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<br /> <br />APPLICA TIONFOR .FENCE PERMIT <br /> <br />PERMIT NUMBER: .t2~ - 1169 <br /> <br />....Phone: D.ay:.~~i~.~' . ~d'.~N'gbt:dj;/).fJJt-1:?~ <br />City: Stare: Zip:v..l'::..1 <br />E-mail address_Mo..nJCLJJ ~ a1J11. UYvJ __ <br />Location of Property: . <l1<l UJHl tMIlJ' <br />t~=~~:r~: lQ ~lOi:1 ~~!eb_..~_~~-:-._.__...._...._ <br /> <br />Si7,cofLot or Parcel: 11~tucr~ Current Zonmg: !t~~ . Est. Cost of Project: $_10\)0- <br /> <br />Type of Construction: ( ,f Check. aU that apply.) <br />Wood: <br />Chain Unk: <br />Split Rail (Front Yard): <br />Decomtive (Front Yard): <br /> <br />(D~:C)~l..M.~l O~r1IIf1L <br /> <br />Footage:~ L- ..:..~-_._-_..- rr\ I <br />Contmclor: ~ . Phonc:ltili?~ License #__ <br />Anticipated Starting Date: JtJ__.:1j _~~~._.__ 1/1 ?- Estimated Completion Date: J!._J"JL"_LQ.~._._. <br /> <br />A sketcb drawn to scale must be attached showing; A. Lot hnes and comer plllS; B. Dimensions of existing buildings ~~ <br />new fence; C. Distan<:eS from lot lines and buildings. D. All Easements (Utility and dnlinage) E. Utility linf.'S entering the property. <br />Comer pill'> must be established and marked by the owner and visible for inspection, Two copies of construction plans must also be <br />submitted . <br />! <br />lproperty Line Setbacks: <br />Looking at tbe Property frO~t the street: <br />Live on a Comer Lot? -.-1> <br />Work in Right of Way? () <br /> <br />~ all information 00 this application. <br /> <br />~~~-- <br /> <br />T <br /> <br />6' or Under: "I- <br />6' 1" orOver:_ (A Separate Building Permit is Needed) <br /> <br />liS <br />r~~~. <br /> <br />, <br /> <br />Front Setback: <br />Left Sideline: <br /> <br />d1, ft. <br />tt <br /> <br />Rear Setback: <br />Right Sideline: <br /> <br />~ft. <br />--1L- ft. <br /> <br />I hereby declare that I am the O\1r1K'f, or authoril.cd agent of the O\1rllef, of the above described ~oper1y and I agree to COUStr\J(;t the lence or use <br />herein described in Ilccordnnce with the regulations and ordinances that govern said improvemt:nt within the City of Centervil1c and that the <br />foregoing infonnatiOll OOI'ltained on this application is a true and correct staremcnt of my intentions. All provisions of laws and ordinances govt.ming <br />this type of work will be complied with "nether "T~:ified herein or not The granting of a permit does not presume to give authority 10 violate or I <br />cancel the provisions of any other state or local law regulating lenccs or cotlstrucl!onlhcn:of. 1 undentand tbat any utility that must be moved as I <br />II result of additions or alterations to the property wiJl be at my espense and I wiD be responsible for the cost of the plan cbeck of tllil <br />application even though I donut continue the project I al86 understand that the City of Cenrerville is nut verifying my property tines, they <br />are only visually inspecting that I bave obtlliDed a certificate of surveyor have exposed the existing mOlluments. I Igret' to be held entirely <br />responsible for tbe placement of tbe fence and if in tbefuture It Is determined to be in a dnam.gefutility casement it wlU be removed at my <br />expense and if in tbe future' is detennlned to be on the property line or neighoon property, witbout proper abuUibg neigboor approval <br />filed witbthe City of eenle il 't ' aISil)~hem5at my expense. Fences shall nut Im.pede water dndllagelflowage. <br /> <br />SignatUre of Applicant: ._...... JQJU _.___..._ Date: ~~ Dtp <br /> <br />....................................... (The lowing to be completed by the City) ......................... <br /> <br />Fence Permit ~ By: <br />Fence Permit Denied For. <br />Attached Letters From Abutting <br />~ OWners 011 FHa v.;1h City: <br /> <br />Date:_I_-'_ <br />Date: <br /> <br />Data: <br />Oate:._.._I_..L._..__ <br />Date: <br /> <br />TOTAl. FEES DUE: $ 5q.OO <br /> <br />31 <br />