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<br />FENCE PERMIT APPLICATION <br /> <br /> BUILDING <br />CONTRACTOR: <br /> <br /> OR OWNER AS CONTRACTOR <br />PHONE: <br /> <br /> EMAIL: <br />ADDRESS: <br /> <br /> <br /> Address City State Zip <br /> <br />*All contractors must be licensed and/or registered with our department. For more information on this go to <br />http://www.southbendin.gov/government/content/contractor-licenses-0 <br /> <br /> <br />*Application must be signed below <br /> <br /> <br />I certify the above to be true and accurate to the best of my knowledge. <br />The Owner or Assignee obtaining this permit is responsible for determining the location of the property lines and <br />conforming with the setback, height, and all other requirements of the Zoning Ordinance. Also, the restrictive covenant <br />relating to the property may be more restrictive and should be checked. <br /> <br />The undersigned Owner or Assignee does hereby accept the above responsibility. <br /> <br /> <br /> <br /> APPLICANT SIGNATURE DATE <br /> PRINT NAME <br /> <br />ORG/BUSINESS OR OWNER <br /> <br /> PHONE EMAIL <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> X <br /> (574) 343-9570 pwdeegan@gmail.com <br />1721 E Wayne St. South Bend IN 46615