13.07.2015 Views

Staff Report and WELO Ordinance - StopWaste.Org

Staff Report and WELO Ordinance - StopWaste.Org

Staff Report and WELO Ordinance - StopWaste.Org

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Estimated Total Water Use =gallonsShow calculations.Appendix C — Sample Certificate of Completion.CERTIFICATE OF COMPLETIONThis certificate is filled out by the project applicant upon completion of the l<strong>and</strong>scape project.DatePART 1. PROJECT INFORMATION SHEETProject NameName of Project ApplicantTelephone No.Fax No.TitleEmail AddressCompanyStreet AddressCity State Zip CodeProject Address <strong>and</strong> Location:Street AddressCityParcel, tract or lot number, if available.Latitude/Longitude (optional)StateI Zip Code_I6434

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