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APPLIC"�1T (UNOERSIGNED) ANO FIR�vI REPRESENTED, IF ANY: <br />HEREBY APPLIES FOR PEFMISSION TO <br />AT THE FOLLOWING LOCATION <br />�'72 f Lo�vFr -�� <br />DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br />CONDIT10NS ndamaged - any damage done <br />1. <br />2. <br />3. <br />E.:cisting sidewalks, curbs and gutters are u <br />to same during �onstruction will be repaired or, removed and replace to <br />the P•W•Inspectors satisfaction. s have <br />gxisting driveways should be utilized for new homes, if new drivewaY <br />to be installed - the existing curbs and gutters must be totally removed <br />and replaced at new driveway location - KNOCKING OFF OF CURB IS NOT <br />ALLOV/ED• <br />All concrete removals must be saw-cut or taken out to nearest expansion <br />joint. <br />PERMIT 15 'VAL�D FOR 60 DAYS <br />COPY OF THIS APPLICATION TO BE POSTED <br />ON JOBSITE <br />CALL FOR INSPECTIAN 259-881 1 <br />24 HOURS BEFORE CONSTRUCTION <br />DEPARTMENT APPROVALS <br />GOMMUNICAT�ONS <br />SEWEF <br />TRAFFIC <br />DRAINAGE <br />TfT"� 1i`j �� •�'I PIANNING� ��' I <br />WATEP III .. _, ... . � <br />u !' ; � <br />.� <br />STREET <br />. �L�:I �� ����; '7 � <br />�.r; �� �y,L� X///�� <br />l.(GG/1� � � DATE <br />qPPROVED F CONSF(iVGti��N . .. - �; .,., <br />� — <br />VED AS CO STFUCTED � <br />DATE <br />CONSTRUCTION/AS BUILT <br />:,u e.,.` <br />a _ ...., <br />�...:-._. . _ _ <br />__i, ., r _ . � , -. . <br />. ., <br />�. <br />t 'r� . . . . . � . <br />ORIVEWAY SECTION <br />i � <br />� �'� LIP <br />_ 30 <br />I_ 30" <br />Tha untlersigned owner hareby agrees to hold and seve nermless <br />Ihe Ciry ol EvercU irnm any entl all claims lor tlamages. costs. <br />expenses, or causes ol action Iha� may arise �ecaJse o� insl:!IlPlion <br />and maintena�ca ol the imp'ovement or otner ngh4obwaY use <br />hereto applied lor and Wrther agrees lorremoveeamr etl 1hCoeby. <br />Irom Ihe Cily a�d to replace pubhc P Op"- Y 3 <br />Sf���'ST/�D '2�W/LL. /�r'/$ �^�c� <br />,/�(ll���w� � <br />/SIGNATUHE OF APPLIGPMT <br />,QG'X � <br />AODi1E55 C <br />�✓/lf��/�it/.� LUi/ Jr�O� <br />crtr / <br />� �" -�`/�� ALtERNATE <br />TELE�HONENUMDE <br />7 � - <br />_,,� _ ..�.� �.�.._�:3 <br />k � .' �; � <br />Y �y�; <br />