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3. CITY OF FAIRBURY, NEBRASKA
6. APPLICATION / PERMIT TO ERECT FENCE
8. DIRECTIONS

   This form may be completed and submitted online, however, the permit is not issued until the steps below have been completed:

   1. Complete application in it's entirety and include a drawing/description of the fence line
   2. Submit application online or print. Bring printed copy to City Office
   3. If submitted online, contact City Offices (402.729.2476, ext 107) to check status
   4. Development Services Director reviews/modifies and approves the application
   5. Applicant pays permit fee ($10.00)
   6. Permit is issued with a permit number and copy of permit is given to applicant
10. DATE:*
    DATE:
12. FEE: $10.00
14. Applicant Name*
15. Contractor/Builder:*
17. Home Address*
18. Address:*
20. City*
21. City*
23. State*
24. Zip Code*
25. State*
26. Zip Code*
28. Phone Number*
29. Contractor/Builder Phone Number*
31. Address/Location where work is to be done*
32. Property Stakes Located*

    1. Yes
    2. No
34. The fence shall conform in construction to: *

    1. Group - U
    2. Division - 2
35. Height of Fence (Front)*
36. Height of Fence: Side(s)*
    (i.e., 10 ft X 10 ft)
37. Height of Fence (Rear)*
39. Upload a drawing/description of the fence line here*
41. Materials Used*
    Describe the material used for fencing, i.e., wood, vinyl, chain, wrought iron, etc.
42. Applicants Signature
    By typing your name in the signature your field, you agree to electronically signing and submitting the form. You may also print, sign and return the form to the City Office
45. "The permit holder understands that the City has reviewed all information presented to it and has reasonably considered all City requirements in determining whether all such requirements are met for purposes of this permit. The City expresses no opinion as to any dispute or potential dispute between private parties that arises or may arise as a result of the City's grant of this permit, and accepts no responsibility in any manner in any such dispute or potential dispute."
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit Submit and Print

* indicates a required field