HomeMy WebLinkAbout15th and Cumberland Application for FenceP RR N m .P! FAIP' L
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Franchise applications are accepted and issued on the basis that an extreme emergency exists which
cannot be solved any other way and/or that it is in the public interest to issue. The correspondence
address and location for the requested Franchise are not always the same, therefore a street address
must be provided for the location of the requested franchise or the application process may be delaved.
ADJACENT PROPERTY OWNER APPLICANT
OR AGENT FOR:
L_ L. C- . ( o -(,u V ta+-
ADDRESS; Correspondence) 100 W• (g Little Rock, AR ZIP 2Z�
TELEPHONE/FAX S0) Z>4 J= EMAIL `Inti ✓ib-uf✓t� C�
FRANCHISEE BUSINESS NAMEOWNER'S NAME, IF DIFFERENT ti
ADDRESS for FRANCHISED ITEM �� S� ST L�-�71� /?4 e -,k f -A-Y •77Z2 o Z --
(PHYSICAL
(PHYSICAL STREET ADDRESS / LOCATION FOR FRANCHISED ITEM MUST BE PROVIDEJD)
CONTACT PERSON/AGENCY resporl,sible for
maintenance of Franchised item kAZj-k- ��, EK-wY
ADDRESS 400 �- i g �fi L ' �1 Lt 1 -CE! -0 Ck ZIP I ZL0 b
TELEPHONE .So 1 FAX 0
REASON:
requesting franchise for. Attach no more than legal size or digital land survey
showing the exact location of the encroachment, blueprints, and other related
drawings. Include ALL measurements & dimensions. An 8 '/z x 11 copy will facilitate
review, but no more than legal size paper documents or efile digital format
disk/email attachment
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Should this franchise be granted, it is understood that the City of Little Rock assumes no
responsibility to maintain the installation or to replace any installation damaged or
destroyed by Utility or City crews in their routine maintenance work. Also, the City assumes
no responsibility should injury be inflicted on '�Ine a result of the presence or
installation of the franchised item. Fax: 371-4460
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Applicant's Name (Please Print Name) A pli s Signature Date