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/ / �y� I , WunaPOrmnr� � �/'. ' >` v <br />�a���I��LJI-Li-%L � �„ -� _ <br />I �.,w neni . _��Ls .Z�C_-s-. . <br />Apphi;�iinn F�r <br />PUBI_IG V►l�RK?� P�RPAIT nin��e��� . -- <br />�•�� �oo� �ae Pua f -� -- - - <br />�S L� ��C <br />Hn�rnceDue i � - - <br />Prir�i or Type Only -- — -- <br />/`' efcc.� Co��sf. .Tnc. /7oi'f( /5"ib �✓f .vf 5���%P y8'/Ss ,36.3�'3/� <br />Owner Meiling AdJnaes Cily 21p Phone <br />S�m� -- <br />--- Applieanl Meiiing Add� ess <br />Deacribe °roporad WorF _ �• F <br />r �iy <br />-r�6��,� <br />Pr�IP�'1 AAArpss (II knownl l�.�� �. . ��--/� �hp�' �'S'�� — <br />Atlach lour 1�1 cn�iee O� plans lor proposeA wark � Druw Ir. scnle Tnd nute the lollowing e9 BpplitnLb�- <br />• Proparty linas • Centedlne OI slreet <br />• Outllna end Aimansions ol all c.��:iu�n :���d • Indicnle Norih <br />proposed atrucluras on Ihe lot • Sh,iw nny rn�nosed g�ad�nii cn��ny���, <br />• Exisling xnd proposed uhlities • Show mrnsuremenis <br />UNf <br />FERMIT CONDITIONS <br />t Ad cel�s lor �nspectlon ahell be meCe ?4 h�s. in edvance - ohone 259•881 5 <br />7 All work ehell be performetl In eccordancr wdh Ihle parmll end cu�rem l:nv ��� 1 v�����n Ur�;r�n ,�nd �;,,��-i� ��� nnn <br />S�anderds end Spaclliwt�ona. <br />3. Cell Locatlon Unde�ground Sarvice �IB hrs before you dig. TOLL FREE NUMBER 1•800•424•5555. <br />4. Existing sidewalks are imbroken and i*• naw ronditinn, the aPP�i��u�t i� <br />required to replace uny sidewulk damnged during cm�struction. <br />5 <br />6 <br />Rooi` down spouts ar-� tu be tight-lined 7o existing curb dr.�ins. <br />AnY gr.id��i}� nf thc lot is to I�c donc ,o as not to impact thc surrui.mling <br />lots ��ith rnin-�citrr !un-ofY. <br />_�' , � j <br />J ._._. ____. <br />�PUroveA /lor�C^on5lniCl�en <br />IINAL INSPECTION - �� • <br />Approvr,d as C �n9lruc�ed <br />�.��.�,.�� PU9LIC WORKS DEPAR ENT <br />� �C���J �.Pfifl! S�(P.P� <br />f e�•„ri Wn �n���fi <br />r <br />a� rr;�,vn I �`���� �.'t Ni ��n r.i�Nfnr�i)rn <br />I n.. unil.,.i= �pu,q nv:nri aPPhi .�nt ImicLy atYces lo hUld Pnd 9Uve h:um <br />iess the .AJ ol EvP���it hom eny antl nll claims tor Apma�es, covls <br />expenaes, or ceuses ol ection ihal moy adge becauee ol ins�allnlicn <br />_ ✓ � antl m�nntenxnce oi Ihe impro�•emenl or other dphbobwey use herein <br />'l_:.—.1"'� � epplieA lo� and lunher agrees lo emnve sema upon notice Irom thr <br />����°�� C�ty and �a repinse publl p�opeily dameged Ihxreby <br />r ']�� /J <br />. <br />�/ %/� � /'�{//'�'/` /p <br />. � ��� . , G __/�/' � " \ � � a S <br />i):�b I <br />Siqnelure of Applfcanl aie� � <br />WORK AUiHORIZED BY TNIS PERMIT MUST BE STARTED WITHIM <br />1nC DAVS OF DATE PERM.: IS iSSUED AND THEFEAf7ER I'� T[i <br />FfC DIL I�FNTL Y F'I1R5UFD �O COP4PLF[T'OV TNIS PFqMIT MAV Hf <br />.. � r I I r �� ��W t�IF CII�' UI'�7r �, F' .P�'p6Y nf l'/ORK f1N T14S <br />'i <br />Ii.�ill �.iN�� Uf�.liiici I . <br />z <br />0 <br />-i <br />.. <br />� <br />� <br />'.. ►� <br />1 � <br />r+ --� <br />{/� S <br />0 <br />m <br />cv <br />mo <br />c-� <br />o� <br />--1 Z <br />2 --� <br />m <br />ci z <br />C <br />� <br />rx <br />e. .� <br />--I 1/� <br />< <br />� <br />T 3 <br />ti ni <br />m� <br />v `" <br />�m <br />C N <br />3 � <br />z �; <br />--1 � <br />a <br />� <br />_ <br />n <br />.-r <br />