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<br /> <br />ruille <br /> <br />APPLICATION FOR FENCE PERMIT <br /> <br /> <br />an infoImation on tbis appIicitiQn. <br /> <br />~~~~lCr~ <br /> <br />PERMIT NUMBER: <br /> <br />Phone: Day. (~ttln- J"*,"J Night <JzIDl!!1...- J?h1 <br />. ~: 7!.ii1..fi:;vlllD.. statJfl-AL- Zip: S5n~?B' <br />E-mail address <br /> <br /> <br />J:st. Cost ofPrejed: S~ "i, tt:c <br /> <br />, v'" <br />= (A Sepamte BuitditJg Permit is Needed) <br /> <br />Location ofPtOJ-ly. <br />SiteAddressfHouse No. : <br />Legall"-aia&n ofPmpert,: <br />SizeofLotorPMc:el: . CjO]- ~ CunentZoniDg: Pas <br />1;pe of Construdion: ( '" Check all tIiiil apply.) <br />WoOd: .L 6' or Under: <br />CbamLiDk: 6" 1" GrOver: <br />Split Rail (Front Yard): <br />Decorative (From Yard): _ <br />~): 8 QLI ( S.p\i+ 0li \ ~~ <br />Footage: "'" '2...4.0 <br />ConInictor: ~Jv1 ef7lS <br />Anticipited StattingDate: oS- 1:z2..jl?Y <br /> <br />Phone{~~ )'SZO - <br />~ZZ <br /> <br />LiceDsef# (fit.; J."f(:.s:J. ZJ)OQk5(sO <br />R~M CompIetioD Date: OS I~o--:f <br /> <br />AsketcIi.dIawD io scale muSt be lttt8ched s1IowiDg; A Lot lines 1IDd comer pins; B. DimeDsions of , existing buildiDp and proposect <br />new fem:e; C. ~ &om lot lilies _1 mil" ... AD f'.asemtq~ ~ aDd chaiua&G) Eo Utility lines enteriDg the pIGtJerty. <br />Center pius BDJSt be esfabIis11ed and marked by tIIe'owner and visible for iDspeWon. Two eepies or CODStnactioBpJausmuSt also be <br />SIIbmitted. <br /> <br />". . LiDc SeJbac"R: <br />'~aUhe Pl'opeal.t Iiomtbe stRet: <br />Live ODra Comer Lot? ;'\0 <br />~.~~~ ~ . <br />I hctebydecJare tltai 1 am dill: 0\\'Det~ or ~.agd'eflle owner. _nhe abwe desLiW property and l-.ee to conskw:t the r.ce <<8$8 <br />'.~" descritietl in ~ . tbe ~ ... ~ dd pemsaic1inlpmtemei1t WithilJ. tb City of ~8Ii4_.tftj: <br />fotqPiuainfODDation c:ontaine4 on .. ~ is a lmeand cmrec:t IMtMmRt ofDl)' inIemions. ADprovisicms otIaws lQd(4di""'-':e9 5"~ <br />this~ of'wodt will be complied witb.\VIiether ~Wlteiein or not. The gnmting. of a permit does ilGl presume to give il1dhbdty to ~Or <br />caiiCeI the provisioiIs of anyotJier state Or !4x:aI1aW ~ fences Or OOftSh.lMion thereof. I amlem.mt tbat 8Dy IitiIity cbat .mUUtie iDCWed as <br />a result of aatditioJu 01' alterattoas to the property will be at my expeare. 8Jld I will be RIpIJII5iIIJe for tile cost of theptlU'l diedc of' tb& <br />applkation eve. tIJouiIt I do DOt eonttnue the prujed. I also IIIldentaad daat tile CIty of' bmtembe Is Il8t verifyIna my property u. t&ey <br />are only vIsQaIIy IDspediiIg &rI8t IIHwe oItl8iDeda cenDlcate of survey or have esposecJ tile eDstlag lIIOBumenls. I'agree to _leId eJttlrely <br />respoIISlbIe fOr the plscemem of t'eitce iUJ4 it Ie tEa.. tauue It III cIctamJJIed. to be fa 8 drabuIge/DtiI.i easement It will be teDUWed stmy <br />expaise and If iD the t\mai'e it is . to M Oil tile- ~. line or aeigJIbon property. without proper alNdtfag neigfJtJor apprimd <br />filed witfI the CIfy ole... removed at Fences sII80 IID& Impede water cIrainagWftowage. <br />Sigaature of Date: Os- IkJ 0 7- <br /> <br />front Setback" <br />Left Sideline; <br /> <br />. <br />.1'4 <br />, <br /> <br />tl <br />ft. <br /> <br />Rear Setback <br />RigfIt sicielme: <br /> <br />z.. tl <br />~ ft. <br />, <br /> <br />_..._..'<)t:."""--....~...-CIIrI ....-..-....-.. <br />Fence PennitApprovedBy: Date: ~f!Y5!!J <br />Fence Permit Denied For: Oats: --1-1_ <br />Attached I.eUeJs From AbuIIing <br />Property Owners on Fie withClly: <br /> <br /> <br />Data: --1---1_ <br />Date: --1---1_ <br />Date: _1---1_ <br /> <br />MAY 2 .. .2007 <br /> <br />TOTAl FEES DUE: S. SD.OD <br /> <br />CENTERVILLE. MN <br /> <br />,/~ <br />