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<br />f- <br />- ~t;c..r.:}jat: <br /> <br />APPLICA nON FOR FENCE PERMIT <br /> <br />o~3 <br />'? ,,0 <br />1- / \ <br />/J;\' ~ . <br />/1 J;J <br />PERMIT NUMBER: J l- ~ 1t> <br /> <br />!BmI all infonnation on this application. <br /> <br />Name: f)clJ c IlT ({i/J.,Ncn. <br />Address: 7e".J1 EIfiIE / I'M.'#-- <br /> <br />Location of Property: <br />Site AddresslHouse No. : <br />Legal Description of Property: <br /> <br />Phone: Day: CbS-' ) 7bZ. t!>1 (,,4. ) Night: f/€{) 7bZ -co/''-' <br />City: (1t?He~ t;,I!L E' State: ~ Zip: 5>03 g' <br />E-mail addressfJD.Jtt.lNIff6M...1e(1~/....~I#.5T.NET <br /> <br />7031 ~~IO"jLt: Ti'U::.L <br />LfJI I.). - ~/Oc.JL-,J ~o;ll::- f)~sj <br />. <br /> <br />)1/1&. (io <br /> <br />Est. Cost of Project: S <br /> <br />Size of Lot or Parcel: Current Zoning: <br /> <br />Type of Construction: ( " Check all that apply.) <br />Wood: ~ <br />Chain Link: <br />Split Rail (Front Yard): <br />Decorative (Front Yard): <br />Other <br />(Describe): i/ p/l;v/<4-j 1YlIIl~ Iflt;,?, nW'4T cF)kAt: [311 ,;,4/. ~crr 1CT~~-) <br /> <br />Footage: '3Jf i <br /> <br />Contractor: /ht'I)il/t-S7 Fe:wt'~ <br /> <br />Anticipated Starting Date: ~ 'Sf) I <br /> <br />6' or Under: .JL <br />6' I" or Over: _ (A Sepanrte Building Permit is Needed) <br /> <br />to. <br />py <br /> <br />Phone: {,rrl/ 5"1-).JJ.!License # <br />Estimated Completion Date: ~ ~ ' g/ <br /> <br />A sketch drawn to scale must be attached showing; A. Lot lines and comer pins; B. Dimensions of existing buildings and proposed <br />new fence; C. Distances from lot lines and buildings. D. All Easements (Utility and drainage) E. Utility lines entering the property. <br />Corner pins must be established and marked by the owner and visible for inspectiOrL Two copies of construction plans must also be <br />submitted. <br /> <br />Property Line Setbacks: <br />Looking at the Property from the street <br />Live on a Comer Lot? <br />Work in Right of Way? <br /> <br />I hereby declare that I am the ov.ner. or authorized agent of the ov.ner. of the above described property and I agree to construct the fence or use <br />herein described in accordance with the regulations and ordinances that govern said improvement within the City of Centerville and that the <br />foregoing information contained on this application is a true and correct statement of my intentions. AIl provisions of laws and ordinances governing <br />this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or <br />cancel the provisions of any other state or local law regulating ICoees or construction thereof I unclentand tbat any utility tbat must be moved as <br />a result of additions or attentions to tbe property will be at my expense and I will be responsible for tbe cost of tbe plan cbeck of this <br />application even though I do not continue the project J also undentand that the City of Centenille is not verifying my property lines, they <br />are only visuaUy inspecting that I have obtained a certificate of survey or have exposed tbe existing IOOnuments. IIgRe to be held entirely <br />responsible for the placement of the fence and if in the future it is determined to be in a drainagt'Jutility easement it will be removed at my <br />expense and if in the future it is detenn' ed to be on the property line or neighbon property, without proper abuttiDg neighbor approval <br />filed witb the City of Centen'iIle it wiI ilIso my expense. Fences shaD not impede water dninagdOowage. <br /> <br />Signature of Applicant: Date: 1I-'KJ p ( <br /> <br />Front Setback: <br />Left Sideline: <br /> <br />ft. <br />ft. <br /> <br />Rear Setback: <br />Right Sideline: <br /> <br />ft. <br />ft. <br /> <br />................................. (The following to be completecl by the City) <br /> <br />......................... <br /> <br />Fence Permit Approved By: <br />Fence Pelmit Denied For. <br />Attached Letters From Abutting <br />Property Owners on F~e w!h City: <br /> <br />Date: _/-1_ <br />Date: _/-1_ <br /> <br />Date: ---1-1_ <br />Date: ---1-1_ <br />Date: _/-1_ <br /> <br />TOTAl. FEES DUE: $ SO.OO <br />