Stonemeade-CN 941208HOLD HARMLESS AGREEMENT
^ .WHEREAS t THE OWNER OF LOT_~_~,, BLQ~~, OF THE
iADDRESS), COF~r~, 'i'~---- ~ .
AC~O~EDGE ~T ~ FENCE ~ICH IS LO~TED ON ~IR PROPER~
ENCROAC~ S O~0 T~ CI~ OF CoPPE~ ' S D~I~GE ~~;
~D
~, ~ O~ ~E~T~ ~ AC~O~EDGE ~T IN ~E
~PAI~ OR I~RO~S ~ ~QUI~D TO BE ~E TO ~ CI~ OF
COPPE~'S D~I~GE ~ ~ICH WO~ ~QUI~ ~MOV~ OF T~
FENCE IN O~ER TO EFFECT SUCH I~RO~NTS; ~D
~, ~ O~E~ ~COGNIZE ~ AC~O~EDGE T~T SUCH FENCE
W~ INSTATJ'ED DESPITE ~O~EDGE OF T~ CI~'S D~I~GE ~E~;
O~RS ~BT AGUE TO ~MO~ SUCH FENCE AT ~IR O~ COST ~D
~ON ~Q~ST BY T~ CI~ OF COPPE~, ~ IF O~ F~L TO ~MO~
~ FENCE ~ON ~Q~ST BY T~ CI~, ~N CI~ WI~ ~MO~ SUCH
FENCE ~D O~RS ~BT I~E~IFT ~ HOLD ~ CI~ ~ESS FROM
~T3. C~ OF D~GE TO ~ FENCE ~ICH ~ISE FROM T~ CITT'S
~MOV~ OF SUCH FENCE ~I~ ~p~RING, INSPECTING, I~ROVING OR
~ WAT SEEKING ACCESS TO ~ D~I~GE ~E~. ~DITIO~TJ'T,
O~RS AGUE TO ~I~SE
~MOVING ~ FENCE.
( o~er
Print or Type
BUILDING PERMIT APPLICATION
[] Addition
Owner ?.~b-~
Contractor: ~'~.~ ~-~[f~ Address:/
.Jescription of Work to be Done Class of Work:
ible Manner
PURl I(';, WORKS
Phase or Section Number:
Phone #:
[] Alteration [] Repair
[] Demolition
Area of Building in Square Feet
First Floor Garage
Second Floor Other
NOTICE
This permit becomes null and void if work or constrdction authorized is not commenced
within 180 days, or construction on work is suspended or abandoned for a period of 180 days
FPMC - 1 (4/94)
Value of Work ~t°~
to be Performed
GRAY AREA FOR OFFICE USE ONLY
Permit Fee:
Zoning DistriCt:
Approved By: ~, ~
Comments: /~.,~w
Receipt Number:
Occupancy ClassifiCation: