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<br /> ` .—J_ SA�1L)�i�,ANKE'I' F�RMT'1' & 5ANL7 SQUK(iF1 ���IIBI'�' F�F�2
<br /> N��NNFHA.I�A C`RI:EK VVnT�RSH�i� DISTRiGT �� ���
<br /> F'ERMlT * -
<br /> f ���-( �► (�C� 1�� residinq at �01�7 � ,�fi'o2� �n J...,.., ��`''�i9TfI,���3� r
<br /> � Ci[ �ixtr,7.i�
<br /> F'rnperlV ��wner Ad�iress }',. �
<br /> 7r- �a`�`� .l�c�K�ti�r��n� �,�� ���n# �._9 1 1 i ��- �� �a 000�
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<br /> Fhutir Cu�n�ly l'nu�ttship,Scctinn, Rnn��� (fn>m l,t�,�,ci�y t�x ctntcmr�,u
<br /> owr� r�:�d occup_y the .{��ove siaigle f�arr�ily resiciGxtee. ar�d �vis�1 to irl�t�kll �� ti�1tlCI�7��irtkct ��t�
<br /> r24 ��n�..�n�i�'-�-����`�
<br /> I.,akc a Puy
<br /> � [ l��vc car�tr��ctcd with a� ..-------�
<br /> CUtttl'aclur e��i�9irs.�
<br /> to iristall ciean tian�� fr�m t�ic follow�ai� source�
<br /> ' . . Clty,.r'It�le,7.1p ��hc,r�C. �
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<br /> aci��tcs� ki}1���1e
<br /> , su��pficr r���/`�/�S
<br /> ' ❑ I will i�tstall the sa�tc'lb�.�;iik�t trtyself froir► t��e followiri� sour�ce. �� C=i� � �1 �� �
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<br /> If�G���`�ftr�-/�i`r� N�', }�L`�G�1c.k1T{-{� M� � `r � -- (� '
<br /> addre s.s ��{�-( � phvrtc
<br /> If tllis projeet rc.q�aires tttur�icipal a��p1'oval ot' t'evie�,�, please atfaeh. do�um�'►italion c�lf[hc tr►utlici��al ��pprc�v�il
<br /> �wiEli t�is a��plicatia�i. My skiorelitte is ``!�U feet�and tjie dimetittiiot�y of 141� propo�cd S.sr�ci�jlar►kc�l are;
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<br /> �_�� (i.�rlqth) x �_ (WidL}i) x �� (f�epfh). S��nc�l�latlkel dirrteti•�c7ns catittc�t cyeced a
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<br /> len�Eh of 50' (or ,O"i, of sliorcline}, a wic.�ll�i of 1 d anc� Fi c�e��tj� 01 F; .
<br /> � IIT1l�C1",SI�i1l4i iElt7t ll ��ll� t1�7pIlCFi�InYi 1S Il��� COITI���tely �ll�eC� D[dt� Ol' if I �%�l� t0 Sl.l})IYllt I117� I't'C�L11CC�� (�Xjll��l�y�
<br /> th+: a��pli��ition iw irtcot���lete ar�d wi11 be returtied. lt v4rill Ill�f be i;c-vicwed ��y M�:WD st:iff �zntil corrtiplcfe.
<br /> '�y si�ilii�e t4iis 4;�,p[ic�t;lior�, I a��ree nt�d L711C�Ck'st�tic� t1�at tlti< L?istrici ntay �:�til�r thc: ��r�a�c:rty �it e�ation.ible
<br /> ��ot4.:; tc, c�r,r�uet an ir�spec•tiotl to deter�tttxie wh��tlic'Y' f}l� lt°k"ITIti of t}i� p�t'rnit �irc L,cin�� n�ef. t furEher
<br /> itttderst�nd t{�at i( l violale t}se icrrt�s �irtic� c.ottdiklc�t�s of �� permil l��at i� issuecl L�a,cd upocl tl�is a�,��li��atioi,,
<br /> tlzc I�istt�i�l S�iall cc�rtc���ct a field itts�.��clion of� t�a� projcc:f per ��1�WI� P.i.ilc f, Provided �vilh this ap�l�ration.
<br /> ' ! [ undr�estar�d tlu: Disfrict ��rill ��i�r�tie fe.es l0 i'Over th�= ���tual cosfs ol fi�:ld ir�spe�:tiorl.�, in�1«dir�s� inv��`ti�3ti�r�
<br /> - af tht: arca aEfccted ti�y the w�,r1�, arl.�lys�� of the work, iricltidiil�; tlle- se:��vic�s of lc��at cour�sel �snd �ri�,ineers,
<br /> at�d .�tty subsec�ue��t �nc7r�iforitt�q of tltc �rork. Tlie l��striCt's act�ial costs �re deerz�ed to b�.�irl ���:c:t'Lii►i� t�1�e7�
<br /> the t?istrici �S�«es ttofir.c of the violation ta t}lc: p�_i'YTlittEC. I I73YC C'Z�t� :�il�.� L�f�derst<3fld ll�c l�1C�yL� '1'��•lirtiieal
<br /> G�tideliric,s fo � s��tldk 1� tk�:ls. .
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<br /> I7F1�C � MIIVf`dEf-�AW-�'. C��FEK
<br /> ' S��i atia rc� c7f property c�� r � vv��ERSH`c� -�;=-�ic;
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<br /> Su�iscribt�ci and �wc�rrl to b�.f��re inc lliis ��day of 1`.) �
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<br /> r+� 999Z�FE'u��se�}dx3 uass�wwa�+(1'V
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<br /> �''- / � blOS�N��W-QllEifld llH'v'lON • , , - ..
<br /> Not� y f'z.cb[ie � �J3JN� 'O N�3�lflb'W � � w.� '.._ e � `�� '.��
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<br /> A�� ro ��'d at�d 'c'c��ptec� L,y � [)��ir.T
<br /> I�tti . il<tft�cr, �)istf�ict Tec}Ir7tcian ,:<<��i� ni:�� �';
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