Sidewalk Permit

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DEPARTMENT OF PUBLIC WORKS
Streets, Sewers, Shade Tree
Water, Recycling, Engineering
Department of Public Works
Sidewalk Permit
Date: _____________
Name: __________________________________________________________
Address: ________________________________________________________
Location/Description: _____________________________________________
Width: 4’
Length: _________________________________________________________
Depth: 5”
Start Date: _______________________________________________________
Underground Utilities Mark Out Required
Confirmation #: ____________________________________________
Inspection Date: __________________________________________________
Inspector’s Name: _________________________________________________
FEE $35.00 Non-Refundable
Paid:  Cash  Check #

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