Laserfiche WebLink
rvcretl <br />. � <br />CIIY LfJGINEERS <br />C V � R L iT. LVA51-I I N G 1 UN <br />APPLICATION FOR RIGHT•Of-WAl' USE PERMIT <br />7he Undersiyned _ _� ' � <br />H�:iebyappliesforpermis.�.ntoi���� � .. ,�:'!?.'-� � <br />At thc followinr� location--'-� -� �i r' ��- '^: ' — / <br />.—._- ----------'=—` --='.�._. <br />SiCETCH <br />(V.brk to be done) <br />'' �`� � � � ��t, t�Ji �{� (F�4e� ��y 9� ��..� <br />' r•^�E 9 II� d�i � 117 Y�r �'c1 <br />�..., .. . � , �.r��. <br />i� ... <br />" �'''1 � �'' '�I <br />'.J <br />PFRf.II-.' ��10 ' . . <br />j <br />�;�.3�� �'�R GD��T���rT�r��. <br />DRIVEWAY SECTION Tho undcrsqnnd n�c�m.:n c�reby a�pr,c; to hold ;uid <br />NO SCALE socu h,nml�;; tha City u( Evui�ttt fiom �n <br />.'__.._—_. ___ . � Yand;tll <br />�-- claims ior dama9es that moy arisc hecause of inshdla� <br />I \ 1� LIP tion and maintenance of the improvement hcre[o <br />;,,30'� _, �� �30^� �PP��ed for and further a9rees to remove same upr,n <br />' ' ��--� /fotica from the Cit and to replace public �iroperry <br />ZV�mar,ed thereby. ��i . �� <br />�� �: �� �'� 7 <br />Si�n urc of Applicant�'—�i��—�—__ <br />_... _. _ _. _ _ ___.—. — �. J i r.� �,_.r=._t�..�t � _. <br />COPYOFI�IiISAPPLICATI0NT0 � Address ./ —'���--- <br />BE POSTED ON JOBSITE. � ; .'t -� ) �:C <br />CALL ENGINE[RING DEPT. 259�8gi 1 Telephone Num r --- <br />24 HOURS BEFOR[ COfJSTRUCTION p��e •� �C�/„ ---� <br />-- — � �' % <br />rCHECK LIST <br />VJator Valve <br />Drainagc <br />Curb & Gutter <br />Sidewalk <br />Inspe��'sSignature p � <br />t5a��� --Z.S._ _�Q 7% - <br />�__fa_�i . %� _ <br />Rcmarks <br />Nnie: Oriyinal m Customer <br />7 CoPy �� F-ilc j � "J � <br />t r.,,;�. . '- �' t f <br />� ,:; Ir•.q;�:rlui <br />—L Z �_ . <br />Fce --- <br />Dept. Approvals <br />Water <br />Sveet <br />Ccmmunications <br />____.. . _ _. . .. ._ <br />,�P��rnvcu Iry <br />