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.w.aau ucc jm..�v:— <br /> " <br /> ^+Wg� yl.:"^'. <br /> 2. That$e/s(ae is The owner ofEae fespective ptopmty,pr is qm"'d to'Wesmt tho owaes;and <br /> 3. That helsbe will sesame fmg <br /> or so p <br /> or which �& , �Y W"may arise"cf�WOdc described above, <br /> may a�i�eoat ot'bis/her to do the warlcparcvided sad - <br /> 4. That in the avmt any claini of such is made Wad#ae <br /> doWi andholdtbamand each c{themhaafdesafursaxhdNciatar Leshau <br /> S. That weft shall be paed foamby the aM&O*affd/or Clain;and <br /> WI&a valid �'Vitro of Wo <br /> Ioaqum Coaady and applicant in the County RW t.of_Way at the above.Mcated site <br /> 6. That if is E±saarted as heagrom. <br /> do the wodc d m with Aft tenni,00nditions and rcsWcamOfd&and any <br /> $ of Affficauj�-VileFEUD d <br /> . Deha <br /> » »»»»»»»»»»»»»»»»»> INSPECTOR C10M> g <br /> EMMOCD'NDnIONB««««««««««««««<«««««< <br /> L DRI'�EWAY: <br /> ].SLOPINQ AW Bnml i?acwm,3t ❑ nBate Has" ❑ Puved(xw) ❑ Pav (Good) <br /> ❑ Tavaods Pavanaoot ❑ <br /> 3M: Now <br /> Flat <br /> Ene ft.Type. ❑ <br /> toneighboaiood Yea ❑ No a <br /> APPaee�ea CJ Caves Drain �e �J <br /> n°i '"'a ' Yea ❑ No <br /> 4.IINADWALL: Yes ❑ ' <br /> S.ASPRALT CONCH D>Diia:, <br /> Yea ❑ No <br /> 6- BARRMS <br /> '). DITCH Yes ❑ No <br /> if Yes:• V t IO ❑ 2 Pbim. ❑ Odaar <br /> »»»»»»»»>>>>> »»»»pgRbtT1+32E ❑ ---- <br /> 1.D�VEWAY: tm «««««««««««««««««««« <br /> mctcL ❑ �tCMTUU 0 S IAL ElldrxL Depth PANED with. Z., R <br /> Nates A over Myy Depth 3/4"AR <br /> 2. Pn%& <br /> T afPaps Regaµe& —_Pt and Diameter of pipe �h <br /> . 000nectad to aayaw�aioeet <br /> eassypipe Yes ❑ <br /> DRAMA3E RAzr REQUEgD Ya <br /> ❑ No <br /> Tow . <br /> Nates (withPanPosed) Tota{Numbw qf&" e:Dr,&Uhl& <br /> 3• HF"WALL Yes 0 No <br /> L PAVED FR(M_4 E: PAVED vfith <br /> —_._"Min•Depth A.C.over "ildin Depth 3/4"AH <br /> Feet in leng#h and Feet in with <br /> Driveway Faaoschmat Petmitbamfee ._. . . . 7„a� , <br /> FFM <br /> Field <br /> ❑ v y W/or w/o <br /> DrivWayw/boxCulvaat_. � ❑ 8 <br /> '°'� VPPiaa for P 5curk $I0000+4.46/ <br /> ❑ '8idewatic +0.9878 <br /> Yeway sad Pavrd Ffno�tsSa Page.2 of 2 <br /> Revised W2000 <br />