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CITY OF SALEM, MASSACHUSETTS
` DEPARTMENT OF PUBLIC SERVICES
120 WASHINGTON STREET,4TH FLOOR
TEL (978) 745-9595 EXT.5670
KIMBERLEY DRISCOI.L FAX(978)745-0349
MAYOR
DAVID H. KNOWLTON,P.E.
CITY ENGINEER
CURB CUT APPLICATION
CURB CUTS ARE TO BE APPLIED FOR AND PERFORMED ONLY BE A
LICENSED DRAINLAYER IN THE CITY OF SALEM
. CHECK IS TO BE MADE BY DRAINLAYnE,R'
)ATE OF REQUEST: G}'��'�� CONTRACTOR: A �2✓ 14�66 -C&i
'ROPERTY OWNER: 1331 1earl I
ACATION OF CURB CUT: 4�6 1(/ 4--i -
,OOKING AT PROPERTY WHAT SIDE IS THE CUT TO BE DONE: 6.e14Cd'
,ENGTH OF CUT: FEET
FEE PAYABLE TO THE CITY OF SALEM $100.00
/FOR OFFICE USE ONLY
APPROVED BY: kd4� � J BUILDINGDEPARTMENT
)ATE: 24a 7/�L
.PPROVED BY: DEPARTMENTOFPUSLICSERVICES
)ATE:
IOT APPROVED: DEPARTMENT:
XPLANATION:
,lease include 8 I/Z x 11 drawing Of site work