Loading...
HomeMy WebLinkAboutPermit Sidewalk 1995-06-28li/zo ADDEgg. .15S=350R9 t-14P No.* sH##j,,n=*,,;3,:tr No. 126_3153 ';r>r:CflON LINE, iZ 6 _ 3i6l3 RES ID ENT IAL -C APPLICA I RC/AL SPFlIATGFTEL D Jo3 RicirpT No: ltO7o32-'L 4 (1.{X Lor xo * cHEc< q' CH=C<=D FCR D=L tNaJ*\c := I -- 3)3DtvtgtoN:/o / OJriR: Art/E55: t- l'iY -JK LL> rA l::orL 1 plcx= No. ii/cR<ESCRI PTICt.{, =AiJI=S APPL ICATION FOR A *COND DRI\€UAY(T-l.]a)OR A CO"JNTY APPLtCAitoN FOR FACIL ITY P=3-ilT (c aa_203)F lN ru= ur-s. str=JJAi<, _JZ' CUR3.CUT: S=COND DRI\€UJAY ( DA1= C APPLICATION :F cuR3 9ir= __-e=-= A-, --,t-!\ R=5|D=N-TJA]_ ._-co:'1t-1=RtcAL 3E= TRAFFIC ) r/r{SIGN=', DAl-=: /<_ oill\=R.--4-aar-iRACToR* =GISTRATION NO.=xPi=5,-?b P;'\=,-o5A9D=95 FROCEDURE rcR N9,f=ECTIA.{REQ{IE9T: c't'ly 126-116A (e'c,cF'.=R ) 9TAIE YOUR Ctiy D=S|GNAT=D JO3 Ni,?r3=R, io3 ADDR=sS,ryp= cFINSFECTIOI'I reau=STED AND UHEN YOU rutl-I- 3= =ADy roe xsr=cfloN, <,r;^-TRACTORS c>R Ol:r{=Rs NAr= A\DFI]ON= NI.I*13=R. R=AU=STg R=CEIVED 5=rc8 \OO /.!1U,ILL B= HAD= TH= 9A1E DAY, EAJ=sTS ,A=TER -]:O€).f1 IIJILL A= r1AD= TIi= N=XT IUOR<ING DAY EXISTI^{-g SUtLDING p=311T No. ( tF A??LICA3L= ) *YOUR CITY D=sIGNA,.D )@*o.,sf q€/e49== Bi20K FEAUIRED IN9PECTICNS sID=IUALK / DRI\EIIJAY F.OR ALL CONCRETE PAVING U,,ITi-.,|IN TI{E STREET RIGHT G IUAY, TO 3=rlAD= ,€TER ALL EXCAVATNG 15 COi-,iPLETE AND FOR-I IIJO=<A\D 5U3-3A5= HATERIAL 15 IN PLACE ..CUR3 / A?trOACH AF'RO- A=T=R rc,E-19 AE =R=Cl:BUT PRIOR TO POURING CONCR=TE. FEE9' SIDELUALK9 llO.OO + *O.15/LF.( X ) OF I.UALK CURB-CUT tlO.OA+rO)i/LF.(X) uJAL< X, TOTAL FERHIT FEE'* CO|IHERICAL DRIVEIIJAYS Si-.IALL HAVE 5'TO A'FLAIRS 3'. A'gT,/{{DARO r ;-lI,VE CAR=FULLY EXAYINED TH= CO|.IPLETED APPLICATiOT.I FOR PERi,1IT, A\D DO HER=BY CERTIFY :I-.IAT ALLINFOSIATIOt{ HER=ON 19 TR.JE A\D CORR=CT. A\D I FURTH=R CERTIFY TI-{AT ANY AND ALL I.I,oR< P=Fo=iEDgu[LL BE DChIE \.\ lcccrc ANCE \J\1\{ ]I\= Orc\N,I\CE5 CF lHE C\TT cF SPR\\C#IELD. A{D TU=_ LAU}5 cF THE 51A]E OF Ore60N FERTAINII.IG TO TI1E IIJOR< DE5CRIB=D trEREN,AND TI-.IAT NO OCCIJPANCY \IJILL B= r1AD= .x'u\tY $lF1JCIUF3 \l\j\{oJ]PER1\55\ch\G lHE BJ\LDING D\Y\S\CI\\ FUR'iu=R cER]\F-r :uA-i oNLY CO\-iRAc1oag ',$\'tH ORS 1o\.ob5 $\LL BE USED Ct\ TH\S pRc,JEC.r 2y x' ^$\D $IPLOYEES \Iro AE \N COTIPL\ANCE rtoN,/PEE-7Ir I"UOFi( TO tsE PE@R1ED EY: W