Fillable Bluestone Application Fillable 2020

Fill Online, Printable, Fillable, Blank Bluestone Application Fillable 2020 Form

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Bluestone Application Fillable 2020

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Country of origin: US
File type: PDF

U.S.A. forms for City of Kingston

BROWSE CITY OF KINGSTON (NY) FORMS

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** Bluestone availability varies depending on many factors. Applications are treated on a first come
first serve basis unless material in stock matches a particular project more exactly
** By filling out this application you are not guaranteed Bluestone
** The City will supply access to the Bluestone bank, but removal and transportation of stone
must be provided by applicant to the destination or project
Date of Application:
____________________________________________________
Resident/Organization:
____________________________________________________
Property Owner (if different):
____________________________________________________
Address:
____________________________________________________
City/State/Zip:
____________________________________________________
Contact Phone:
____________________________________________________
Email Address:
____________________________________________________
Date(s) Bluestone Needed:
____________________________________________________
Address Where Bluestone Replaced/Added:
____________________________________________________
Reason for Replacement/Addition:
____________________________________________________
Contractor Performing Work:
____________________________________________________
Address of Contractor:
____________________________________________________
City/State/Zip:
____________________________________________________
Contact Phone:
____________________________________________________
Amount of Bluestone Needed: # Pieces
____________ ________________________
____________ ________________________
____________ ________________________
Office Use Only
Amount Bluestone approved: _________________________________________________________________
Comments: _________________________________________________________________
Authorizing Signature
________________________________________________________________ Date ___________
PLEASE ATTACH SKETCH OR PHOTO OF AREA OR USE BACK OF APPLICATION FOR DRAWING
Size Per Piece
A SIDEWALK PERMIT MUST BE FILED AND APPROVED PRIOR TO ANY SIDEWALK WORK COMMENCING
CITY OF KINGSTON DEPARTMENT OF PUBLIC WORKS
BLUESTONE APPLICATION
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Bluestone Application Fillable 2020

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Completed 13 July 2020

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