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Joint Trench Excavation Permit Application <br />for work in the City Right-of Way or Easement Page 2 of 2 September 2012 <br /> <br />3. Type of Surface to be Disturbed:  Gravel  Bituminous  Concrete  Boulevard <br />4. Location (House No., Street, Nearest Intersection, Development Name): <br /> <br /> (Attach 5 copies of scaled drawings showing accurate right-of-way information, topographic information, and planned installation.) <br />5. Work to start on or after and to be completed on or before <br />6. Will detouring of traffic be necessary?  Yes  No If so, describe routing: <br /> <br />For <br />(Applicant) <br />Signed By <br /> <br />Dated <br />The date when the work is completed must be reported to the City of Lake Elmo.