HomeMy WebLinkAbout7-Right-of-way Permit Completion FormSeptember 2012
PERMIT NO.
CITY OF LAKE ELMO
3880 Laverne Avenue North
Lake Elmo, Minnesota 55042
Phone: 651.747.3900
NOTIFICATION OF COMPLETION OF PERMIT
To avoid the assessment of delay penalties, please check applicable boxes, sign and return to the City of Lake
Elmo within 48 hours of completing the permit installation. No permit is considered complete until the City has
received such notification.
All work authorized under this permit has been completed and all disturbed areas have been restored to
original or better condition. There were no significant changes to the scope of the permit.
All work authorized under this permit has been completed and all disturbed areas have been restored to
original or better condition. There were changes to the installation as approved, signed as-built drawings
are enclosed that details the installation as made.
Additional Comments:
Approved By: Title:
Company: Date:
Phone: