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<br />�ILLA�sE OF R()S�V'iLIE
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<br />�ppLICATION FOR PERNfI�3SICaN T� CONS'TRUCT
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<br />Sl�NITARY SEWER EXTENSION
<br />::. �pte�bgr 25, �963
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<br />� �� Per.miesion is herein requested to construct sanitaxy sewer exter�sion at the.
<br />:; � y ;� = roilowzng ioGat�.`on : .
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<br />, ' � -, ���a � c��' She�rori Addi;tion, Hlooks 2 aryci 3 {Lovall ,�ve, �xtended -
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<br />` ` ' �,e�gtoi� . t� ?�4 feet` e�st )
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<br />� �n
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<br />� ` �: Name o� �. Applicant �c � ;qev�er�sad Lundblad — '
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<br />�R � N�ane of Ct�ntraetor :
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<br />�$ w; j� A�te.ched is an a�re�.rn�nt form, properly execut�d �nd �. bond9 aer�3.fied. che�k ;
<br />�` "{ �.��y�, pp� i.n f�.vor of the Va.l��.ge tt� guax�.txt�e . f;
<br />; o�= �ash�..3.n the. amount of
<br />��' °� ;, payment .�'dr :th� cost of completion of such sani't�.ry: , se�re.r. '
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<br />���, ;� �,'Y�e foLlow3.ng prc�t�'i.si:ons, are herein r�cknowl,edg�d by the �.pplicant: ��,��F�i�;
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<br />����� Y-f 1. ;;: Pr�i'v'�.�ions,� of V�lla�ge Code Sections 20 and: 81 sh�.11 be frllawed. � ,.; '' '
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<br />�Y�° �� � � �; ' , , � � - � � � �
<br />��a�k1;t;� �, ,�� .:The V�.�.lage w�.11';design the sewer r�nd �i21 det�.ila wI.11..be fcl,lo�aec�� i:
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<br />�s��� r �, 3. ' Work to be d�rie by compete�t persans ar cc�mp�r�3.es . �,, �AY�u
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<br />���� ' �. �he �ppl'ieant shall �be�r. a11. cost for prr�pos�d, cc�rstr�c�i.�n� .3,nc.Zt��.ir�� , ff' :
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<br />������aA� ,, � - en��ir�ee�3.ng, l�g�l . arid. �other ; cos�s c�f .�Y�� V'��..���, ar�d. h�Zd.s the : �'�l�.a�e ' :� ,4;
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<br />�����f ,'� ;� �ar:i�l,ess .. far::, ar�y;; ineid.e,r�t' or a�cident th�.t: m�.y acc�x �$ . � rest��.� ;+�f , �
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<br />�'��';� "C , «';` ark �o .;be done; under su�ervi.sidn af ��i3.1"la�e Ea��i.�e�ri ra;�.d r�� w4�lf sh€�.�1 b� � ; s
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<br />���*K,:;';,t , . '; ,p�rr�o�m.ed w3�ladut n�t�.fying the E'b:�in�,ex that' s�ela woxk ;�.� t� `b� '�erfr�rm�. ; ,� , ,�f,4 �!
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<br />z��;,�: ,, �� �ha� upan co�rpl�e�i.or�� the appliaarst wa.11 pay a3:1. t��e �.�:la�e �c��ts� ��1 ;,t, , j��
<br />i�2 {��r� � � y2�a� upPcr�r� aecept�nc� by tk�e � i�illa�e, by� r�sc�lutio�ir : t�e ex�ems�.o� �e�am�s ` ` z{ ,����
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<br />� �� ��,>>z ��` �``, �� ,, }�,�a�, ���,a �"+��.3:cafi�ion��-�or ::ho���. connecti�ns�� wi11 r�at���e �sc�u�it ur��t�.�. �af'ter ��ie'. a -� � �,_ �`��
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<br />' by th�. Vi ' K ` � :
<br />�&���� � � ` e�ten�3.oz� is accepted l�age o � �y ,
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<br />'���:�� Y. 8, If th� work ;d��s nc�t ;�pro�re�s: to the �atis,f�.cti�ar
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<br />�s ��=�� t� ;_ m,a :�` �.t,.'3.�,s,-. ,o ti.on, comple�� tn� cons�,rv�e:��.c�n c�£ said �xt�as�an���- x�.�h �l � r� r��,y�
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<br />�����x� r costs as shown in paregraph 4�,to be '�orne �b;y the �.p��.iG���� •� ` _,;7:�� ,
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