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<br /> � Tf above does noi�Apply,fo119vr gtiidelmes below,, '� � � � �, '�'�" ��' " r�,�
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<br /> �2 ,�STATE�URCHAI�GE *�'A�d�e St�C��ld�'�'4de Di�r�Sur�A�t'ge(Nlin�mum�Fee�t�SQ� r,;t? �, ' �:.'� '
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<br /> � FOSTAG�&HANDL�I��r(prily ox�Mail I�ApphcanOns) $ � 1:50 l , , � , ;:�� °
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<br /> k �"* CQN`�A.C'T PRI�E or'�QB'C�ST,i�leane t,he eotual o�estuiiated iiollar ar.�iount,cliarged fQ;i �e ; ' '�'' , ;�:;
<br /> . . � ;permit4ed wvrk inc�uding materials Iabor,prQfit, a�ad atlaex fix:ed cQSts.;I��,s�k�e.�arnqunt�Eo be ohar�e� ;'
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<br /> to rlie cuaCornex fox�hs work don� If a�i rt�torial e uipme�it,'labar oz;i�st�llatiiez�s arc,;fiu7vshed 1�y
<br /> . the ovvaer,tepa�,t Qr �iay othe�;�i�rty7 th�xeasoliabl�maiket v�tlue of auch rtert�s;i�iust be a�lded tp t�e
<br /> ` � - eshmaCed cost br contract rice Por"ernut fec osas. In, c pveat�th�t there �s a dis uYc:'oii'the ''
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<br /> . ., . umount af the�ob cost,the Cit}!mfly iequest the �ubrrii�eion af'�Signcd�opy pf the actunl �a.ri�'acC
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<br /> •` .'*'�`i'hc STATE,SURCFiARGE is 00(}5 of t�e$i,uldu�g I:aepa�tznent at(952)249�600 foz t�ae prie� .` .
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<br /> The undersigned herel�y applies to the City for issuarice o�a,iVleqhaxlical�e�it, $�rees to'do all �
<br /> work in strict accordance with the oirdinan,ces of the City and the=re�ulations o�,t�.e $tate o� � �
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<br /> , �l�nes9ta, ar�d certi�xes. that �11 Statam�nx de � �s ,a �cati�n aFe oompl.�t�, trt�� anti . , •.
<br /> corroct. _ .. , ,,
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<br /> Applicant's Signature: Date: �� �/` �!
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