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Fence/Wall Construction Application Revised 1/15/2016 Page 1 Fence/Wall Construction Application Permit 101 N. 4th Street / P. O. Box 1030 Douglas, Wyoming 82633 [PHONE REDACTED], Fax: [PHONE REDACTED] Property Owner: Contractor / Self Name: Name: Address: Address: Phone: Phone: Email: Email: Contractor License Number: Address of Fence/Wall Construction: Fence/Wall Material/Type: Fence/Wall Height: Front: Side: Back: Corner Lot: Yes No Applicant must provide: □ Verification of physical location of property pins. □ Survey and setting of property corners by a licensed land surveyor. □ Convenience fence agreement with adjoining property owner(s). □ Stamped engineered drawings for walls over four feet in height. Signature: Date: Community Development Department Use Only When property validated, this application shall serve as the Fence/Wall Construction Permit. Approved by: Date Issued: Final Inspection Date: Inspector: SIGN