Applicant Signature Date
By typing my full name in the box below, I indicate my understanding of the information shown and
provided on this Greenway Encroachment Application, and I understand that I am signing this Greenway
Encroachment Application electronically. This Greenway Encroachment Application authorizes LFUCG to
accept my electronic signature as the legal equivalent of my manual/handwritten signature on this
Greenway Encroachment Application. I hereby consent to the following legally binding terms and
conditions of this electronic signature:
(1) My electronic signature is as valid as if I had signed the document in writing; and
(2) My electronic signature is my consent that all information provided on this Application is correct and is
my consent to all terms and conditions of this Application; and
(3) No certification or other third party verification is necessary to validate my electronic signature, and
lack of such certification or third-party verification will not in any way affect the enforceability of my
electronic signature; and
(4) I am the individual authorized to submit this Application.
Return completed application to:
LFUCG - Division of Environmental Services
c/o Greenway Coordinator
200 E Main St., Suite 925
Lexington, Kentucky 40507
(p) 859-425-2800; (f) 859-425-2859
dkimball@lexingtonky.gov
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