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09/15/2017 04:11 425-348-.0458 ST MARY MAGDALEN PAGE 03/06 <br /> . _ <br /> 5. , <br /> Assembly Arca(Streets) <br /> J100 <br /> • <br /> —Portioo of street to be used <br /> rkl Full Width KI Ralf 'ETI Other <br /> Informing biiNin esses/residents <br /> 1'Sigued Form by businesses-to be faxed in to City Clerk MI 09-21-2017(30ditys)-and signs pled on doors if not present to sign. <br /> form. <br /> What method will be used to inform the impacted parties of the street elosure? <br /> Applieout Signafore and Date <br /> FOR OFFICE USE ONLY <br /> Please do not write below,for office use only_ <br /> K.dillili. Traffic Police Fire Transit Streets <br /> Approved: i#...': v 1,/ %/ V v <br /> Rejected: <br /> Special Conditions: <br /> Cornmerits: <br /> Council agt,enda date: /C /A2/ II City Council approval.: / I <br /> Pennit TR FI-4 <br /> 15 <br />