Additional Comments. By signing this permit I am stating that I have read it in its entirety and agree to comply with all applicable ordinances, resolutions and policies of the City of Hood River. CITY: APPLICANT: Public Works Director Date Phone: 000-000-0000 Title: Phone: Email: Date Completed: _ Fee Paid: $ _ Receipt #: _ Street/Parking Lot Closure Notification Signature Form To the City of Hood River This form must be completed and returned to the City Recorder 30 DAYS prior to event The undersigned, being all the occupants of businesses/residences having access on the street(s) and/or parking lot considered for closure, hereby consent to closure of the following street(s) and/or parking lot or have been notified. Street(s) of Closure: Parking Lot of Closure: Date(s) of Closure: Hours to be Closed: Print Name
Appears in 3 contracts
Samples: Use Agreement, Use Agreement, Use Agreement
Additional Comments. By signing this permit I am stating that I have read it in its entirety and agree to comply with all applicable ordinances, resolutions and policies of the City of Hood River. CITY: APPLICANT: Director of Public Works Director Date Phone: 000-000-0000 Title: Phone: Email: Date Completed: _ Fee Paid: $ _ Receipt #: _ Street/Parking Lot Closure Notification Signature Form To the City of Hood River This form must be completed and returned to the City Recorder 30 DAYS prior to event The undersigned, being all the occupants of businesses/residences having access on the street(s) and/or parking lot considered for closure, hereby consent to closure of the following street(s) and/or parking lot or have been notified. Street(s) of Closure: Parking Lot of Closure: Date(s) of Closure: Hours to be Closed: Print Name
Appears in 2 contracts
Samples: cityofhoodriver.gov, cityofhoodriver.gov
Additional Comments. By signing this permit I am stating that I have read it in its entirety and agree to comply with all applicable ordinances, resolutions and policies of the City of Hood River. CITY: APPLICANT: Director of Public Works Director Date Signature:Name: Phone: 000-000-0000 Title: Phone: Email: Date Completed: _ Fee Paid: $ _ Receipt #: _ Street/Parking Lot Closure Notification Signature Form To the City of Hood River This form must be completed and returned to the City Recorder 30 DAYS prior to event The undersigned, being all the occupants of businesses/residences having access on the street(s) and/or parking lot considered for closure, hereby consent to closure of the following street(s) and/or parking lot or have been notified. Street(s) of Closure: Parking Lot of Closure: Date(s) of Closure: Hours to be Closed: Print Name
Appears in 1 contract
Samples: cityofhoodriver.gov