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G~':'2~j[)" APPLICA nON FOR FENCE PERMIT PRINT all information on this applicatioJL PERMIT NUMBER: Name: ~ Phone: Day:~-~ Nigbt~Ml- Address:j,g.c;.i ~ . ~ ~y City:. lU~ State:.MAL ZJR:S~-~ go I -mailaddress '4ff~~~.~~ Location of Property: c.J Site AddressIHouse No. : 61(5 I ~ ppNl) WAY ~ ('~~/I) r: I ,i,f.J Legal Description of Property: I Size of Lot or Parcel: ffAb" X IhS' Current Zoning: RBS.I22.Est. Cost of ProJect: $ 7, 000* ()O T~pe of Construction: ( ./ Check all that apply.) / Wood: ..L 6' or Under: .y.... Chain Link: 6' I" or Over: _ (A Separate Building Permit is Needed) Split Rail (Fmnt Yard): Decorative (Front Yard): _ ~ CAufitlZJJiA ClJAflJ U#Jl</Ar:rf~,4-rIIJt;, 84Al2l> fAJOob Footage: Confractor:TfJWNt~IJAt[/l. '( ~c.6 Phonl~~ 42.> -S~sc # 2~~ ~~2- Anticipated Starting Date: -! -1 Estimated Completion Date: -1--1 A sketch drawn to scale must be attached showing; A. Lot lines and comer pins; B. Dimensions of existing buildings and proposed new fence; C. Distances from lot lines and buildings. D. All Easements (Utility and drainage) E. Utility 1ines entering the property. Corner pins must be established and marked by the owner and visible for inspection. Two copies of construction plans must also be SIlbmined. Property Line Setbacks: Front Setback: ft. R<<:ar Setback: ft. Looking at the Property from the street: Left Sideline: ft. Right Sideline: ft. Live on a Comet Lot? N f) / (\ ). Work in RigbtofWay? ~...lee: A:rr~l-le-b ~IJRv~y I hereby declare that I am the owner. or authorized agent of the owner. of the above descn'bed property and I agree to construct the fence or use herein described in accordance with the regulations and ordiDances that govern said improvement within the City of Centerville and that the foregoing information contained on this application is a true and correct statement of my intentions. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not The granting of a pennit does not presume to give authority to violate or cancc1 the provisions of any other state or loca1law regulating fences.or construction thereof. I uudenta,nd that any utUlty that must be moved as a result of additions or alterations to the praperty \VOl be at my expense and I wiD be responsible for the cost of the plan check of this appUcatlon even though I do not continue the project. (also uuderstand that the City of Centervllle is not \'erifylng my property Unes, they are only \isuaDy laspettIDg that I have obtained a certificate of survey or have exposed the edstiDg monuments. I agree to be held entirely responsible for the placement of tbe fence and If In the future It Is determined to be In a dralll8ge'utUity easement It wDI be removed at my expense and If In tbe future It Is determined to be on the property line or neighbors property, without proper abutting neighbor approval flmI With the Cty ofCen'~f It 1JD alnl:1~ed ~ my expense. Fences shaD not Impede water dralnagelt1owage. Signature of Applican1: ~ Date: r:, ~l, I) 1 ...........................,.,... (The following to be completed by the City) ..............0.......... Fence Pennit Approved By: ~. Date: "/~ (;)? Fence PermIt DenIed For: Date: --1-1_ Attached Letters From Abutting Property 0wneIs on FOe with City. . Date: --1-1_ Date: --1-1_ Date: _'-1_ TOTAL FEES DUE: $ 50.00 23