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PERMIT TO ERECT FENCE APPLICATION

3. CITY OF FAIRBURY, NEBRASKA

6. APPLICATION / PERMIT TO ERECT FENCE

8. NO. F:

   FOR INTERNAL USE ONLY

9. DATE:*
   DATE:

11. FEE: $10.00

13. Applicant Name*

14. Contractor/Builder:*

16. Home Address*

17. Address:*

19. City*

20. City*

22. State*

23. Zip Code*

24. State*

25. Zip Code*

27. Phone Number*

28. Contractor/Builder Phone Number*

30. Address/Location where work is to be done*

31. Property Stakes Located*

    1. Yes
    2. No

33. The fence shall conform in construction to: *

    1. Group - U
    2. Division - 2

34. Height of Fence (Front)*

35. Height of Fence: Side(s)*

    (i.e., 10 ft X 10 ft)

36. Height of Fence (Rear)*

38. Materials Used*

    Describe the material used for fencing, i.e., wood, vinyl, chain, wrought iron, etc.

39. 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

41. Zoning Administration by:

43. "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."

    "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:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit Submit and Print

* indicates a required field