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<br />Clt~ ot Canon Cit~ <br /> <br />Fax:7l925990l7 <br /> <br />Sep 25 '98 9:09 <br /> <br />P.lO <br /> <br />STORM WATER RUN-OFF DAMAGE ESTIMATE <br /> <br />'-/.:;" 1 IJ, n.e- .. Av'.e- <br />ADDRESS. <br />C/1.(). r / r~ l-Je. /Ie 1-'\ 4- 11/, f t{ <br />NAME OF PROPERlY OWNER <br /> <br />;r()~U.s J./~-'-!r9~. <br />DA YrIME PHONE NUMBER <br /> <br />BRIEF DESCRIPTION OF DAMAGE <br />G'ver --j.1...~ ve<=!.....,S. lY1",d htl~ <icC'v",..,kf,./ 1>'1 ;-Ir.~ <br />,- <br />dr':'/! weJ.>, (;"....,,/ a.#o,rn.;./ -I-/t~ ~a",p$.1! a",.,( 'I:=' n,.,J?f/'~ <br /> <br />-I-h" 8d.r~~ (' rJ-IfP d.s .{l<OJtlr./&<+'~Y). <br /> <br />, <br /> <br />. . LIST OF DAMAGES '& COSTS t <br />. ~fO,..cx,_f;.." oJ}. ('''S . <br />10 &. +1:-_ ' <br /> <br />51: It-/ .5uu l.._da;,'..Ir:./!lI7~ <br /> <br />'!:::t "J"~ ',G"-,,.,d to "."~ <br />1-0___ A + 1!2_, $_A..r;-tZJ <br /> <br />Est; Il1t<. -f/~Vl 0;' ~vfur,.. <br />hJj~"LC/ en" ~ 'fry, -h.~" <br /> <br />1(...1."":"'5 iM?IJ <br /> <br /><to ra.i/yCt"l TlP~ ,1~.;tO <br />~() t.,.c. ~J...JJ_ . -IGe;::> <br />Jj IdO~ <br /> <br />tvL/1 rt.""-l'i <br /> <br />t;~ c;: 1~-(lV$~U- E.u;..~ <br />-fSO~ <br /> <br />, <br />II( P flIl 'r '~ 6..NT ~ '" i'iiJ"'.-k, l,on <br />-I/.;l~ <br /> <br />L#(J,,,,..., cl,l J.,~ ~}3t)a:;/.A".?.J()(/) <br /> <br />. 1",-h.1 <br /> <br />.k <br />~,,-t- ." I,,?~ <br />,t/ 3CCO ~- <br /> <br />TOTAL COST OF DAMAGES <br /> <br />SIGNATURE <br />9i1-tC-a:A...;. <br /> <br />c1~. ve!h <br />--;2~ <br /> <br />'}-!f.I-9r? <br />DATE <br />