ࡱ> ?A>#` bjbj 4  8$o%.....   $$$$$$$$%&h(%  %..)%^R..$$b"." p "^$?%0o%)6)) r\{I   %%X   o%$ E9-1-1 Rural Address Signage GIS Department Work Request Form Lyon County GIS Department 504 Fairgrounds Road Marshall, MN 56258 507-532-8212 Property Owner/Tenant Phone Number____________ Billing Address____________________________________________________________ Property Location____________________________ Twp Section____________ Existing/Proposed Driveway Location (distance from nearest intersection)______________________________________________________________ Reason for Request (e.g. New Home) __________________________________________ Work Requested (please circle) New Installation: $77.50 (non-refundable) Repair: Materials: Sign & Hardware $31.82 Post $10.68 Installation: $35.00 Complete Replacement: $77.50 Make the check payable to Lyon County Highway. Property Owner/Tenant Signature ________________________Date___________ Return this form to the Lyon County E9-1-1 Coordinator upon completion.  For GIS Department Use Only E911 Address assigned by GIS Init. Order the Sign Immediately: Yes or No If No, When Date Sign Ordered Date Delivered to Hwy Dept For Highway Department Use Only Date Completed: ____________________________________________ Employee Name: ____________________________________________ Labor Hours: _______________________________________________ Equipment Hours: ___________________________________________ Material Used: Sign & Hardware _______________ Post _______________       ,>MXY    . 8 J K N ^ e o }yqjc h,qh2M hh,qhh,q>*h h,qhA h,qh-yh-yhsR8hiY h,qhn hg>* h,qhsR8hsR8CJaJ hY=hsR8 hY=hY=h,qh,qhnCJaJh,qCJaJh,qh}CJaJh,qhACJaJhxCJaJh,qhsR8CJaJ&>Yn  | }   ; K d e gdR gd-ygdsR8$a$gdsR8o q s { | }     B C m K N c d ̺}vkvgv}vZv}h,qhR >*B* phh\h,qhR B* ph h,qhR hR h7khR 5>*h]_WhR 5>*hN[ hh hhR h2MhsR8h2Mh>*h2M h,qh2Mh hh-y hh7k hh)DC hh)DChh)DC>*hh>*hh,q>* h,qhiY" D E M a b ~  - 0 J O Q c d e xqg`Y` h,qhA h,qhsR8h]_WhsR85>* h,qhN[ hh^ hho>*h^_h^ >* h^_>*h^_ h^ >*hN[h^ >* h,qh^ hR h^ 5>*h]_Wh^ 5>* h^ 5>*jh^ h^ 5Uh4hN[56hN[hR h,qhR h,qhhh5h! D F b d e >|gdsR8gd^ gdN[gdR    %:=NPx{|hKhnhBjhBU h,qhRhK9 h,qhA h,qhsR8 h,qhj:!gdsR821h:pj:/ =!"#$% Dd$<P  3 3"((@@@ NormalCJ_HaJmH sH tH DAD Default Paragraph FontRiR  Table Normal4 l4a (k(No List44 AHeader  !4 4 AFooter  !  z>Yn|}  ;KdeDFbde>|$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$>Yn|}  ;KdeDFbde>|000000000000000000@00@0@0@0@0@00000000000000000000@000@000@000@00000L00w.H>Yn|}  ;KdeDFbde>|00000000000000000000000 00 0000000000000000000000000000000! @0@0@00000000%00%00%0000 o     8 @ 0(  B S  ? l^m^|n^ o^t p^ q^ r^Ts^T{t^ܥ u^v^̤ YYnnx|  mmvz  >*urn:schemas-microsoft-com:office:smarttags PostalCode: *urn:schemas-microsoft-com:office:smarttagsStreet; *urn:schemas-microsoft-com:office:smarttagsaddress9*urn:schemas-microsoft-com:office:smarttagsState8*urn:schemas-microsoft-com:office:smarttagsCity=*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName9 *urn:schemas-microsoft-com:office:smarttagsplace V  eqe{{rq}\.=X$\mK3.3&m5aKBpzI'.?.8R6.p* n ( xm K h H R U k  ^ TR 9 T  S@ [ D6NFao`9hS?Y[_d >UZ?"}h]XrN'8b9*Q~%Pm.:9Q"VnqWu :i^ p y *2 R f !0!86!_=!"[`"b"|#2#Z@$aM$N%D%(&e'm'V(s(nO)?*+^+nR,\,-GK-E.JQ.\ /f&/OF/u'0Cj0r0>1:S1 x1@2F2 3 S3h3B!424]4)4n5M<64E6s6'75777I7-8sR869$9~9j:FE;*="=2=Y=g> S>UV>J?44?G?p?A2A$A%B6B)DCICGJC7mCDGWE8FKOFHH#+HvH;IXI L6L!M2M N P,P*`PyP Q\RS$SJSTnJT(UvV0W]_WuW%XiY YYC>Y8[|[;[N[\y0\y`\j0]Y]t]u]_^_ `I`Z`q`7a?aMabEdbrbTcdPd>eXefWf1g'gVg=h$h2hIhQh jh'eizi#j%Uja`jkj8k7kxl*mnB6nWnwnVuo,Vp=q,qCbqtqe{q rZr.sK{swt-WviWv;w?wUaxLyn^y9zF`zqz+vz{@{} |zG|Z}7}c}~-~`c~az~$Y `giyx-&5`?C[+++F]X0Hq!4_R&J7Uim`)2L  80mx{VB1[?w:_mF*k0 j[n%Anfo3zPco9#Xk78bbj3A xga2su {JkOu\l` Ron;l@g6-oPfm7""Pb |8_:>1NR/<es&Y_dresB0o>k}bWgzch$4VM-y|aNc,sXzr =N[aeegl;ba!*TBq^!NZG_QQqE&_%39,~>nBJp f|~B>%i1r''m=Bn1t]s!lxI!!F%2d'Jb{\*<\e+JKWwou1q? g,,xB\@}x|x r##4( 65iu$&|DYo?s"'<1ecgJ\n$?A:Sv|R "(wH_D7kl/;G %oUQb}Quj~|Zm[l{Y:TIt BKC^gy}mK9 |k =AD^H8*KM?SMW|Igh& ty3Ug pv|tUq;=A@HaVp@UnknownGz Times New Roman5Symbol3& z Arial"1hv&v&  $4d3QHX ?sR82E911 Rural Address SignageLYHWYALB Ryan WendtOh+'0 $0 P \ h tE911 Rural Address Signage LYHWYALB Normal.dot Ryan Wendt2Microsoft Office Word@F#@z4ϴ@Q@Q՜.+,0 hp|     E911 Rural Address Signage Title  !"#$%&'()*+,-/012345789:;<=@Root Entry FBData 1Table)WordDocument4 SummaryInformation(.DocumentSummaryInformation86CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q