APPENDIX BPermit Application • October 3rd, 2023
Contract Type FiledOctober 3rd, 2023For District Use - Permit No. Superseded Permit No. Pole Attachment License Agreement No.: Licensee’s Business Name: Application to: ☐ Attach to Utility Pole(s) - No. of Poles: ☐ Overlash - No. of Poles: ☐ Remove Attachment(s) - No. of Poles: Description of Proposed Activity: