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<br />MRY 10 '95 13:02 HARSTRD HOMES INC
<br />Road NO. <Segment
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<br />P.2
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<br />RAHS2Y COUNTY PUBLIC VOaKS DEPAM'HEN'l'
<br />APPUCATIOH POll PERm POl CtIfS'l'RUCfIOM. ~,
<br />OIl UPAII <M 8AKSB! COUNl'I RIG8'1' OF l1AT
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<br />Addt'e5B
<br />2/75 S'IIVF/r ~,It .F-Z'.'
<br />Municipality
<br />'J!.o$.'Ev't..LE. <
<br />Method. of in$tallation or construction,
<br />1tC,," I ~c.. ~ M A to..\ \A, 0 '-l!:-
<br />S S ou er to b~ dt$turbed
<br />.bIMtr 'YQS
<br />Vlll tra t be oblttructed in any way
<br />Yes 'M
<br />Depth from surface
<br />12. ;
<br />Timet rQql,\it~ to <:OIIUIIp ete work
<br />'- ~ 0 r ' ~ ............f:f".
<br />, ,the ers J th acc:e~t the terms c i tions of the reauJations of the
<br />RaII$Ie.Y COImty' ~r and agree to fully comply therew1 th to the satisfact:i.on of the '
<br />It.u6ey Oounty Public Vorks Dept. '.ti8n1r~ agteeB that it sbaU defenc1:. 1ndelll\tty and
<br />hold barmJ.esG R.aaHy eo.Mty. hIS officera, mp1.OYee:J, end 08'_1:8 frooa eany, and all cl'd~, ,
<br />costs, damaps. fees including atorney's fees, or otl\er cha.rgas for iDjUriE!9 OJ:' 10:;8 to any ,
<br />person or propertY arizing from the is&Ual1oo of this permit. the construction wor
<br />pend.tted hereby, ,or both., ' ' '
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<br />-s-h /~.r-
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<br />PAlums TO COMPLy, VITB m 1'OLLOi.IlI.1 aKu'1'J.m5 VILL WULT m :noomiATE TBRHIAnm oP'
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<br />In tersec ting at
<br />(jUA.~'Sb
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<br />
<br />Date
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<br />Applicant' s
<br />Signatur~
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<br />r.zl .4
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<br />8~~~~=a~~~~~"~.~5..__...sam~~~~~~S~M~=~~~~~--=~=g_~~C"d~......a~~~~A
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<br />SEE REVERSE SIDE FOP.. SPECIAL PROVISIONS
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<br />,In,oons1deration of the applicant', aggreecent to comply in all rQspects with regulations ':
<br />of th~ Ramsey Co~ty Public Works ~part~t covering such operations, permission is '
<br />hereby' granted tor vork. to be done in a.c.c.ordance with special pre~utions required as
<br />h.~tll!by mtate.d; <_ ~ ~ FOR 8l'BOIAL faOVlSION$)
<br />
<br />MINIMUM Of TWO "UtILITY 1KRt AHEAD" SIGNS RIOUIRBD.
<br />ABSOLU'lBLY NO KlCAVATJID IfATBJWLS TO DB PLACID ON IIl1YEN PmTION OF 'l'HE ROAD.
<br />
<br />All modifications and/or adjustmants netQgsary on the utility C~C~ by ~adway imp~ove-
<br />m~\tsJ utility improvements, utility f.ilures, etc. shall be borne $Ole1y by the utility
<br />owner wi th no compensation by Bamsey COunty,
<br />
<br />It is eHprea:$ly understood tha.t tbb perm. t b ~onditioned Upon replacement OJ; t:eliitoratlon
<br />of the County hiSh'(iray to its original or to .. satisfactory condi don. It b f1.u:tbclr
<br />understood' that this permit is issued subject to the approval of local city authorities
<br />having joint supervision over said street or hisf1way.
<br />
<br />Procening Fee $ ~1 O. a ()
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<br />PV:l t.vised 4/7/93
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<br />lWtSEY ,COUNTY l'UBLIC WOMKS DEPARTMlNl'
<br />~proVed by g VI
<br />If' IOL-' ."" ~l h ') 'j, /1.. J 11
<br />Date .9-' ''j'/,...J Issued by ",i"r:f(,'IL,t, / IlL: ,~. {!f).,~
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<br />Vhi te - RIV INSPECrOR
<br />Yellow - D/T OPFICE
<br />Pink - APPLICANT
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