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<br />G~rr:'!I" <br /> <br />APPLICA nON FOR FENCE PERMIT <br /> <br />PRINT all infonnation on this application. <br /> <br />~ <br /> <br />Name: ~~ff. ~ Phone: Day: ~~- izIAO Night '-to <br />Address: ~ - rr: City: (",J::.NiliR.v/~ State: M IV Zip: SJoSB <br />...,56j r€LTI';t.. CIA... ~ E-mail address <br />Location of Property: <br />Site AddresslHouse No. : />EL-TII:t1- PI{gIdl~iF L.Dr II ~t..D<-k I <br />Legal Description of Property: <br /> <br />PERMIT NUMBER: <br /> <br />o~-1551 <br /> <br />~..,.; .s-t/l 't <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): 'CLACk' 1:..1 lU.~1L c .nATe-/) )'/FAL <br /> <br />Footage: <br /> <br />ContIactor: ~ g- t....;j::: <br /> <br />Anticipated Starting Date: _1_1 .A:t:\f <br /> <br />Est. Cost of Project: S <br /> <br />~J OCJO. 011.;.1 <br />. <br /> <br />~ <br /> <br />6' or Under: ~ <br />6' I" or Over: _ (A Separate Building Permit is Needed) <br /> <br />Phone: <br /> <br />License # <br />&1imated Completion Date: B-I.:LJ () 8 <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) Eo Utility lines entering the property. <br />Comer pins must be established and marked by the owner and visible for inspection. Two copies of constroction plans must also be <br />submitted. <br /> <br />Property Line Setbacks: Front Setback: ft. Rear Setback: ft. <br />Looking at the Property from the street: Left Sideline: ft. Right Sideline: ft. <br />Live on a Comer Lot? <br />Work in Rigbt of Way? ,:.~- E (; e i\( fca.cl~~~ ~LCfr\~ <br /> <br />I hereby declare that I am the owner, or authorized agent of the owner, of the above desCJibed property and I agree to consI:n1ct 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. All provisions of laws and ordinances governing <br />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 violale or <br />cancel the provisions of any other state or loca11aw regulating fences or construction thcroof. I undentand tbat any utility tllat must be moved as <br />a result of additioDs or aItentions to tbe property will be at my expense and I will be R!SpoDlible for tbe cost of the plan check of tbis <br />applicatiOll even though I do not continue the project I also undentand that the City of Centenille is not verifying my property lines, tbey <br />are only visuall)' inspecting tot I have obtained a certificate of survJY or have cxposed tbe existing monumcnlL I IgnlC to be held cntirely <br />responlible for tbe placement of the fence and' in the future it . ,- 'termined to be in I dninage/utility easement it will be removed at my <br />expense and if in the future it is dele' 0 be OD the P ,- . line or neighbon property, without proper abutting neighbor approval <br />filed witb the City of CcnterviIle be removed expense. Fences sball not impede water dninag~owagc. <br /> <br />Signature of Applicant: Date: lJ ~o8 <br /> <br /> <br />......................~ ....._... to ... ........- ... .... Cltyl <br /> <br />Fence Permit Approved By: - ' Date: ~/.d]j (fq <br />Fence Pem1it Denied For. Date: _,-'_ <br />Attached Letters From Abutting <br />Property OWners on Fie wth City: <br /> <br />......................... <br /> <br />Date: _,-'_ <br />Date: _'-'_ <br />Date:_'-,_ <br /> <br />TOTAL. FEES DUE: $ <br /> <br />50.00 <br /> <br />S'o <br />