Laserfiche WebLink
-...uv IIIB deBCFVbm�h'aded'Q bz M)hc on Aw to dw best ofbi%la. <br /> kaowhvdgq and <br /> 2. That he(she is the owner of the <br /> roO ieO P Wcdy-a is Qualified to t the owls;soot <br /> 3. That he/she will assume full respoaswij�for all liability <br /> or which may arise art ofhis/her$dune to do � s°Jm5' to proP�Y""may arise ont ofthe work described above <br /> 4. Thai in the event any claim of such . ided�'°�'and <br /> +hty ffi made a�amst� ,ofSaa Jba*M orate dBP o$cial or employee shall <br /> defead,'°dermdy and hold and each of them hmmloss for suds c}aim;wd <br /> S, That work BW be pedes bythe applicant and/or any Ve ofthe appiicaat in the <br /> with a valid San Joagiwa Coady Right-of-Way at the above indicated <br /> 6. That if penmisainuis County P adt;and site <br /> armed �° ,heagrees to do the v; did in widsall <br /> M r ,oonditiom and rc*icdm cfthis and ay <br /> �J S eafA ics�-T e <br /> Daft <br /> ! WMTMG CONDMOM«««««««««««««««««««« <br /> L DR>I�WAY: <br /> 2. ff"ING: No ❑ Dat ❑ Oravet - A „gafeBas, [] Paved(poor) ❑ aa�ciood) ❑ <br /> Awayfr mPaveamat ❑ pav <br /> TORW&P= <br /> 3: PIPES:. None ❑ E4weg-Type '' ❑ Flat <br /> ower ICE'S <br /> AM mn Yes ❑ No <br /> Atladrneat to neW bwaper; Yes ❑ No 0 Cross Drain El Sim <br /> d.HEADWALd.: Yes ❑ ' <br /> S. ASPHALT CONCRE a 1)11M Yee ❑ No <br /> G..BARREMS a11°$2i*oF-W y <br /> y. DITCHYas�`�,�( <br /> L No ❑ If Yes VSt* ❑ Other <br /> »»»»»»»»»»>>>>> »»»» ❑ Wift <br /> 1.DIMWAY. SFRP rRNTS<z««««c««« «««c<c«7--- <br /> COMMERCIAL ❑ <br /> PAVED with 1tlCilf.TEJJt); (] INDUSTRML ❑ <br /> 1fin.Depth A.C.over <br /> Notes Mm Dapfh 3/4"A1X <br /> 2. PME& <br /> T afP�pe __.___Fk and MWAeftr of P� Inch <br /> 0000eded to airy adjaow <br /> 3'pipe ym 0.N�—" <br /> DRAWAOE INE,1:T i2E(�Ul&ED Yea O N. <br /> TowLeogth. <br /> Notes Total NUMjW of St"M Dnk I01e6 <br /> 3. HEADWALL Yes ® No <br /> <L PAVED FRONTAgE: PAVED with <br /> AfiL Depth AC,oven- " <br /> Mm Deptls3/4"AR <br /> M Feet in length and <br /> Feat in widen <br /> Driv <br /> FM <br /> � FM <br /> mon <br /> ❑ away w/or W/o pipe..._..._ <br /> S. <br /> Drivewayw/boxCulvat._._..__. ❑PavadSnoatageS10Q00+0.46/g <br />- tat ❑Ctai;Gutter,Sidewak.. _...._ . 5100.00+0.61ft <br /> Computer,c:WooesslAPPtion fur P <br /> ��!�way sad Paved FmntaS,e <br /> Page.2.af 2 Revised 8/2000 <br />