1863 Davis Dr
~'pi 1f [QLQY Lj
Permit to Move Building or Demolish Structure
Fee Paid:
$15.00
Date: 3 ~- '2 (or- '7002
Owner
Contractor
Name: +J-ei~ +onTi e J1cJl rile,
/
Address: I~oq z US (-1InV 36
B\cu:( Nt: ,(liCYJZ
Name: bordo/'} Lar~OI1
Address: J?t.o3 ,Dau!\
[)) air Nt (~gror;:
The above descri~~~ ~:;on is hereby granted a permit to (Move) or .<E~fu~ a
building 3(0 I feet long, and _feet high, now located on I Y Lv 3 1) au I :>
City of Blair, Nebraska, to be finally located on
. The (Move) or
(Demolition) is to be done on tn'clo.y 3-2Cf-6lnd shall take
5
hours. The
route to be taken in the removal thereof is as follows: (Here designate the names and
numbers ofthe streets, alleys, or public grounds to be crossed):
The removal thereof shall be under the direction of the Street Commissioner and the
Director of Public Works. The building is to be used for
purposes.
A statement that all taxes and special assessments on the building to be moved or
demolished and on the land from which it is'to be moved or demolished have been fully
paid was received
and is attached. A corporate surety bond or two (2)
personal sureties to pay all damages that may be sustained to any property, public or
private, and including curbs, paving, manholes, public utility lines and pipes, by reason of
the moving or demolishing of such building was received on
and is attached.
City Administrator
KAY j.. ERWIN
WASHINGTON COUNTY TREASURER
P.O. Box 348 · Blair, Nebraska 68008
(402) 426-6888
DECEMBER 20, 2001
TO WHOM IT MAY CONCERN:
AS OF TODAY THE FULL YEAR OF 2000 REAL ESTATE TAXES
HAVE BEEN PAID TO OUR OFFICE FOR GORDON & BONNIE
LARSON, JR. ON BLAIR CITY KENNARDS ADDITION LOTS
3 & 4 BLOCK 3.
IF YOU HAVE ANY QUESTIONS, PLEASE CALL.
THANK YOU, I 0'
~./ 1\ i .
, I \ _
n \.\.Ah 8'J.J.tl .. OA
MERRI In GHTREE II
WASHINGTON COUNTY~~EASURERIS OFFICE
RAYMOND C. HANSEN 1911-1980
RICHARD F, HANSEN, CPCU, AAI
PRESIDENT
JOHN ABBOTT
SALES ASSOCIATE
Hansen Agency, Inc.
February 11, 2002
City of Blair
218 S. 16th street
Blair, Nebraska 68008
RE: HG180120
Gordon L. Larson, Jr.
Dear Sir or Madam:
This is to advise that there is no coverage in effect for the detached structure
located at 1863 Davis Drive, Blair, Nebraska. We understand that it has no value
and is going to be torn down and disposed of in the near future.
If you need any further information, please feel free to contact us.
Sincerely,
H.l\!\ISENAGENCY,INC.,L,
(/....;-")~:J~:.I/.~t ..~"._~..
Richard F. Hansen, CPCU, AAI
RFH/mkc
1636 Washington St. Blair, Nebraska 68008 (402) 426-2167 FAX (402) 426-2157
11/15/2001 12:53
4132425'35813
HENTON
PAGE 131
'--", I
ACORDN CERTIFICA TE OF LIABILITY INSURANC~~~~2 DA,TE (MIII/DDIYY)
04/25/01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONF~RS NO RIGHTS UPON THE CI:!:RTIFIOATE
Omaha Insurance. Services Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Bo~ 4.5489 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Omaha :N'E 68145-0489
Phone: 402-592-4455 INSURERS AFFORDING COVERAGE
INSURl;O ----'.k'.-'_-'_.____ ".-.--.._ ""'-V"'~......".'____. __ . .ri.,.--.~........_'y""'A._____..__._._.......
: INSURER A: General Casual tv Co.
1....--,..-,..-,..,."
. Henton Tre.nChing, Inc.. : INSURER B:
---~...---.-..-.....
aohn << Donna Henton 'DBA l..!.~~~_~~:.:. -
13092 US H~ #30 l_IN5~~E:-_.
:Slair NE S8 0
I i INSURER E;
COVERAGES
THE POLICIES or INSURANCE ~/STEO GROW HAVE BEEN ISSU.5:D TO TI-IE INSURED NAMliD ABOve ,"OR THE POLICY PERIOD INDICAtED, NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTI'l.ACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS Cl".RTIFICATE MAY BE ISSUE<O OR
MAY PER'AIN, THE INSURANCE AFFORDED BY THE POLICIES OESCRIBED HEREIN IS SUBJECT 1'0 ALL THE TERMS, 8CClUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
iNsR: TYpe OF INSURANCE , '._.;;~~~~';W-;BER---"u-'T~{;tt,F>:~y~ ! t>r?k~i1L~N I UIIIITS
I..TR
Gl!NERAL LIAI3ILiTY ! EACH OCCURReNCE 51,000,000
A "i'! C.OMMERCIAL GENERAL LtAeluTY ; CCJ:02~42a6 05/02/01 05/02/02 ! FIRE DAMAGE. tAPy one Ora) 550,000
~~,'~~:J CLAIMS MADE ~ OCCUR i MEo EXP (Anyone p",son) $5,000
! ! PERSONAL & AOV INJURY sl,OOO,oOO
f-- --, ... ! GENERAL AGGREGAtE ..........'.'-
$2,000,000
-.- -...,
r~'L AGGREGATE LIMIT APPUES PER, I PRODUCTS - COMPIOP AGG $2rOOO,OOO
,Ii PRO- II ' I
POLlCV JECT LOC ;
,AJJTOMOelLE LIAIlIUTY i ! I
---.., , ! I COMBINED SINGLE LIMiT sl,OOO,OOO
A ~ ANY AUTO CBA02~4286 , 05/02/0~ 05/02/02 i (Ea aCcident)
ALL OWNED AUTOS ! eOOll Y INJURY $
-~ , I (Per person)
I SCHEDULj;D AUTOS -
o HIRJ;;Q AUTOS ! BODILY INJURY $
1'""--
, I NON..oWNED AUTOS i (per aCCident)
c-__
i ,
--.' .W~...- -. -.---------.-- I i PROPERTY oAMAGI;; S
I i (Per ;acOdonl)
, ; i AUTO ON~ Y . EA ACCIDENT S
GARAGE LlA81L1TY i i
'-~I ANY AUTO ! I OTHER THAN ~
I
; I ~-
I i ! AUTO ONLY: AGG $
~'" ~UTI ! I EACH OCCURRENCE $~,OOO,OOO
A _._ OCCUR 0 CLAIMS MADE CCI02~42'86 05/02/01 I 05/02/02 i AGGR~GAT>; $
! I $
,
DEDUCTIBLE ! ; S
i
X RETENTION $ 10, 0 00 i ! $
WORKI;R,S COMP!;NSATlON ANO i i TORY LIMrrS I 10J~-
ER
A EMPLOYE~S' LIABILITY I CWC02J.4286 , 05/02/01 j 05/02/02 ; E.L EACH ACCIDENT $1.00,000
; : i i E.L DISEASE - EA EMPLOYEE 5100,000
! i
; ! E.L DISEASE, POLICY LIMIT $500,000
'OTHl!R : ! I
! I
i I
;
DESCRiPTION OF OPERAilONS/LOCAllON5NEHICLESlCXCLU510NS ADDED BY fNOORSEMENTISt>ECIAl PROVISIONS
CER,TIFICATl:: HOLDER 1 N I ADDmONAl, INSlJl'\l!!cl; INSURER I.mER; CANCELLATION
C:r:TY046 SHOULD ANY OF THE ASOVl! DI!SCRlBI!D POllClm; BS OANCeLLED BEFORE THE rocPlAATlO~
OArS 'f'HEI'U10F, THE ISSUING INSURER WILL ENDEAVOR TO MAlL 10 ll.A,YS WRjTTEN
NOTICE TO THE CfRTIFICA TE HO~IlER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALl.
City of B1.air IMPOSE NO OBLIGATION OR LIABILI1'Y OF ANY KlND UPON THE INSURl!R. ITS AGENTS OR
:U8 S 16th Street
Elair N1Il 68008 REPRESENTATIVES,
Phil I..P~ ~~;~/ ./ /'"
W:l.nkelm ' _;, ,- ./ ,
ACORD 25-8 (7/97) /' @ACORD CORPORATION 1988