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16) The rights granted herein may not be assigned by Permittee. <br />17) Notification of approvaUdenial of this request will be issued by return of this form, <br />upon signed authorization by the Board of Public Works. <br />IN WITNESS WHEREOF, this Agreement was executed on the date first written above. <br />Date: c r!= <br />Permittee Signature: <br />Name., <br />9 <br />Title: ..:.. <br />BOARD OF PU 3LIC WORKS APPROVAL <br />tJAW <br />President Member ember <br />Member Member Date <br />Updated 05/2017 <br />