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AGREEMENT ADDITIONAL WORK v ADDRESS C t� <� J �r SKETCH: IN BOULEVARD avv CA I' ,(?�G'.t f- art P.I.N. Project NO. Date s /� - JS' t of/ ri V g4ay - Z� 71. 12 ;4i -C, COST COMPUTATIONS: (Amount due prior to work) Al � r �s Y �' � , � SZ OWNERS AGREEMENT: (A) Sign, if requested driveway work meets city code. e of the property t at � G � -f t' a the owner I hereby certify that I m P Y Y Y and that I request the City of Roseville to construct additional driveway work in the boulevard as drawn above. I understand that this work will be done by the city's contractor, and in accordance with the specifications and standards for this project. (B) Sign. if reques'--ed driveway work meets code only after additional private driveway k. I hereby certi that I am the owner of the roperty at and that I request he City of Roseville t construct additional. driveway , work in the boulevar s drawn above. I nderstand that this work will be done by the city's contr for and in ac ordance with the specifications and standards for this prop t. I have already secured a permit m the Roseville Building Department to construct the private driveway rk shown in the above drawing and agree to complete this work wil,tLn 60 s following city project completion. I understand th my drivewa will meet code requirements only if my private work is one and agree to ay the city to remove the work -installed by their retractor and to pay all restoration costs if my private work is not ompleted within the 60-da limit. Further, I agree to pay for the osts of removal within 30 days f receipt of a bill.. Also, I agree that 'f I do not pay this bill within 30 Xs the city may, without a public, earing, collect the amount due, including an interest charge with my following year's property taxes. OWNER /�� ADDRESS�r,, DATE �� "