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HomeMy WebLinkAbout14070062 Right-of-Way Permit JUN-19-���14 05:54R FP.OM:hIRRGE MIKELS 7-8236757 T0:5712439 P. 1 �� i"� �' � �� � '� � 1 _. �- � -OF- PERDqI'1'NO: �� 7//i`/ _ � Note: Opes cata im pmvemmt reqmh�e Bosrd ot Peti13t oiks(SP'W)App►roval - ADDRESS OF WORK �/- . O r • DpSQtIP1'fON OF WORK(cha]c atf tlnt nPP1Y):Road Bae __, 'oa Bahaoee.✓ Sh�e�GUt -=Driveway RcQlacaaeat —L�m Ctoaue=Road =Otha ---- i7SE OF HEAVY EQUIPMEM'(yesaree):c�y IF YES,TYPS OF VY BQ(JIPMSNf(Bobcet o= Iarger)TO BE USED: � TODAY'S DATB: 6- I G-1 y L�S1`Ru9ATBU DATE OF WORK: ' , TYPB OF SURFAGB'PO-BB CITf(ifapplieable): — � e+iYPUC�►Hf1''sNAMB(Pasondoiogthewo�): -F' Phono:,,�l'i-�l'��3�F�'iS . Addrrss' � 1 �VHO IS APPLICAN'1'DOINC WORK FOR N�a r + p� r j 4bd3 Phone: ���- v�o sstiy� DRAWIIdC3 ATfACHED(yea ors�� NOTE:ON REVBRSB SIDE OF THIS.PE[tM1T.PROVIDE NAMHS CONTACTS OF ALL SLtS- CONTRACI'ORS TO BE 1NVOLV�IN ON�TTS WORK ON�HIS OJSCI: SURETY BOTID: Plesme see Item#1 of the Right of Way Condidoas sormnaG c�nrrY: F� sormn�rc r�/J�� 95��' d►aPPUrqnt f'as tht+rtgt►:-ol-wayPermir.r�otdasstmrd o,rd agne to t d,s spe+c3Jicauvns cnd co,ulwa»a lisred on the auachsd sheec ' .�i — 31 -7l 3 � p ' 's ) PERMif GRANI�D BY: - // O ' ) � � W I have u�tho tspaa of tho abovo right�f-way and fmd it to bo lotalyeatisf�torY• , (CitY'l�bOr) (Dato eleasod) . .