Laserfiche WebLink
�' C'V(•tCI� . <br />! "`-� <br />, <br />���� <br />�:��� ���ari�titcris <br />� v: �:: ��:r.s�,r�-- <br />. ���or� <br />PLf,;ql'ION FOR RIGNT•OF-WqY I� pERMIT ? <br />1 � ]. ,, 3 <br />PLHMI f NO, 7�'��- 4 <br />— – —3— - <br />71�,ci)n�rr.iyned.�.:.L_�i�_�!__�_ -� � <br />_ .- - �—=-..� _.� � `-- <br />u"- -- <br />Hei •: . :4Ulies for peimission lo � .• ,• i. , � -- - . ___ . . . __ ... _ . . <br />, 1.._.�__-�.L . �/ \� � � � - <br />� __L_�'i___ L -_t 'R'.���'%._ <br />, , <br />_ _ _ . _ __, � _,�_._.� <br />--- --- <br />--- ------ <br />i..r ���c tutlowinn loration . ,. _ , ,�, , _.. . ^, _. <br />_ , � � . :Il ��� �'1. . — -- <br />. , ,.N , . __ .. <br />7�:��:-iCli ._-. . . ._ _..__._. ����r i .-- .'Y L� r C'�,T���- <br />.,.._ . ._—_ --._...__. �_ <br />,i;�. � i, ._• �I„nal <br />URIVEWAv SL`C710N <br />� NO SC4LC <br />L�y . .___..�.. LIP _...____- _ .. � <br />�_ .::_--�-- --= J <br />,��q��..� -�-_.-_-__--_-___.��30" I <br />'1 <br />--- -----—__ <br />COPI' O,� THIS APPLICATION TO <br />DE POSI"6D ON JOBSIT[. <br />�' CALL LN3WEERING �EPT. 259�t3Ef11 <br />� Y� HCUF� pEFORE CONSTRUCTION <br />� _ _ .. ....-- - --- <br />�� CHECK t IST � <br />I riator V ilve_� <br />.�ina9e <br />Curb & Guttcr L...���III <br />� �idewal� I <br />1 I <br />---. . _------ -------_. _ <br />Inspector'sSignature -��-- <br />�Date ---- - - <br />Rcrnaiks <br />�. :L "1. :7 ;� <br />ct�s_ .�^!;rx <br />_ . _ _,_ _ ,� <br />Thc un�lcisii,�nCd uc�ncr hnrclry nqiccs to L�dd luul <br />�ave hannDn; U�c C�,ty of Evcrclt from any anrl all <br />claims for damages thnt may arise because ot in;talla� <br />�ion and maintenence o( thc improvr.ment heicto <br />applied for and further a9rces to remove same u�,on <br />noticc from thc City and to replacc public proPcrty <br />dartl��d,thcrc Y. ;; <br />/ " i �. <br />./_/_�.__,. . -..�;------- <br />Sigi�turr. of ApplicSnt � - � <br />!n,��'<'�!':_�''�7 /=,..• -�: _ <br />Address � --- <br />: <br />! C-j �-a-, °� (�(l <br />Telephone Number -- <br /><<�__/;'�� �" <br />Date - __._._ --- --- � - <br />. _..__ .---- <br />- �-- --.. .____. <br />L'l _-_ _ __ .. <br />Dept. Approvals <br />Engincers___.___. __ __ _ <br />Watec -�--_-�-�-- <br />Street_ <br />____ . __.-- <br />Communications__ <br />Traffic <br />Plannina <br />ai�u�o��� i�Y --- <br />----- - - - <br />- _ -- <br />Dntonp�noved ------ �i <br />