
infarmatLan is coi-ract snd agree Co comply wiY.h ali applir-able State nfi h3n.
Statutes and City qfi Esgan Ordinances.
L ? ' __. .. ,,....? APPLICANT/PERMITEE SIGNATURE SSUED BY: "IGN IIRE
ittit CITY OF EAGAN
1995 BUILDING PERMIT APPLICATION (COMMERCIAL) 681-4675 ?6-dj' i(r?
?
The tollowing are required with appropriete certficatlon fw all pmy, consWdion:
• Z each: archiledural plans; mech. 8 eko. plans; fire sprinklsr plana; sWctural plans; site plans; landacaping plans; predingldrainage/erosion wntrol
plan; Wility plan
? 1 mch: set M spedflcationa; aet oi energy ealculations; ekctrieal power 8 IqhHng fortn; Spedal Inspeetions d TesUnp Schedule
? Letter }rom MCANS (phorre #222-8423) indicating SAC determination
? Code analysis indiceting: Codes used; occupenry dassifieeGons; aetbadcs; maximum ellowable aree as per Building and City Codes along withsq.
ft. per tloor, rype of eonatruaion (synopsk of conatnxbon componeMS) & any occupancy or area separetion walls;
occupanq loeds; exk synopsis wkh a diegrem irMicatinp euftin8 bads from each room or area, Vavel paths 8 alt reted
cortidors; Plum6ing Wurea; arW Parking.
DATE: NCJU- I- ? )-
DESCRIPTION OF WORK:
?4-
?
CONSTRUCTION COST: TENANT NAME:
SITEADDRESS: '`I?l C); ?f ?A
LOT -L? - BLOCK I SUBD. ?,1l14-M P.I.D. #
PROPERTY
01NNER
CONTRACTOR
ARCHITECT!
ENGINEER
MOV 0 1 iggg
( r>""rk_ S 'V
Name: Phone #:
u.. ?...
Street Address-
City:
REMODEL
State: Zip:
Company: Cc)r,p. Phone #: tM- 0mi
Street Address? / ?6s- Z Avc
City: S?. P?--, 4 m- Zip: 10 ?(
Company: S ?
Name:
Phone #-
Registration
Street Address•
City:
Sewer & water licensed plumber.
State:
Zip:
i hereby acknowledge that ! haue read this application and state that the information is corcect and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ?j`"?'`?" ?? -
WORK TYPE: NEw
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation
0 18 Comm./lnd.
woRK TYPe
,E0-' 31 New
0 32 Addition
GENERAL INFORMATION
Const. (Actuai)
(Allowable) A'1-4
UBC Occupancy Gf-/
Zoning ?
# of Stories /
Length ;r,3, e?
Depth 331(07
APPROVALS
0 19 Comm./lnd. Misc.
,,p'20 Public Facility
S?+SL L„?z??,z
? 33 Alterations
? 34 Repair
Basement sq. ft.
First Floor sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Ptanning Building
Permit Fee
Surcharge /L So
Plan Review
MC/WS SAC
City SAC
Water Conn.
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
trails Ded.
Water Qual.
Other
Copies
Total:
% SAC
SAC Units ?
Meter Size
Valuation:
Engineering
? 21 Miscellaneous
0 35 Tenant Finish
0 37 Demolition
MC/WS System ?`
City Water ---
Fire Sprinklered --
Census Code 3Zg
SAC Code 3°
Census Bldg. ?
Census Unit ?
Variance
$ z- A [1?ot-)
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X CITY USE ONLY /?
L BL RECEIPT #: 7 o1aJrvZ.
SUBD.Ia'Oa77OO-O/?'O/ RECEIPTDATE: ????
1d`
?It?"?48 PLUMBCITYPOF EATG(?COD4IERCIAL)
o-ei V?VW '?"I6L
3830 PILOT IQ70B RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: all commerciaVindustrial buildings
multi-family huildings when separate building permits aze not required for each dwelling unit
backflow preventer to be installed in cammercial azeas or residential boulevards
Date: 'S ?i 81 e+ll Work Type: & New Bidg. _ Add-on
Is Water Meter Required? p Yes No Water Flow
To ioquire itPressure Retlucing Valve is required on new service, ca11 681-464 6.
1% of contract price or $25.00 minimum
_ U.G. Sprinkler
FEES
Contract Price: $ 0. (Ci (0.00 x 1% _ $
COMPLETE THISAREA IF
Service: _ Existing (if coming off domestic line) OR ` New
Backflower Preventer Permit Fee
Water Meter 1" @ $185.00 oI 2" Turbo @ $846.00
If "new service"add Water Permit $ 50.00 =
WAC $ 780.00 =
Water Treatment $ 420.00 =
City Installed Tap $ 300.00 =
$ 25.00
$
Permit Fee $
State surcharge is $.50 per $1,000 of en rmit fee or minimum of $.50 per pertnit State Surchsrge $ •?'1 D
Total Fee $ . l?
I hereby acknowledge that I have read this application, state that the infottnation is correct, and agree to comply with all applicable City
of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liabiliry for any
damages caused by the City dwing its normal opera[ional and maintenance activities to the facilities constructed under this permit within
City property/right-of-way/easement.
SrM nnnRESS: ./lOq AF1z1 4Y 4n-V
TENANTNAME: 4_46-n-(.l )',Q" /?i9a/,/.L?4?
INSTALLER NAME: 01%f1Lt 17!I P. (jq#VCllL ?.?"d /f a'? TELEPHONE; N: '-/6 Y- Y999
STREET ADDRESS: ZC)S 3Z) +t0 fiT H'le,W e- c:o ,r-ri{
CIT'Y: LkX--e-J tl ? STATE: WtlQ ZIP: 55G `% `I
SIGN TU OF PERMITTEE `
SPRINRLER SYSTEM
Repair
GPM
Use BLUE or BLACK Ink
For Office Use
I ~j I
I Permit 7~ I
C•t of EaEdfl
Permit Fee.
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: l
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I i
2011 COMMERCIAL BUILDING PERMIT APPLICATION
Date: LG~ /11 Site Address: l 1 D ( D,, FFL e y Zo Ao
Tenant Name: 6*66,6) (Tenant is: New / C Existing) Suite
` y? /L Former Tenant:
PROPERTY OWNER ` Name: ~Z TY D l- ~th-pj Phone: X,5_321
Address / City / Zip: PTt~OT 1<W,1_6
Applicant is: Owner Contractor
TYPE OF WORK Description of work: LJ
Construction Cost: (Q
s
CONTRACTOR Name: ~~TT ]C 0A tl License
Address: City:
State: Zip: Phone: X S+ Z I
Contac Email:
ARCHITECT / Name: U.55 L. UTiIL O"S, _ Registration
ENGINEER
Address: 65' "5F- a P-6 City: ST State:- (Mpd Zip: Phone: _6 5 1 b q.5' 033
\
Contact Person: 7~0)t 0 V~ G 6C~5 Email: W ► i u e~ u~ rs a%
Licensed plumber installing new sewer/water service: Phone
NOTE: Plan. _ ,
s and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an applica on for a permit, and work is not to start without a
permit; ~t the work will be in accordance with the approved plan in the case of wor ich requ' a review and approval of plans.
X_ P~ ac x
Applicant's Printed Name Applican 's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Public Facility _ Accessory Building
_ Apartments _ Commercial / Industrial _ Exterior Alteration-Apartments
_ Lodging _ Greenhouse / Tent _ Exterior Alteration-Commercial
Miscellaneous Antennae Exterior Alteration-Public Facility
WORK TYPES
New _ Interior Improvement Siding _ Demolish Building*
Addition _ Exterior Improvement Reroof _ Demolish Interior
Alteration _ Repair Windows _ Demolish Foundation
Replace _ Water Damage Fire Repair _ Retaining Wall
Salon Owner Change *Demolition of entire building - give PCA handout to applicant
DESCRIPTION ev
Valuation Lbt 0e6 Occupancy 5 ' MCES System k
Plan Review A-5 Code Edition 'Zd!~;7 M52Le- SAC Units k
(25%_ 100%ditb Zoning City Water A
Census Code Stories Booster Pump
# of Units O Square Feet PRV
# of Buildings ( Length Fire Sprinklers ^ Ar
Type of Construction V45 Width
REQUIRED INSPECTIONS
v/ Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) -;7' Final / No C.O. Required
Foundation Other:
Drain Tile / Pool: Footings -Air/Gas Tests Final
Roof: -Decking -Insulation `/Ice & Water -Final Siding: -Stucco Lath -Stone Lath -Brick
Framing Windows
Fireplace: -Rough In _Air Test Final Retaining Wall
Insulation Erosion Control
Meter Size:
Final C/O Inspection: Schedule Fire Marshal to be present: Yes V/No
Reviewed By: G , Building Inspector Reviewed By: ~•e- , Planning
COMMERCIAL FEES
Base Fee b • Water Quality
Surcharge 30 • a-v Water Supply & Storage (WAC)
Plan Review 0 Storm Sewer Trunk
MCES SAC Sewer Trunk
City SAC Water Trunk
S&W Permit & Surcharge Street Lateral
Treatment Plant Street
Treatment Plant (irrigation) Water Lateral
Park Dedication Other:
Trail Dedication
Water Quality TOTAL 30' "O
Page 2 of 3
09130l2015 10:31 Midwest Exterior Plus �A�)763A279�1 P.001 J001
,� �� Use BLUE or BLACK Inl� '�}►
�----------------- �V' ����
I For Oiflee Use � �
I
�
Cit of�a an ; Pe�"� ��� ;
o , ao � �
6 I Permlt Fee� • ���h
//e �°�'.L�.
3830 Pllot Knob Road � C� ��� ����
Eagan MN 55722 Date RecaNed: � � � /
. � � /tEE1
Phone. 651 675-S6yg I�
( 1 I
Fax:(B51)676-6694 I s�� �
OM/1'l�'C�`�!-� �----------------�
20'15 BUILDING PERMIT APPLICATION
Date: '��D�(s StteAddresa: l�"'7 ��`����'' W�"� �.R.�lin Unit#:
Neme: �i �'J� � G�^ G'� rJ� Phone: (r���'��"�3��
,,Re.sld��t1 �I
OwneP , Address!Clty/Zip: � � JT ( i���
� V � Applicant Is: Owner �Contractor
T A 6�Of Work Descrlptlon of work: �{�''p�(.'F �e"�oo{ /��+�'��G �%C(� D�/llG���,� '",��..
.,YP�
"; . .
Conslruction Cosr 7�� Multl-Family Building:(Yes I No�)
Compeny: ����5} ,�iX'��/�' �"��''�f Contact: I"iQ� — ��o '�����r'��
Address: � J'r� S Uh B/' C�' City: l'��0'�� (.t/0�/ri
Con,tractor -� ��
, Stete:M�Zlp: 5536� Phone: 7�5�{1�?��6PG Email:
Ucense#: �!�/aa?7 7 Lead Certiflcete#��03�/���
If the proJect Is exempt from lead certlflcatlon, please explain why;
�
COMPLETE TH1S AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the lest 12 months,has the Clfy of Eegen issued a permit for a simllar plan based on e master pls�?
Yes No If yes,dabe and address of inester plan:
Llcensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Co�tractor: Phone:
Flre Suppress(on Contractor: Phone:
,.,,.
NOT�c°Plans and�supportJ�'g,,k,do��ments th� �you s�bmlt are constl'd�real>to�b`e•pytilic iiiforinafloi�� Pt�rflons�of
tire Intorma.Non may be class'ffled as.�non public lf you•provide specifTc r,�a5,on§..ifhat,wouid�periniE�fhe�G%ty to
conc/pple�that tti� .ar.e trade�secrrets.
CAL�BEFORE YOU DIG. Call Gopher 6tate One Call at(651)454-000�tor protedlon egrelnst underground utlllty damage. CeN 48 hours
before you ir�tend to dlg to rocelve loCetee of underground u1111t188. www.aocharateteonecail.oro
I hereby ecknowledge that thls informetlon le complete end aocurate;that the work w111 be In confortneece with the ordinances end eodes of the Cify of
Eagan;thet I unde�stend thls is noE a permlt, but only an eppllcetlon for a permli, a�d work la�ot to etart wlthout e permlt; that the work wiA be In
accordance wilh the approved plan In the caee of vw�rk which requiros e�evlew and approvaf of plans.
ExteHor work authorized by a buliding permit Isoued In accordanee with ths Minneaota Slate Bulidlhg Coda must be eomplaled wlthln 180
' days of permlt Isauanee.
x n n f�ivvrr�G�` ��,
X
Appllcant's P�nted Name Applicant's Signature
Pega 1 of 3
� �C� A ��
• /.� �l�
�� �� �i�JC� DO NOT WRITE BELOW THIS LINE
' SUB TYPES
� /Foundation Public Facility Exterior Alteration-Apartments
i/ Commercial/Industrial _ Accessory Building _ Exterior Alteration-Commercial
_ Apartments _ Greenhouse/Tent _ Exterior Alteration-Public Facility
Miscellaneous Antennae
WORK TYPES
_ New _ Interior Improvement Siding _ Demolish Building*
_ Addition _ Exterior Improvement �Reroof _ Demolish Interior
_ Alteration _ Repair _ Windows _ Demolish Foundation
_ Replace _ Water Damage _ Fire Repair _ Retaining Wall
Salon Owner Change "Demolition of entire building—give PCA handout to applicant
DESCRIPTION ` �
Valuation Z F,��tS Occupancy v MCES System N �t-
�
�
Plan Review /(ld�.� Code Edition Z O 1 S� /rIf3G SAC Units
(25 _ o zoning P�; City water
Census Code Stories Booster Pump
#of Units � '� Square Feet PRV
#of Buildings / Length Fire Sprinklers
Type of Construction I�- /3 Width
REQUIRED INSPECTIONS
, Footings(New Building) Sheetrock
Footings(Deck) —�inal/C.O. Required
Footings(Addition) � Final/No C.O. Required
Foundation Other:
Drain Tile ✓ Pool: Footings _Air/Gas Tests Final
•f Roof:_Decking ^Insulation '�Ice&Water _Final Siding:_Stucco Lath _Stone Lath _Brick
Framing Windows
Fireplace:_Rough In _Air Test _Final Retaining Wall
Insulation Erosion Control
Meter Size: Concrete Entrance Apron
Final C/O Inspection: Schedule Fire Marshal to be present: Yes �No
Reviewed By: �n�� , Building Inspector Reviewed By: , Planning
COMMERCIAL FEES
Base Fee Jd���- �"�j Water Qua�ity
Surcharge llo� � Water Sampling Fee
Plan Review d - �' Water Supply&Storage (WAC)
MCES SAC Storm Sewer Trunk
City SAC Sewer Trunk
S&W Permit& Surcharge Water Trunk
Treatment Plant Street Lateral
Treatment Plant(Irrigation) Street
Park Dedication Water Lateral
Trail Dedication Other: �
Water Quality TOTAL ��°` �'
Page 2 of 3
For Office Use I
I
+ ' t_q', )I /I Permit#: I—����
E AGA Netl i �l-
.,,,'t,..‘ •„,, r Act S • Permit Fee: /
'
Staff: ma�
` i
Payment Recvd: _Yes No I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 EIVE ,
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694
Plan Submittal: eblans@cityofeaoan.com
MAY 0 9 2Qi L Plans:_Electronic Paper
2019 COMMERCIAL BUIL io '-,6 - , i APPLICATION
Date: ��/ Site Address: /! b L 2)7/-----/...-2--47 )". ' 9
Tenant Name: Cl 0/ L_ d-A (Tenant is: New/ Existing) Suite#:
r`/%'(/6-i-L'A) '4 ' seiGz3 Former Tenant:
Name: Phone:
Property Owner Address/City/Zip:
Applicant is: Owner Contractor I'! iI4 1, R ►'Jt i' I ( ' C
6/44
Type of Work
Description of work: Us GL ���'� 424.,/,*---
' 72/-ss
P
J�
�
Construction Cost: �
Name��/i�G/� �� ��� License#:
Address:/�D a 'C;�(� - � City: G�l/U D�/3 �/c2
onr�t � � q
.7c2.2
_...1
1 v J� 79State' Zip: Phone:
j�cCContact: i / ;�� �Email: / C6% //O��� Li /9it7C�
C,.G owl
&Name: / � /� c)
/fi' Registration#:
Architect/Engineer` Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone#:
NOTE:PiasiS2aiiidiuptibrOngdocumeks that you submit are considered to be public information. Portions of the information may be
classified as non-ppbik if you provide specific reasons that would
permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeanan.com/subscribe.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.00aherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to .•-rt 'hout •,permit; that the work will be in
accordance w' the approved plan in the case of work which requires a review and approval of pia i
x //' Pe) �ce' x d 7"._._.....:116......„-
Applicant's Printed Name PP(Paira u
9
is Si nre
DO NOT WRITE BELOW THIS LINE /67S-- D(-7
SUB TYPES1_
� GDig(6-LiFoundation i Public Facility i Exterio. Alteration—Apartments
Commercial/Industrial Accessory Building Exterior Alteration—Commercial
Apartments _ Greenhouse/Tent — Exterior Alteration—Public Facility
Miscellaneous Antennae
—
WORK TYPES
New _ Interior Improvement — Siding _ Demolish Building*
_ Addition Exterior Improvement Reroof _ Demolish Interior
Alteration Repair Windows Demolish Foundation
_ Replace _ Water Damage Fire Repair _ Retaining Wall
Salon Owner Change *Demolition of entire building—give PCA handout to applicant
DESCRIPTION Qu.,ti //'"�
ir2.
Valuation ( r, �®c) Occupancy / MCES System
Plan Review Code Edition Z' fl ( SAC Units
(25% 1//100% ) Zoning IFP City Water
Census Code Stories Booster Pump
#of Units Square Feet `} PRV —
#of Buildings Length Fire Sprinklers
Type of Construction i Width
REQUIRED INSPECTIONS
Footings New Building_Deck Addition Drain Tile
Foundation Foundation Before Backfill Retaining Wall
Vapor Barrier Erosion Control
Framing 30 Minutes 1 Hour Steel Reinforcement
Insulation Street/Curb Cut Inspection
Sheetrock Other:
Roof:_Decking _Insulation _Ice&Water _Final Meter Size:
Siding:_Stucco Lath _Stone Lath _Brick_EFIS Electronic Set of Final Revised Plans
Windows
Fireplace: Rough In Air Test Final Final/C.O. Required
Pool:_Footings _Air/Gas Tests _Final < Final/No C.O. Required
Final CIO Inspection: Schedule Fi e Marshal to be present: Yes X No
Reviewed By: ' �- , Planning New Business to Eagan:
Reviewed By: ,, , Building Inspector
FEES Water Quality
Base Fee Storm Sewer Trunk
Surcharge , ' Sewer Trunk -
Plan Review Water Trunk -
MCES SAC — Street Lateral -
City SAC Street
S&W Permit&Surcharge Water Lateral
Treatment Plant Stormwater Performance Security
Treatment Plant(Irrigation) 6 Landscape Security
Park Dedication Other:
Trail Dedication TOTAL: ' 4) >
Page 2 of 3