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TOWN OF YARMOUTH
t7,, , BUILDING DEPARTMENT Permit Number ,1 1 �D, ?F. - ' , -
Zvi S 1146 Route 28,South Yarmouth,MA 02664
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a 'Al $08-398.2231 t} 1261 F�c'�39&� Date Issued _ ()61(&�''1
expiration Date qi •72'37
$50.00
TRENCH ' _ RECEIVED
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SEP 2 3 2022
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RV IMNO' ,POR TTO*APPLICA `,OWNER.AND EXCAVATOR ALL ACE1 WLEDGE AND CERTIFY
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REM ALL LAWS ANDnRE LATIO FE&AP AR TO WOEE INCLUDING TI
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tioutAtmil Ass TENT COVENANTcovattAwc,AND AGREE THAT ALL W E TrE Imps'TEN PERMIT WEIRDsue.
Wow *edgy COMPLY TII!RI TTTTT is ALL REEPWTI Alta,wrni THE cOsornosi str PORE*
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Tag_ UNDERSIGNED OWNER A Jf Till APPLiCANNT O "i
TO APPLY TO PERMIT AND THE
TM AVATO 'TO UNDERTAKE tuts WOK ON THE PROPERTY OF Sing OWNER, AND ALSO, TO* Tag
DDRAWON Of . ; A 1'TRI TES DOLT AP' DTTED BY THE MUMCTPALiTY 10
E[� tiros, THE t' PERT"E" TO srOtobs AND INEENCE TEN WORE rot,coroosMITY w THE
CONDITIONS'ATTACHED'Mane AND THE'LAWS AND REGULATIONSCOVERING H W°RIL
Tat VOW,;NW ATTLICAN'!',OWNER AND'EXCAVATOR AGREE,TDT ,Y AND SEVERALLY TO
�'H MUNICIPALI`F ANY APO AU,COSTS ANDIRTVONE, INCURREDR1TRX
MUNICIPALITY IN WITH TBTR PERMITrtioarmitollmiverts CONDUCTEDTHEREUNDER
'sculpts;stir Nor Lotoriss TOtsrotorroOrrrATE LAW ANDCdsorrioms OP
TOTS.PERMIT,10 NS MAOS TO As ,, Amp MEASUREST�t`FY Ti*
MUNICIPALITY TO radt T Till PUBLIC'W E THE APPLICANT omit* EXCAVATOR HAS TAILED TO
CQsolLY INCLUDING POLICE otrAas AND at**MI MEDIAL sitcom.DINNED
N citSSARY BY'1U MONICIPALITY.
'THE 1UNDERMGNID APPLICANT.OWNER AND EXCAVATOR AGREE JOINTLY AND SRVXRALLY TO DEAD;
DIDEMNT/y,APO'HOLD HARMLESS THE MUNICIPALITY AND ALL Or MN AGENTS AND surforem To.
ANY AND ALL t IABILTTY.CAS OR ACTION,COSTS,AND NETWORE RESULTINGFROMAI iso oTur
or ANY . DEATR. Loss, OR DAMAGE TO ANY PENNON OR t+ RE
CONDUCTED UNDIR THIS PERMIT.
APPLICANT STGNA1
, DATE P' /
EXCAVATOR T NATTll#R f rF Disnsorn
OWNERS SIGNATURE(TF DIMWIT)
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