MS-2011-00173_0010.tif i
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Date Paid
Receipt #
APPLICATION
FENCING CITY RIGHT OF WAY
FEE: $10.00 (Refundable if Easement Denied)
NAME OF APPLICANT: xa xeln
MAILING ADDRESS: (� S
PHONE NUMBER:
- - -- - ---- - - - - -- - - - - -- - - - -- -- -- -- - - -- - - -- - - - - -- - - -- -- --
LEGAL DESCRIPTION OF PROPERTY:
1 00 tm S+cl -k
L0�- vz , Q l 3 '
STREET(S) BORDERING THE PROPERTY:
HEIGHT OF FENCE: 47— ,Residential: Commercial:
TYPE OF CONSTRUCTION: Zoning:
Signature of Applicant
Signature of Applicant j
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Recommended Action by Administrator and Public Works Director:
Approve Deny
If Denied, Reasons for Action:
City Administrator
Director of Public Works
Action by Mayor:
Approve Deny
Mayor
Action by City Council (if necessary):
Approve Deny