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`'d3/09/2009 06:40 2625679676 DENTICE,PROPERTIES <br /> .: PAGE 61/02 <br /> I. Madison MVIHP <br /> Addition/I>< rovement Authorization Form <br /> Date: / ©I O <br /> Residents Name and Phone Number: y E_____06Alejt9 <br /> Homesite Address: 5.Y__a____Jytpdir-,0 .A , ckC , <br /> Type of Addition or Improvement: (Circle the appropriate ro riate number or numbers) <br /> 1. teps <br /> 2. Dec <br /> 3. -eck Cove /Roof <br /> 4. Deck Enclosure <br /> 5. Storage/Utility Shed <br /> 6. Siding for Home or Shed <br /> 7. Painting Home or Shed <br /> 8. Concrete /Asphalt Work <br /> 9. Major Landscaping <br /> 10. Other: <br /> (Fences will not be approved) <br /> Description: A detailed description is necessary here. Include a sketch of the structure to <br /> be built along with the height and dimensions. Describe the foundation of the <br /> improvement. Another sketch should show the size of the structure along with its <br /> distance from the home, distance from the neighboring homes, distance from the street <br /> and distances from any other existing structures(site plan). Use additional paper if <br /> necessary. <br /> l -,(/ (•t r- i i✓4A <br /> ,: k 1. • /17 Ili, h A., . <br /> ` a <br /> r`„r n <br /> A <br /> Fp _ <br /> 4..s,U. ,,:-� zcJ� f-? . , <br /> • r, p,( , r t4 -4,::11"A,j. .-- + e <br /> April 2008 <br />