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<br /> of the subject ;)ropcity
<br /> • •,, : , 3m9
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<br /> :„„(.;2•PS,i's ; ‘)..1.st at, or belovi. Lite grade of the roadway c3g ft, rninaniun ,e,";
<br /> . be in place prior to the atart of construction and ad -iehicics
<br /> the roadway edge.
<br /> :Overt is required, said culvert a id be covered by 11 a 1
<br /> ....sing the access.
<br /> Flact.;•:-.1,.tu 0.1`,1 I7C.!aiateiaance of culvert a; s;gons;hihty of the property
<br /> 11 a 'aid construction of it cce::;se',.-; \vill adhere to Dane.; rity a ;
<br /> Ina) 1-,,iaced in the public right-of way except legally eons:ILL:led inaill,,o,o,ts.
<br /> . operty owner is responsible for damage to road edge caused by dernoliOon
<br /> `
<br /> '15; s :‘
<br /> nict ,03.11211;:e in Z.Z.727.
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<br /> S f named property, I acinowledge and agree toot I arn rt...:.pc:‘,...a'r.,!e for a,:
<br /> )ncractor on agtJnt retained by me, to the roadway, shouklec. Or' :
<br /> cd and/or construction process, including damage causce iiy
<br /> iw5lud inn uch time as an occupancy permit anrlioi
<br /> Public Works Staff is i3SUCd and received by the h. dii< I rowe thai the
<br /> 1:1 df..posited and retained by the town until the Town idoard acts :..o re earn' he e
<br /> H.ry durri3j.-re,.„ deterrnir.ed solely by the Town Board, will be deducted from the deposit
<br /> 7 ,-..1c.7!-..,and That or, deposit will be returned until:
<br /> a Ocenpaw-y hermit has been issued by the Town of Pleasant Springs
<br /> , .:Stu:ipictU-rri Certificate has been issued by the Public Works Staff, and
<br /> \va dean d acts to approve tiw release of all, or a portion of, tb‘ i posit ant
<br /> rho property owner.
<br /> if .,iai,-;',e,ges exceed the damage deposit, I agree to promptly reimburse the Tu ., upo:1
<br /> ad hag saine. I agree that unpaid amounts will accrue interest at a rate of 1.5% per worth
<br /> (Th
<br /> u.,L1 q - 14- Do IS
<br /> 0..-vncr Signature Date
<br /> App,o%ai necess
<br /> own 1,,.:Tef.itntaiive
<br /> P/9
<br /> Date Deposit z,lutliol.ize0 returned:
<br /> Rcturr,c-il freasure-
<br /> vitcdD•mied I." Board oil: Rcason for denial
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