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AGREEMENT FOR ADDITIONAL WORK IN BOULEVARD <br />OWNER <br />ADDRESS <br />SKETCH: <br />1Z �� s <br />13" /VV4r- O <br />CAJ <br />COST COMPUTATIONS: (Amount due prior to work) <br />8' 61 si�r ,/ .3 f-,' <br />L <br />OWNERS AGREEMENT: <br />fit'•: � ' <br />3 <br />l� <br />J <br />P.I.N. <br />Project NO. <br />Date <br />I i <br />- ri ,�QwQY = 26 <br />(A) Sign, if requested driveway work meets city code. / <br />I hereby certify that I am the owner of the property at <br />(B) <br />and that I request the City of Roseville to construct additional driveway <br />work in the boulevard as drawn above. I understand that this work will be <br />done by the city's contractor, and in accordance with the specifications <br />and standards for this project. <br />Sign; if requested driveway work meets code only after additional private <br />driveway k. <br />I hereby certi that I am the owner of <br />and that I request he City of Roseville <br />work in the boulevar s drawn above. I <br />done by the city's contr for and in ac <br />and standards for this prof_ t. <br />he roperty at <br />t construct additional driveway <br />nderstand that this work will be <br />rdance with the specifications <br />I have already secured a permit m the Roseville Building Department to <br />construct the private driveway rk shown in the above drawing and <br />agree to complete this work wi in 60 s following city project <br />completion. I understand th my drivewa will meet code requirements <br />only if my privatZek <br />one and agree to ay the city to remove the <br />work.installed byractor and to ?ay all restoration costs if <br />MY private work ieted within the 60-da limit. Further; I <br />agree to. pay for f removal within 30 days f receipt of a bill.Also,I agree thaot pay this bill within 30 Xs the city may,,without a public_llect the amount due, including an interest <br />charge with my` following year's property taxes. <br />" 1 <br />OWNERADDRESS ,� ,2..^ DATE Ia " <br />