10/16/2017
CITY OF HUDSON
505 3
RD
STREET
HUDSON WI 54016-1694
FAX (715)386-3385
www.ci.hudson.wi.us
FENCE PERMIT
APPLICATION
DAVID GRAY
BUILDING INSPECTOR
(715)386-4775, ext. 132
dgray@ci.hudson.wi.us
RHETT BORNER
ASST BUILDING INSPECTOR
(715)386-4775, ext. 147
rborner@ci.hudson.wi.us
Owner's Name
Telephone (Daytime)
Email or Fax
Mailing Address
Applicant's Name (if different than owner)
Telephone (Daytime)
Email or Fax
Mailing Address
Building/Site Address for Fence Location
Type of Fence (Material):
Height (specify inches/feet)
New Replacement
State any special circumstances which should be considered:
ANTICIPATED START DATE:
In area below (or as an attachment), provide a site plan showing the shape of your lot with dash lines; house, garage and/or other
buildings in approximate location, and proposed fence location with a solid line. The city may have a site plan for your property
on file to assist you in developing your plan.
NOTE: It is the responsibility of the applicant and/or owner for location of the fence so that it is placed on the
owner's property. The Public Works Department shall review fence applications located near alleyways.
Diggers Hotline (800-242-8511) shall be called prior to digging any holes.
The owner/applicant agrees to comply with Chapter 106-16 and all other applicable Municipal Code requirements; understands
that the issuance of the permit creates no legal liability on the City and certifies that all of the submitted information is accurate.
SIGNATURE OF APPLICANT__________________________________________DATE___________________
Nonrefundable Application Fee of $30.00
(CASH OR CHECK ONLY) is due with application.
PRINT
CLEAR
click to sign
signature
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