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Encroachment Permit - Federal Levee
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Steps
1.
Applicant Information
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2.
Internal Use Only
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Applicant Information
Consolidated Diking Improvement District No. 1
5350 Pacific Way
Longview, WA 98632
Phone: 360-423-2493
Email: cdid1@cdid1.org
Applicant
Phone
Applicant Mailing Address
Owner
Property Legal Description or Assessor's Tax Number
Street Address of Property
Description of Request
Attach plans and supporting engineering documents if applicable.
Plans & Supporting Documents
Plans & Supporting Documents
Plans & Supporting Documents
Duration of Permit
Termination Date
No Termination Except Upon Cancellation by CDID 1
Termination Date
Termination Date
Terms & Conditions
Applicant has read and fully understands the conditions set forth on the reverse side hereof, and the signature hereon by applicant constitutes applicant’s full and complete agreement to be bound by such conditions in the event the permit requested is granted. The conditions of this permit, included herein and/or attached hereto, are hereby accepted by the applicant who hereby agrees to comply with said conditions, and acknowledges receipt of a copy thereof. This permit is not valid unless signed by the Manager of CDID #1.
Document
Terms and Conditions
Applicant Signature (Owner)
Date
Date
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Internal Use Only
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