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PUBLIC RIGHT OF WAY ENCROACHMENT APPLICATION ECEIVE J 2 9 2009 I City-State-Zip: .M f;jsauI", I MI '51G6:)... MONTANA t PUBLIC WORKS DEPARTMENT Applicant's Address: 115 W. f,otFJ!IJJ;..\f Applicant's Phone: Gdoh.cf: ~rI(" Morrt5'Jtv t/lMw Ao:...h:reds r; "f3-'i8oo If applicant is a corporation, give State of incorporation and names of President and Secretary: Incorporation State: Moo f.c.ns. President: ~cl Ann _ Secretary: g./cU {1vc/Nl-j (EXAMPLE: The building stairway in the alley at 123 Main Street) Nature of permit desired: Applicant will submit blueprints or sketches of the proposed encroachment (give sufficient detail to permit thorough understanding) and attach them to this permit application. encr,&;,ch~d' is 0\ SJ~:5h.s.dv H,ct f"~~-tJs l.f'-o tI fr~ & bee of: ~ l,,;rJ~ wed ~fPtr-Lc.: Lrl.t!kI I~I ffv1f~ k pt1