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Lkto-1 i <br /> ".7b • <br /> City OF 61 MON <br /> WAA MW OF PUBLIC WORKS <br /> AFPLICA11ON FOR ENCROACHMM ON PUBLIC RIGHt-OP-WAY <br /> N° 61066 <br /> Ms11Mrt1Y Neeu ��i'�S-Yl a? ���y twi e3— 5- /4i2+ <br /> iAJdti„rw.i ../ree(x1�Q..ad OPP”. .S'c11C%Y!. Vl+ene�,A5o2—d69rs <br /> APPAMM blAWOR of PUBLIC WORMS <br /> Acre <br /> o..wrycem,xser Addrul Q By <br /> mbore <br /> hoorid Starting DaN 4-9- /� Compiellon bole q-30—dtz_ permit E.plralion Dole <br /> 1 lot Wel hereby dpply ler on lhcrbnchmltif permit to tdrry out the following work! iQS!� /I y <br /> o �♦- or ;. L.�� S r <br /> I�17 Q,e.1 <br /> Ths ebevt rdd,b doishEenl hseby t"0604 pitmhilen le- POW EEE ...... _.................................._.. 1cx <br /> Additlonel roolooe Pae... . _.. <br /> Sewer top bepoilt ............._ ................... <br /> TOtAt DEPOSIt ...........-........... S <br /> Building Permit No. <br /> Improvement Plan No. <br /> §upplemental Conditlone: <br /> qY <br /> 6c r-�sTriG�� Tcr SaT a •� <br /> ,�r e.co�4� Ore l yr <br /> 91w+MIA obevs or tehr to drommo lvbmlaid IV <br /> IMPORtANTt Appllcenf hereby agteel to tomply with all provi9lorSt of this permif as well at all opplicable City ordinances, <br /> resolutions, s11andards and specificollehs turr#nfly In effect, and to pay to City itk actual cost for removal and proper replace- <br /> ment of any Ifern Which does n6f hieef above rettuir8metill. Fallure 16 comply will be tout# for revocation of permit. Appli- <br /> cant ogre#t f6 ihdeM611V end h6ld the City hdrlrilM dgolhif only drld all Idtset, t694, or damdgm resulting from Injury to <br /> periont, death of petlon 6r ddrnage 16 pttlpefty occurring at fhe 11118 61 or as a t#sult of work to bi performed under this <br /> permit. Certificate 61 Inlurahce *111 be presetifed by applicant up6n r# uw. <br /> peed aenerel Prertelene en r9v9ree elde of this p011111 beler111prb"tot"'"' <br /> nb1111eeNane end Inepe6ltene. <br /> Permll EnglBeerlln/pe6ler <br /> 911.8466 <br /> 911.8389 sgnid, �� PHene j()00 <br /> Ist--0nmines Ind--file Jrd—Elmore 1n>—UH11ty/Street <br />