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CONSENT APPLICATION
No. ________
(200___)
APPLICANT
Name_____________________________________________ Phone No._______________
Company__________________________________________
Address_______________________________________ State ______ZIP____________
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I hereby apply for City Light consent to use the portion of Seattle City
Light easement right of way as illustrated on the next page for the
following Purpose(s):
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
LEGAL DESCRIPTION OF CONSENT AREA:_____________________________________
___________________________________________________________________________
___________________________________________________________________________
Located in Section________, Township______________, Range___________E.,W.M.
VICINITY MAP AND LOCATION OF PROPOSED CONSENT AREA
Scale______________
(Please show streets, buildings, fences, or other features which relate to your request.
If your plans include fencing on the right-of-way, specify type-weed, metal or combination.
Show all improvements you propose for the right-of-way, including underground utilities,
drainage facilities, etc.)
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FOR CITY LIGHT USE ONLY:
APPROVALS:
Engineering_____________________________ Others___________________________
Distribution____________________________ ___________________________
Property Agent (x3394):_________________
Comments:__________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
VICINITY MAP AND LOCATION OF PROPOSED CONSENT AREA Scale______________
(Please show streets, buildings, fences, or other features which relate to your request.
If your plans include fencing on the right-of-way, specify type-weed, metal or combination.
Show all improvements you propose for the right-of-way, including underground utilities,
drainage facilities, etc.)
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