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BY SIGNING THIS APPLICATION, THE APPLICANT AGREES TO:

Perform the work for which the permit is granted in accordance with the condition of the permit and Ordinance Number 233-7.

Indemnify and hold the {[CNAME]}, its Officers, Agents and Employees harmless from any and all claims, including, but not limited to claims for personal injury and/or property damage arising out of or in any way relating to the street opening done by the applicant or anyone acting on his/her behalf to the street or any person at the request of the {[CNAME]}. This indemnification shall include cost of defense and reasonable Attorney fees.

Construct, remove, replace or repair sidewalk, curbs and driveway aprons in accordance with grade and alignment with grade and alignment of existing sidewalks, curbs and driveway aprons, and specifications of the {[CNAME]}.

Properly protect pedestrians and vehicular traffic by means of suitable barricades and lights around the work area.

Start Date *
Lot *
{[PNAME]}
{[CNAME]}
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[PPHONE]}
{[AWEBSITE]}
City, State, ZIP *
Name *
Work Details
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Email *
Applicant Details
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Address *
Please attach a drawing to show the work. *
Name *
End Date *
Work Description *
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Property Address *