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CITY OF MIDDLETON FIELD AGREEMENT PROJECT NAME: PROJECT NO.: CONTRACTOR: PROJ. MANAGER: ADDRESS: DATE: DESCRIPTION OF WORK CHANGE REQUESTED BY OWNER: I, the undersigned property owner, have requested that the project Contractor perform the work described above. I hereby give the Contractor permission to operate on this private property as necessary to complete the work. I understand that I will be responsible for the full cost of the work, including removals, installations, and restoration of the area. These costs are above and beyond any other assessments already contemplated for this property. SIGNED: PROPERTY OWNER PROJECT MANAGER