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N N N N N N NNNCNNNCVNCNCNCNN N N N N N N N N N N N N N N N N N N N N N N N N O 0 Z 0 O J Z Q O_ W a CO CD O O N r o 0 . 0 CD J r CD W < c(o J W U ❑ 0 • W H o Q • J Q O > Ce O W W• W CD W J (3. LL U o W a CT W ❑ • N u 0 J U CDW Q U CD sw °- in LU o N r r— I— CD 0 CD LC) N CD LC) o CD CD CD CL- � CO cO CD co ui o o co r ui oD ri o 0 o bD W V C) r LC) N N CD NI CD CO fd cd a,• • 0 CD- a) N UJ L N 4) C C ❑ N N N O O 0 N N N W O O Q O N O N N 7 7 7 W O O '� N to N N N O d) C O UO c0m C UU 0EE ! W~ ° E E O O N 0 0-) E LCr) CO /) 0H c 0 C CD CD 0 IT C) CD 'LT N (0 LO LO O CO vt CO C) O O CD O O CD rN r r CO CD CD NIJ LO LU (N COLO LOCO NI m r CO CO CO Q H Q H CO O) r- CD CO CO N (O 'd' r CO LO (O N r O O O O O O O O O CD O O O CD O CD O O CD CD O CD CD 1111111111 CO 11 Q. CD L() to CO NI CO In ID N V 0 0 0 CO C) CO in 0 0 C) 0 0 0 r CO V V' V CO CO c- r r r U r Q' Ln CO L) V C) C) m V V V 4 V V V V N N N N N N N N N N N N N N N dZ c� ch CD CO r) CD CO CO co co co co c) co co CD CD rn a) CD OD rn 0-) OD C) CD C) CD CD CD H CO CO CO N CO CO CO CO CO CO CO CO CO CO CO 0 N O w N CD V CO N- LU CO N- CO C) CD N CO CO CO CO CO N N N N N (NN N N N N N N co Z . co 0 U Z .. -- vi.. • / _.. 1,/ SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO. IOWA PROPERTY ADDRESS. . s500 bik Ei I _ g9‘3 -23-_936,-- 061 V 4- PARCEL CODE CONTROL NUMBER CERT. NUMBER ....., ' LEGEND I-0- L' --.1 AREA NEEDING REPAIR TIWZ/7//1:1A L - length of repair needed ,-- ....: Type of defect l- (See reverse side for Defect Codes A-F) (See below for Defect Cods C) qii-3 ..... _ ---All ADDRESS. ... I \ica'CcIAt- -/-04- . 1 t 1:1 t . -Z - WATER SHUTOFF - VISIBLE 0 Ltu ' \ t caAA. Lo-i- LAE - BROKEN 0 • • ,-------,..---‘ ..---- MISSING 0 ....„ • •A-- . . • Property Line i e 0 _.,. \-14-\------- -7-'--.----4-'"" . E . 1, - 't. ,S-4- ..1 inculiTh OF SIDEWALK FRONT YARD 0 SIDE YARD 0 OTHER .kainj OF SIDEWALK 0 4 FEET 0 5 FEET ( VO 5i3 FEET ' 0 OTHER -I. . DEPTH OF SIDEWALK 0 4 INCHES Ca 5 INCHES 0 6 INCHES ..1. AREA TO BE REPAIRED ____sq.ft. 4 iri. g.ft. 5 in. git. 6 in. CODE F - PATCHES YES 0 NO Ri_ NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an -r may be repaired by patching. All other areas -1:1 • shall be repaired by reconstruction of full squares. first Inspection and Form Made ey: R 3 1)(7- Daie; 3 —2 4 -i t, Pork Department Review Required 0 YES Iii NO i: 1 PERMIT ISSUED NO. _ DATE: INSPECTION DATE: ' IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: CODE C - Other ji • • ..:- -..Y 4,),.. \ \\.\\ ..V" v40., - , ___ r F SIDEWALK REPAIR SURVEY FORM C CITY OF WATERLOO.- IOWA ! PROPERTY ADDRESS. . 3 21 _ .- 1 s+ .c- - • PARCEL. CODE CONTROL NUMBER CERT. NUMBER LEGEND • L' F AREA NEEDING REPAIR I1.//1/MZZA , I.. — length of repair needed p (- Type of defect J1 I See reverse side for Defect Codes A—F) J (See below for Defect Code C) • • C . --)f1 ADOFIESS. 3 2. 1 • F a, � WATER SHUTOFF VISK\ • .ILE• ❑ T . • _. BROKEN 0 , MISSING 0 — — rty tine — r//� ' © 5t1ik., a 1 _5+ w IOC.ATiQN OF SIDEWALK R FRONT YARD 0 SIDE YARD 0 OTHER —�\ NM OF SIDEWALK 0 4 FEET 0 5 FEET 53—FEET -� DIN DEPTH OF SIDEWALK • 15�`/� 4 INCHES 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED 77� . sq ft. 4 in. ■q.ft. 5 in_ sq.ft. 6 in. — • CODE F — PATCHES • YES 0 NO t- NO. Of SQUARES WITH PATCHES NOTE. Areas marked with an "F" may be repaired by patching. All other areas • • shall be repaired by reconstruction of full squ s. J — • First Inspection and Form Made By:_ RS G � _._._ Date; 7-2 J - 16 Park Department Review Required 1.2t YES 0 NO i 1 • PERMIT ISSUED NO._ __- DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO' CONTRACT COMPLETION DATE: , — CODE C — Other i I — I 1 I \ --,\\V 2), • .. . C, . C\ ^: \ • - . SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO, IOWA - . / 3 7 E. 1 S+, PROPERTY ADDRESS -t —� 1 c s 7 I S-�--, . • gci._I 3 2 113 - 00.q. ✓ 8 • PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND ti— L' — AREA.NEEDING REPAIR V7///77/77A - L = length of'repair needed pp - _ A . Type of defect , G JT\ See reverse side for Defect Codes A—F) • • See below for Defect Code G) / .J j ><W \_ ADDRESS: co *6 0 S. \ L . Property Line WATER SHUTOFF ' 1----) VISIBLE ❑ CAP . BROKEN ❑ - I S+` MISSING IEI . • LOCATION OF SIDEWALK - FRONT YARD Vi-SIDE YARD El OTHER WIDTH OF-SIDEWALK El 4 FEET ❑ 5 FEET ( • 5.3 FEET ,/ 0 OTHER_ • DEPTH OF SIDEWALK g. 4 INCHES 0 5 INCHES ❑ 6 INCHES - AREA TO BE REPAIRED sq.ft. 4 in. sq.ft. 5 in. sq.ft. 6 in. • CODE F — PATCHES YES ❑ NO K NO. OF SQUARES WITH PATCHES - - NOTE: Areas marked with an "F may .be repaired by patching. All other areas shall be repaired by reconstruction of full squares. • First Inspection and Form Made By: V D r— Date: `Z 4 -1 D -Park Department Review Required YES ❑ NO • -PERMIT ISSUED NO: DATE: INSPECTION DATE: • IF UNCOMPLETED: . SPECIAL ASSESSMENT CONTRACT NO: • S CONTRACT COMPLETION DATE: - CODE G — Other �a�ea��in� refkg.c-P..vte.nf- of- 5:-cle.wo..tK c- }ree- ro-6i-$ are p re..s tAk a,s 4,e.4L.t-0vti gP 67 Ci{- > 4'7 n se.r- . 2\10 uk . — c. i\ .• yv,; \(:" • - . . � `�• L-,y 5 - • V V v' T SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO, IOWA T PROPERTY ADDRESS. 3Z 1 E_ 2,11 a 5+r, - . 59' )3-23-5/g-001 V . 14 T PARCEL CODE CONTROL NUMBER CERT. NUMBER ' LEGEND E' T AREA NEEDING REPAIR t/itl 40W./A L - length of repair needed /i G T ,,V1 Type of defect /l `i "0 Sea reverse side for Defect Codes A—F) � r. ' ' ri `�c, (Sea below for Defect Code C) TN:\V ,1tl 1 ADDRESS. 2Z 1 WATER SHUTOFF I /sf VISIBLE ❑ ^i \ . f . BROKEN 0 ,• ,, _ MISSING r • Sri ' 8/A Property Une ._ 5" 5 q G. rr • G. 11vex le , A 2 kr 5+, laci8=1 OF SIDEWALK 12i FRONT YARD 0 SIDE YARD 0 OTHER T • _NE,jtj OF SIDEWALK ❑ 4 FEET 0 5 FEET 0 OTHER DEPTH OF SIDEWALK • t23 4 INCHES 154 5 INCHES ❑ 6 INCHES F AREA TO BE REPAIRED Iii+ ID sq.tt. 4 in. �r�+7■q.it. 5 in. ■q.ft. 6 in. CODE F — PATCHES - YES ❑ NO N NO. OF SQUARES WITH PATCHES I • NOTE. Areas marked with on "F" may be repaired by patching. All other areas • shall be repaired by reconstruction of full squares. First Inspection and Form Made By: R-5 0 fs ..— Dais; 3—23-ip Pork Department Review Required YES 0 NO • i F• PERMIT ISSUED NO. DATE: INSPECTION DATE: . , IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO' CONTRACT COMPLETION DATE: , CODE C — Other Nite•.'t,o.1 C'e..pk4c a.••.'t 0c- s;(4-e,• t.IY, is kre.e refo QAT i .f,reseni- aS a-ekerr+;ne ib4 Cr47 •Eriq;nefZf-, 1 �J i r i '� \J v '\ - }-"-- ---- - ._.__ y ry i� -� 1 lPs-,te \ - n J• — /l SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO, IOWA PROPERTY ADDRESS _ &J E. S g_15 67- . — 51I3_-2 3-.-1223 / _ j5 PARCEL CODE CONTROL NUMBER CERT. NUMBER "' LEGEND k— L' AREA NEEDING REPAIR VZ/M-Y7 A L. = length of repoir needed Type of defect Ai C, See reverse side for Defect Codes A—F) S See below for Defect Code C) A(----' ADDRESS. Lam' ( WATER SHUTOFF Ai,IA:1 VISIBLE 0 \ - BROKEN 0 '.. / MISSING 0 /O.f3 ' Property Line i — \ . F F. 3 rid s-i_,._.__._._ LOCATION OF SIDEWALK ® FRONT YARD ❑ SIDE YARD ❑ OTHER WIDTH OF SIDEWALK ❑ 4 FEET 0 5 FEET j0 5.3 FEET 0 OTHER -- DEPTH OF SIDEWALK 0 4 INCHES 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED 5_3 n ■q.ft. 4 in. ■q.ft. 5 in. ++q,fi_ 6 in. CODE F — PATCHES YES 0 NO 141 NO. OF SQUARES WITH PATCHES_ — NOTE. Areas marked with an "F" may be,repaired by patching. All other areas shall be repaired by reconstruction of full squares. First Inspection and Form Made By_ N D L _— Date: _3'23 /0 Park Deportment Review Required 0 YES aNO PERMIT ISSUED NO. _ DATE: INSPECTION-'DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: "CODE G — Other — Z_J? �ti ` o J . SIDEWALK REPAIR SURVEY FORM _ CiTY -OF WATERLOO, IOWA - 't/' PROPERTY ADDRESS b//< C.J I 5 . 9 1-3 _ 4.: 35;_ votom, v /6. ' PARCEL CODE CONTROL NUMBER CERT. NUMBER — LEGEND 1-.0- L' -4 - - - AREA.NEEDING REPAIR W/777/77/A — L = length of repair needed . - Type of defect il,C See reverse side for Defect Codes A-F) — • (See below far Defect Code G) ..N51‹ \ ADDRESS: I --II _ %Eit�s o • Property Line6111 _ • WATER SHUTOFF VISIBLE ❑ - CAP , DBROKEN ❑ — MISSING ❑ LOCATION OF SIDEWALK El FRONT YARD ❑ SIDE YARD El OTHER WIDTH OF.SIDEWALK ❑ 4 FEET El5 1.LEI • CI5.3 FEET `I21 OTHE 5 — • DEPTH OF SIDEWALK ❑ 4 INCHES ❑ 5 INCHES 6 INCHES AREA TO BE REPAIRED sq.ft. 4 in, sq.ft. 5 in. 5-5;°sq.ft. 6 in. CODE F - PATCHES YES ❑ NO ® NO. OF SQUARES WITH PATCHES NOTE: Areas marked with an "F. may.be repaired by patching. All other areas - shall lie repaired by reconstruction of full squares. . • First Inspection and Form Made By: R S G Date: 3 `Z; — /L — -Park Department Review Required ❑ YES [] NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: -- IF UNCOMPLETED: . SPECIAL ASSESSMENT CONTRACT NO: • - CONTRACT COMPLETION DATE: - CODE G - Other• • �\ t J — '' ,� - _ • . y s j. ."- :-- f ---1 SIDEWALK REPAIR SURVEY FORM I e," • :x...., — CITY OF WATERLOO, IOWA - . / . . - PROPERTY ADDRESS 400 bole E . 54----b 5:I-a-ET-- Ea / / • PARCEL CODE CONTROL _ NUMBER CERT. NUMBER LEGEND ki- 12 --v-I • AREA NEEDING REPAIR f777/777777A a-)-) L = length of repair needed ,-. _. Type of defect t , --.._, ,s,.\\(`'-...........,.....„ tr \.'s• . ..... (See reverse side for Defect Codes A-F) i -. ,-- . • (See below for Defect Code G) r- , "- -.• t t•-.) ,..„. • „ .... ADDRESS: i/''---:--- • -) 'L'O' I --.5 `••-• ., k4,1 . — b - 3' /06 Property Line L.7.----- ‘ /..-- I / \' • 7\ WATER SHUTOFF — .:4 P V VISIBLE 0,,,,, 0 \.c- power- poie -Q1--43- _y BROKEN El — El.al-'---,-';7-173-d------ -S MISSING 1.--;--an K I;n ,.S"-I-, . . LOCATION OF SIDEWALK VI FRONT YARD IR SIDE YARD El OTHER — ----.„)< 9 WIDTH OF-SIDEWALK El 4 FEET El 5 hEil fa 5-1 FEET 121 OTHER .-- DEPTH OF SIDEWALK V 0 4 INCHES D 5 INCHES A 6 INCHES — AREA TO BE REPAIRED - sq.ft. 4 in. sq.ft. 5 in. Z72,5sq.ft. 6 in. • V • CODE F - PATCHES YES CI NO 0, NO. OF SQUARES WITH PATCHES — NOTE: Areas marked with an 'F' may be repaired by patching. All other areas • shall be repaired by reconstruction of full squares. V • • First Inspection and Form Made By: Z.S. J)C-2,- Date: -3-23 -I 0 - Park Department Review Required F:j YES 'I0 NO PERMIT ISSUED NO: DATE: V INSPECTION DATE: IF UNCOMPLEILD: V V SPECIAL ASSESSMENT CONTRACT NO: V V CONTRACT COMPLETION DATE: • — CODE G - Other •--- 0 --' .— ::\:-\ i' j \ \, ' -N-'- \ V ' ' _ �' to y, . SIDEWALK REPAIR SURVEY FORM ;' - 'CITY OF. WATERLOO. IOWA / _ PROPERTY ADDRESS - - 46 : jJ)<' E :3'1-N 5 cT E`t 1 .3—?1-- s1'— coo ,/ : 17 — PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND ` L' —0"1 — • . - AREA NEEDING REPAIR U//WII7 J7A L — length of repair needed Type of defect — (See reverse side for Defect Codes A—F) �� ((See .below for Defect Code C) -\G I .....)r. ADDRESS. - ../r f f U WATER SHUTOFF — VISIBLE ❑ \ . SAE BROKEN — MISSING 0 fy r • ___ _ Properiy Line _ ,..._.. r — r 111 c: : Pa b,., Ave. — LOCATION OF SIDEWALK 0 FRONT YARD 0 SIDE YARD 0 OTHER ,WIDTH OF SIDEWALK . 0 4 FEET 0 5 FEET tg, 5.3 FEET ❑ OTHER — DEPTH OF SIDEWALK 0 4 INCHES 0 5 INCHES a 6 INCHES • AREA TO BE REPAIRED sq.tt. 4 in. sq:ft. 5 in. 24 kr sq.ft_ 6 in. CODE F — PATCHES YES 0 NO E': NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an -F" may bn repaired by patching. All other areas — shail be repaired by reconstruction'of full squares. First Inspection and Form Made By: ,-S D Date; _ ,- 3 - Pork Department Review Required 0 YES0 NO — PERMIT ISSUED NO. -- DATE: INSPECTION DATE: - —IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. CONTRACT COMPLETION DATE: CODE C — Other •. . • • . / SIDEWALK REPAIR SURVEY FORM / _ CITY OF WATERLOO. IOWA • _ ... .•• . • , . _ PROPERTY ADDRESS /00 bik • 4 r-N 57R6&/ . • — PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND -....— L' —1.4 `,,,' ,. ,. •=k41- — -E.rt---- AREA NEEDING REPAIR V///7Z/77/A .' \: ,, &AI'S( _ L = length of repair needed .,.,1_5( . - Type 'of defect A ,40,;-. - , ., (See reverse side for Defect Codes A—F) i _ • , ,--• (1 )-- I. • (See below for Defect Code G) -----,, • • .. >Kilt ADDRESS: • J ki) — ---..... I Q Vil . -0 t), . L . , A$. -.. • , , . . A ' Properly Line . WATER SHUTOFF . —.. VISIBLE El CAP . } BROKEN El _ • A- , iii-ii -s-t- MISSING EI , •. • _ . . . _ LOCATION OF SIDEWALK 0 FRONT YARD 111 SIDE YARD El OTHER — WIDTH Or SIDEWALK El 4 FEET 0 5 I-ELI • 0 5.3 FEET RI OTHER • DEPTH OF SIDEWALK g 4 INCHES El 5 INCHES E] 6 INCHES — AREA TO BE 'REPAIRED • fet2f0_sq,ft. 4 in. sq.ft. 5 in. sq.ft. 6 in. • CODE F — PATCHES YES 0 NO gi NO. OF SQUARES WITH PATCHES — NOTE: Areas marked with an 'F. may be repaired by patching. All other areas shall be repaired by reconstruction of full squares. . . . First inspection and Form Made By: KS b G" Date: 3-2....?--to _ : _Park Department Review Required El YES 14. NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: • IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: . _ CODE G — Other . . . 0 i\C) </06(1 , . . . . . — \\ ."1 , V" SIDEWALK REPAIR SURVEY FORM / — CITY OF WATERLOO, IOWA - PROPERTY ADDRESS zzc— 2Z9 £ h. L S+- — 1213 -?y - 3.6.1- alb V 7167) • PARCEL CODE CONTROL NUMBER CERT. NUMBER - — LEGEND --- L' --0-1 • • - AREA.NEEDING REPAIR V///7//177A - — L = length of-repair needed Type of defect (See reverse side for Defect Codes A—F) VI-q' • • (See below for Defect Code G) — /> l<4 ADDRESS: ' 2Z9 `�� + - t q \ . — V L e C� ,., -�< J ,�e� — Property Line — — — WATER SHUTOFF . ''h VISIBLE pg m.1 , ed ad tisf6� CAP • BROKEN 0 — MISSING 0 L-I +ti . 5+, LOCATION OF SIDEWALK 2 FRONT YARD XSIDE YARD ❑ OTHER WIDTH OF'SIDEWALK ❑ 4 FEET El 5 ttti • ❑ 5.3 FEET 'Q OTHER _ DEPTH OF SIDEWALK 4 INCHES ❑ 5 INCHES 0 6 INCHES — AREA TO BE REPAIRED ' 61.o sq.ft. 4 in. sq.ft. 5 in. .q.ft. 6 in. CODE F — PATCHES YES ❑ NO Id NO. OF SQUARES WITH PATCHES — • NOTE: Areas marked with an "F" may be repaired by patching. All other areas shaft be repaired by reconstruction of full squares. First Inspection and Form Made By: gS. £c- Date: . '-z 3 - f 0 — Park Department Review Required ❑ YES R NO • -PERMIT ISSUED NO: DATE: INSPECTION DATE • — r,� IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: ,0 CONTRACT COMPLETION DATE: - CODE G — Other _ SIDEWALK REPAIR SURVEY FORM % CITY OF WATERLOO, IOWA l/. • • PROPERTY ADDRESS 30 J ---ZO.3 y L j } , 3 - -L+ -,a - g12 ✓ 21 PARCEL CODE CONTROL NUMBER - CERT. NUMBER - LEGEND L' -"! - AREA.NEEDING REPAIR 171///7/177A L = length of repair needed A Type of defect See reverse side for Defect Codes A-F) • (See below for Defect Code G) ‘4. 1< ADDRESS: 3 0 I SA �- z Property Line WATER SHUTOFF VISIBLE ❑ CAP BROKEN ❑ MISSING ❑ L41.-c ail te34- LOCATION OF SIDEWALK ❑ FRONT YARD a SIDE YARD ❑ OTHER WIDTH OF SIDEWALK ❑ 4 FEET ❑ 5 I•tti El 5.3 FEET g OTHER _ - DEPTH OF SIDEWALK I3:1 4 INCHES ❑ 5 INCHES ❑ 6 INCHES AREA TO BE REPAIRED s-O sq.ft. 4 in. sq.ft. 5 in. sq.ft. 6 in. CODE F - PATCHES YES ❑ NO RI NO. OF SQUARES WITH PATCHES NOTE: Areas marked with an "F" may be repaired by patching. All other areas shall be repaired by reconstruction of full squares. First Inspection and Form Made By: -D cS Date: 3-2 3-/O Park Department Review Required ❑ YES IA NO -PERMIT ISSUED NO: DATE: - INSPECTION DATE: IF UNCOMPLETED: - SPECIAL ASSESSMENT CONTRACT NO: CONTRACT COMPLETION•DATE: • CODE 6 - Other • fyT f? ,TJ . . • - . V. SIDEWALK REPAIR SURVEY FORM // _ CITY OF WATgRLOO. IOWA - - _ .. . . , . PROPERTY ADDRESS ..1 rt- L.L. obi _....( . ”i3 .,a1 _,,.-30-7 _00-• i 3 _ PARCEL CODE CONTROL NUMBER • CERT. NUMBER - LEGEND ki- L' -0- V V _ - AREA.NEEDING REPAIR W/./////7./...1 . L = length of repair needed A _ • . Type of defect 1 1 — (See reverse,side for Defect Codes A-F)(See below for Defect Code G) 0 , . . ADDRESS: °I ‘ - - ..... 7 _, ,4•„ C---v 3 11.0 / x -s., LII /- L-V\-N " 6 . - PriolDerty Line — . . V . WATER SHUTOFF • VISIBLE 0 -II i ' \ 5,e3---------„, „ ___.6.--5 __ C3 —r------) CAP •\ .e BROKEN MISSING 0 ritAe-- • _ . LOCATION OF SIDEWALK D FRONT YARD * SIDE YARD Ci OTHER _ !------- ---- WIDTH OF'SIDEWALK 0 4 FEET Te(= -FEET • 0 5.3 FEET -El OTHf _1:‘ER.,, - .1 7 )'• DEPTH OF SIDEWALK . Vit 4 INCHES D 5 INCHES 1=1 6 INCHES V V — AREA TO BE REPAIRED 20 9q.ft. 4 in. sq.ft. 5 in. sq.ft. 6 in. •CODE F - PATCHES YES 0 NO 0 NO. OF SQUARES WITH PATCHES • _ NOTE: Areas marked with an "F.- may be repaired by patching. All other areas ' shall be repaired by reconstruction of ful!_s_auares. , I E- L---t Date: -17)----2(L','-10 _ , First Inspection and Form Made By: •Park Department Review Required 0 YES 17:1 NO 'PERMIT ISSUED NO: DATE: INSPECTION DATE: . IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: . CONTRACT COMPLETION DATE: - — _ - CODE G - Other .\li . - - . . ..---51 • N-D • — _ , SIDEWALK REPAIR SURVEY FORM , _ cITY OF WATERLOO. IOWA PROPERTY ADDRESS i t e Li tY s-i- , , _ • _.. get i 5 _a 1_107-007 / Z4 PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND I-0.-- Ll AREA NEEDING REPAIR V1/11177Z/A -- . L I. length of repair needed Type of defect (See reverse side for Defect Codes A-F) (See below for Defect Code C) *1k * ADDRESS. 1 t . -- \ WATER SHUTOFF V° , A: VISIBLE 0 \ - - ,--- .fX 7' o' \\ LC ., /.7 \-t- BROKEN 0 , —• \)j'o--"" ` 5 / ,-•`'‘ (-' MISSING 0 _- - Property Ati4X-_11:2 Line / i . I . ../ D- j., ft`•'--14 A' . -- 7 \\ 1 f. e- •,0', — , -. LOCATION OF SIDEWALK tl.. FRONT YARD 0 SIDE YARD El OTHER -.. Sre-e- aka-oe- idgiti OF SIDEWALK 04 FEET 0 5 FEET 0 5.3 FEET 16 OTHER DEM OF SIDEWALK SN 4 INCH 0 5 INCHES 6 INCHES 0 0 s AREA TO BE REPAIRED git. 4 ;n. -sq.ft. 5 in. __Agit. 6 in. CODE F - PATCHES YES 0 NO id NO. Of SQUARES WITH PATCHES NOTE. Amax marked with on "F- may be repaired by patching. Ali other areas shall be repaired by reconstruction of full *quorum. ...a( First Inspection and Form Made By: -1-C 1-• Cf Date: /0 Pork Department Review Required 0 YES 151 NO i PERMIT ISSUED NO, DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. CONTRACT COMPLETION DATE: ...., CODE C - Other. i •\ 1 •N ..... L NN - , Li_ / _C- ,\'-') ' 2ii tl, ' . I L-7 - '''''- . . _ . . -.,____. • - .... __ _ • ,..../ r SIDEWALK REPAIR SURVEY FORM . . CITY OF WATERLOO.- lOWA I- . PROPERTY ADDRESS . S a 1 F , qt- -,cti_ . • • v- . F aIL3-11-321-0 q? . .. Z PARCEL CODE CONTROL NUMBER CERT. NUMBER • LEGEND I-0— L. • AREA NEEDING REPAIR w/tztt,,,,_A L length of repair needed A I- Type at defect (Seebelow,eee reversebewfor tidtlef(or Code Defect GC)odes A—F) ?Ccl . F 10.\11,,.... . ** ADDRESS. ?tat WATER SHUTOFF r matt 0 \ vie . . BROKEN 0 : MISSING 0 _cip ki'l-.".11- lir Aim — F 1 F . F Lith ,- - -------- LOCATION OF SIDEWALK [X FRONT YARD 0 SIDE YARD 0 OTHER S 5 I sur8 Of SIDEWALK 0 4 FEET 0. 5 FEET • 0 5.3.FEET pl OTHER -- DEEM OF SIDEWALK - c4 4 INCHES 0 5 INCHES 0 6 INCHES F AREA TO BE REPAIRED ____Lig.tt. 4 in. --sq.1t. 5 in. q.ft. 6 in. • CODE F — PATCHES - YES 0 NO NO. Of SQUARES WITH PATCHES • NOTE. Areas marked with on "F may be repaired by patching. All other areas • :hall be repaired by reconstruction of full squares. T (. 6r . 3—a(e 10 First inspection and Form Made By:— Date: .• • Park Department Review Required 0 YES INC • - , f ! PERMIT ISSUED NO. - DATE: INSPECTION DATE: ' . IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. CONTRACT COMPLETION DATE: . 1- CODE G — Other i . -1- 1 . . . , ...,. /p . .. . . . ,-.- !--, c-.-- .. ‘) . . , , I- • , .. 1- SIDEWALK REPAIR SURVEY FORM / _ . - CITY OF WATERLOO, IOWA +� PROPERTY ADDRESS /5- b-y/< E.. ¢ • PARCEL CODE CONTROL NUMBER CERT. NUMBER - LEGEND L' — - AREA.NEEDING REPAIR Vl//77////A - • L = length of repair needed Type of defect (See reverse side for Defect Codes A—F) • (See below for Defect Code G) >< ADDRESS: \ t-D--i - --- . ke. 2 IL. • k� r-1\ 0 _ Property line _ A • �* F / y WATER SHUTOFF VISIBLE ❑ i CAP YH BROKEN ❑ 1 `_ MISSING El • LOCATION OF SIDEWALK X FRONT YARD ❑ SIDE YARD ❑ OTHER WIDTH OF SIDEWALK 0 4 FEET1R6___- 5 J E' • ❑ 5.3 FEET ❑ OTHER_ DEPTH OF SIDEWALK 7 NI 4 INCHE ❑ 5 INCHES ❑ 6 INCHES —" AREA TO BE 'REPAIRED as.0 sq:ft:�4 in. sq.ft. 5 in. sq.ft. 6 in. CODE 'F — PATCHES YES ❑ NO p- NO. OF SQUARES WITH PATCHES — NOTE: Areas marked- with an "F" may be repaired by patching. All other areas shall be repaired by .reconstruction of full squares. , First Inspection and Form Made By: E. tv Date: 3 -g 1 /0 •Park Department Review Required ❑ YES iN NO PERMIT ISSUED NO: DATE: INSPECTION DATE: - IF UNCOMPLETED: . SPECIAL'ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: - CODE G— Other P - Qoocea c `' • SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO, IOWA • PROPERTY ADDRESS /4.2/ - 4/11 577 PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND U AREA NEEDING REPAIR V/1/777Z7A L = length of repair needed Type of defect (See reverse side for Defect Codes A—F) • (See below for Defect Code G) ADDRESS: i&Z/ /4,2.5 X.110 37":161L6e- 1-IN rrE) rt 14\0111013/-5-7— 6-1-11-" 614- \ 14C ?c-4\ Property Line WATER SHUTOFF VISIBLE 0 • 6 D CAP BROKEN 1:1 MISSING 111 LOCATION OF SIDEWALK 1-2t. FRONT YARD El SIDE YARD OTHER WIDTH OF•SIDEWALX CI 4 FEET E] 5 FEET Ei 5.3 FEET OTH ---1-;- DEPTH OF SIDEWALK la 4 INCH,. 0 5 INCHES 0 6 INCHES 2.3 __.diu.s,,,•°1 • AREA TO BE REPAIRED q.ft. 4 in. sq.-ft. 5 In. sq.ft. 6 in. • CODE F — PATCHES YES CI NO Es NO. OF SQUARES WITH PATCHES — NOTE: Areas marked with an "Ft may be repaired by patching. All other areas shall be repaired by reconstruction of full squares. First Inspection and Form Made By: 7f • L Date: 3-zE Park Department Review Required 0 YES 14 NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: • IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: • CONTRACT COMPLETION DATE: • CODE G Other \C.) • ,A•-\ r\-\'\ C\-\ SIDEWALK REPAIR SURVEY FORM • CITY OF WATERLOO, IOWA • PROPERTY ADDRESS 9,0 — j f'h . /;r._ . • g /3 -6Z6_ - o 3&7 • PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND t—' L' --*'1 - AREA.NEEDING REPAIR r////77777/A ' • L = length of•repair needed -. . Type of defect (See reverse side for Defect Codes A—F) • • (See below for Defect Code G) ADDRESS:'- K --1.7 --- 1 y 3 — 3 i/ \c> • . r � id Property Line . AN �� WATER SHUTOFF — VISIBLE ❑ 4\ \se AP PBROKEND MISSING ❑ • LOCATION OF SIDEWALK ❑ FRONT YARD Ltd" SIDE YARD ❑ OTHER WIDTH OF'SIDEWALK ❑ 4 FEET ❑ 5 FEET . \5�3- FEET ❑ OTHER?. DEPTH OF SIDEWALK .. ❑ 4 INCHES ❑ 5 INCHES b INCHES AREA TO BE REPAIRED sq.ft. 4 in. sq.ft. 5 ink,✓` sy.ft. 6 in. CODE F — PATCHES YES ❑ NO [Y NO. OF SQUARES WITH PATCHES NOTE: Areas marked with an "F" may be repaired by patching. All other areas shall bbe repaired by reconstruction of full squares. . ' - . First Inspection and Form Made By: � L— A Date: 3 f 6•Y V/7 . -Park Department Review Required ❑ YES ©0 PERMIT ISSUED NO: DATE: INSPECTION DATE: IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO:.. - CONTRACT COMPLETION DATE: - CODE G — Other • SIDEWALK REPAIR SURVEY FORM r . . CITY OF WATERLOO.- IOWA . I .. PROPER-1Y ADDRESS. . `iC((j mW1C11r,D 5 . . _ I , . f 3 ,1_3 3 _O°-)- - 3`7 PARCEL CODE CONTROL NUMBER CERT. NUMBER . . ' LEGEND f-ve— L' . AREA NEEDING REPAIR t/l/U!I/IIA , �S�' L - length of repair needed � 1 1 D1 Type of defect (See reverse side for Defect Codes A-F) V R See below for Defect Code C) �t,= • ADDRESS, Lt 04p' + . I WATER SHUTOFF • \ visteLE El . _ gBR r BROKEN ❑ • • • MISSING ❑ Properly Line C..,- - �f1 , — • _LOCATION OF SIDEWALK V. FRONT YARD 0 SIDE YARD 0 OTHER Ttj OF SIDEWALK 0 4 FEET 0 5 FEET • -F _.EE -- t OTH •• d ` ) vn= — DEPTH OF SIDEWALK • 17,J 4 INCHES 0 5 INCHES 0 6 INCHES 3I Pt . AREA TO BE REPAIRED ■q.ft. 4 in. t. 5 in. —q.i q.fi. 6 in. • CODE F - PATCHES • YES 0 NON NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an 'F" may bn repaired by patching. All other areas — shalt be repaired by reconstruction of full squares.'First inspection and Form Made By._ -4 — Date: —Q S 1 O Park Deportment Review Required 0 YES . tp NO — i • PERMIT ISSUED NO. DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. — •• CONTRACT COMPLETION DATE: , CODE C - Other' 1 ( �U • I `\ �rJ r- _ v. G,'_e` /7Dvy :. \ — — _ - • . .„. _ . . SIDEWALK REPAIR SURVEY FORM , CITY 'OF WATERLOO. IOWA .. ... . . • - PROPERTY ADDUSS 43 4. 4L-A40A_AD .5r . • ?I/3-4.-t -3°X°61 / Zfl — . PARCEL -CODE CONTROL NUMBER CERT. NUMBER • 4' LEGEND U ki- --•-I - — c.P AREA.NEEDING REPAIR T/7/77777A - - ° L = length of•repair needed A_ _ r . Type of defect — - (See reverse side for Defect Codes A-F) for (See below Defect Code G) . . _I . . • , ..A • ADDRESS: <I 3 . . --------___ • VA-6A tj iv T. `-'4- _ LoT \ --z , . _ - ....i. — Property Line 1, . " . , I • -.J. • WATER SHUTOFF , . VISIBLE 0 SAE -I. • _./ BROKEN D L MISSING 0 • : ot-at . • _ . . LOCATION OF SIDEWALK jZ FRONT YARD D SIDE YARD El OTHER -1. • WIDTH OF'SIDEWALK D ),- FEEF-,,N ( 5 FEET • ill 5.3 FEET El OTHER _ DEPTH OF SIDEWALK 7 ,-- 4 INCHES) D 5 INCHES 1:1 6 INCHES -I AREA TO BE REPAIRED 04 • 7 •a5* sq-ft 4 in. sq.ft. 5 in. sq.ft. 6 in. CODE •F - PATCHES YES 1:1 NO 0 NO. OF SQUARES WITH PATCHES '. NOTE: Areas marked with an "F' may.be repaired by patching. All other areas shall be repaired-by reconstruction of full squares. .• be" :) ,-- - • First Inspection and Form Made By: ---1- Date: - /e) 1.. . Park Department Review Required 0 YES pt NO 1 -PERMIT ISSUED NO: DATE: INSPECTION DATE: • J. IF UNCOMPLETED: . SPECIAL ASSESSMENT CONTRACT NO: . . CONTRACT COMPLETION DATE: • - CODE G - Other . \k-i (\ . - \ • • . ' n 0 . i N C----)C‘—'s ' . • • \C) '''S li. \ne-->,_, .,ct • - \ . . • . SIDEWALK REPAIR SURVEY FORM CfTY OF WATERLOO, 10M PROPERTY ADDRESS il 56Z- fiLln OA,/ D s r / • s.q 1 3 -0-Li -ICI -0 OL V 41 _ • PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND• I.- L' -.-1 _. --- - — AREA NEEDING REPAIR VI f • -,--,,, L = length of repair needed _ Type of defect 4- — See reverse side for Defect Codes A-F) N....,... • ((See below for Defect Code G) ....- 1)-4 ADDRESS: -5°)` 1 -i 0r`--- 7.*.l ik 1,0 ,I2,1 ii I k1;. : - .n N -J ,\ T. t_, 1 • - \.-(-) \ ,, Vil ( , '-''' CYCI ‘n • Property Line _ ---- - WATER SHUTOFF i-----7 VISIBLE 0 CAP BROKEN 1:1 _ _..., MISSING 1=1 _ . . LOCATION OF SIDEWALK N FRONT YARD El SIDE YARD D OTHER WIDTH OF.SIDEWALK El 4 FEET El 5 FEET •0 5.3 FEET 0 OTHER • . DEPTH OF SIDEWALK K- 4 INCHES vt, 5 INCHES D 6 INCHES •"t3Lf-jaj AREA TO BE REPAIRED sq.ft. 4 in. 1 q.-ft.. 5 in. sq,ft. 6 in. CODE F - PATCHES YES El NO W NO. OF SQUARES WITH PATCHES . NOTE: Areas marked with an "F" may be repaired by patching. All ether areas shall be repaired' by reconstruction of full squares. . • First Inspection and Form Made By: IL i--(-' Date: ,-3 -,.;,)(,,,-to ...... •Park Department Review Required 0 YES 0 NO — -PERMIT ISSUED NO: DATE: INSPECTION DATE: • IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: • - — CODE G - Other • - • - • - . • J j • SIDEWALK REPAIR SURVEY FORM / . CITY OF -WATERLOO,. IOWA PROPERTY ADDRESS ,340 h/k A ' 'y S-7-: _3._ \ 3 -1.1. -, LLI.- c).12, / '' 148', -- ". ' • PARCEL CODE CONTROL.,NUMBER " CERT. NUMBER LEGEND L` • AREA.NEEDING REPAIR IIITI7777A " — L-:= -length of repair needed '. . - '' Type of defect See reverse side for Defect Codes A—F) • (See below far Defect Code G) >1<#0 ADDRESS: : .. r VT A o �O LD 1 3 — 'V - . % .�- - C� • • Property Line .,-:n.- • !/ _ WATER SHUTOFF — \ VISIBLE ❑ k 0� .) cap _ 1 BROKEN El MISSING ❑ - LOCATION OF SIDEWALK FRONT YARD ❑ SIDE YARD ❑ OTHER WIDTH OF SIDEWALK ❑ 4 FEET 5 t Li 0 5.3 FEET ❑ OTHER • DEPTH OF SIDEWALK 4 INCHES ; ❑ 5 INCHES ❑ 6 INCHES 51 ° — AREA TO BE REPAIRED 4 In. •Qq.ft. 5 in. q.ft. 6 in. CODE 'F — PATCHES YES El NO X NO. OF SQUARES WITH PATCHES NOTE: Areas marked with an "r may be repaired by patching. All other areas shall be repaired by reconstruction of full squares.` ! • First Inspection and Form Made By: i (rice Date: 3 J J U — Park Department Review Required YES , 0 NO "PERMIT ISSUED NO: DATE: • INSPECTION DATE: IF UNCOMPLETED: " SPECIAL ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: • - CODE G — Other i v-u" j 'v' cep SIDEWALK REPAIR SURVEY FORM - CI•IY OF WATERLOO. IOWA _ . / PROPERTY ADDRESS .).1 - 1) PARCEL CODE CONTROL NUMBER - CERT. NUMBER - LEGEND t-N— E' —*-1 — AREA-NEEDING REPAIR V7/,27//7/A • .. L = length of•repair needed . Type of defect A , i _ (See reverse side for Defect Codes A—F) (I - j . • (See below for Defect Code G) 1 j _-_.-•• "` , n> —l< ADDRESS: 3�' 7�'--�J \ --__.,. ._ c .��� kQ, — \- . } . tiC ,co Jk . .. . . c Property Line - . — . WATER.SHUTOFF ` VISIBLE ❑ �y�• ` CAP — ea� - BROKEN ❑ ,,, "�° MISSING ❑ LOCATION OF SIDEWALK /if FRONT YARD�- IDQE YARD ❑ OTHER WIDTH OF SIDEWALK 0 4 FEET - • 0 5.3 t tt 1 OTH -'ram OF SIDEWALK -. , N 4 INCHES ❑ 5 INCHES ❑ 6 INCHES AREA TO BE REPAIR 1 . 'sq.ft 4 in. eq.ft. 5 in. sq.ft. 6 in. CODE F - PATCHES YES ElNO N NO. OF SQUARES WITH PATCHES NOTE: Areas marked with an "F" may be repaired by patching. All ether areas shall tie repaired• by reconstruction of full squares. •. . ci First Inspection and Form Made By: 'i L/C"' Date: :r —�� — -Park Department Review Required siK YES 0 NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: . 7,-- IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: - _ — CODE G Other SIDEWALK . REPAIR SURVEY FORM �, CITY ' OF WATERLOO. IOWA PROPERTY ADDRESS. . 410 I 0 Ahke-nvi c..4_, . . • 536113 _aj-jo3 -0a • . 449 PARCEL CODE CONTROL NUMBER CERT. NUMBER ' LEGEND tom' 1' AREA NEEDING REPAIR V//ZfZ-lUA L length of repair needed Type of defect (See reverse side for Defect Codes A—F) (See below for Defect Code.C) 4-)K-- ADDRESS. ° WATER SHUTOFF VISIBLE ❑ . \ • S+8e . BROKEN 0 . MISSING 0 i61t. -- Property Lino Po- a07 tk ----P"'--- - \ . Iin\ 1 - t OCJITION OF SIDEWALK 1, FRONT YARD ❑ SIDE YARD 0 OTHER •'� MiThj OF SIDEWALK ❑ . 4 FEET 0 5 FEET 0 5.3 FEET I OTHERS DEPTH OF SIDEWALK • lth 4 INCHES 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED •q.tt. 4 in. sq.1t. 5 In. •q.ft. 6 in. CODE F — PATCHES • YES 0 NO 16 NO. Of SQUARES WITH PATCHES NOTE. Areas marked with an "F" may be repaired by patching. All either areas shall be repaired by reconstruction of full square. First inspection and Form Made By: r ._ Date: .3'-, .3 —/D Pork Department Review Required 0 YES `I NO i PERMIT ISSUED NO. _' DATE: INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO' CONTRACT COMPLETION DATE: , CODE G — Other 1 ,{j . .,:.. _..._ ., , .„././ - ' , SIDEWALK REPAIR SURVEY FORM i CITY OF WATERLOO, IOWA U PROPERTY ADDRESS. I I ►f\k?,1 S I 1 • % '3 _ - I61 _Dp3 ✓ 'Sty . 1 PARCEL CODE CONTROL NUMBER CERT. NUMBER • LEGEND L.` AREA NEEDING REPAIR V7f A 11'7A I .. length of repair needed 4 r Type of defect \U ((See reverse side for Defect Codes A—F) (See below for Defect Code C) • , ,, ), 5 ADDRESS. + 1 ( 1 L•j I I WATER SHUTOFF \ VISIBLE Et SAE BROKEN 0 r -__, — MISSING El ?oq A Property tin" r i.ie; �i'® f %' `1 �:_. r i� Cs-.Li; __ x°rk=`;1j LOCATION OF SIDEWALK a,FRONT YARD 0 SIDE YARD 0 OTHER r soil OF SIDEWALK ❑ 4 FEET ,IX 5 FEET > 0 5 3 FEET D OTHER DEEM OF SIDEWALK TO., 4 INCHES 0 5 INCHES 0 6 INCHES r \\-7LO 1. / AREA TO BE REPAIRED N __- sq.ft. 4 in. , ■q.tt. 5 In. ■q.ft. 6 in. r CODE F — PATCHES YES 0 NO Vl. NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an "F" moy be repaired by patching. All other areas shall be repaired by reconstruction of III squares. First'Inspection and Form Made By: ` 1/I/ Date: ' f Park Department Review Required 0 YES ' . ❑NO 77 ! PERMIT ISSUED NO. DATE: INSPECTION DATE: • r IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. CONTRACT COMPLETION DATE: a CODE G — Other _ ffi i r I ___ z' , . r .- - - . 1 SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO. IOWA . , PROPERTY ADDRESS. . 1`1 h i L .„ S-i-. ' `i i3 - -4- 10a _003. / . '50 - • PARCEL CODE CONTROL NUMBER CERT. NUMBER AREA NEEDING REPAIR Ali L. — length of repair needed AType of defect See reverse side for Defect Codes A—F) (See below for Defect Code C) • ADDRESS. I I WATER SHUTOFF \ . Se BROKEN 0 • —: MISSING ❑ t I IV` rop y ne S1C' e� ZZ ® : , i �,,I A1k&'iii j • I()CATION OF SIDEWALK L ,FRONT YARD ❑ SIDE YARD ❑ OTHER maw OF SIDEWALK 0 4 FEET VI 5 FEET ❑ 5.3 FEET 0 OTHER 2218 OF SIDEWALK INCHES ❑ 5 INCHES 0 6 INCHES J AREA TO BE REPAIRED �4II. 4 in. ■q.ft. 5 in. ■q.ft. 6 in. CODE F — PATCHES - YES 0 NO p NO. OF SQUARES WITH PATCHES • NOTE. Areas marked with on - may be repaired by patching. All other creme shall be repaired by reconstruction of full squares. I `� First Inspection and Form Wade By: ._ Dale: Pork Department Review Required ❑ YES i p NO i PERMIT ISSUED NO. _ DATE: INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT ND- CONTRACT COMPLETION DATE: , CODE G — Other i I _ I \v J . s � • l0,- c.,.. • • �� _ _ - SIDEWALK REPAIR SURVEY FORM _ CITY OF WATERLOO. IOWA PROPERTY ADDRESS. . 499 ilk ''ye ..5'T.- /- . WI 13—z3 — 0-033 ✓ .54 • PARCEL CODE CONTROL NUMBER CERT. NUMBER .-- • LEGEND L' • AREA NEEDING REPAIR W L7ZLft/it- — L — length of repair needed Type of defect (See reverse side for Defect Codes A—F)}v— (See below for Defect Code G) — ADDRESS. I A-C - WATER SHUTOFF < La T VISIBLE ❑ _ �k. # BROKEN ❑ . y \v (� —�, MISSING 0 • {\���\1 Property Line — i 0I YL -5 LOCATION OF SIDEWALK ❑ FRONT YARD ❑ SIDE YARD 0 OTHER J,,�`1 OF SIDEWALK 6—t Lti 0 5 FEET 0 5.3 FEET U O �ER'y 1 — h�A�• �L e DEPTH OF SIDEWALK 4 INCHES , 4gC5 INCHES 0 6 INCHES 4�Gk 3 I4.4 AREA TO BE REPAIRE: "'�q.tt. 4 in. iq.it. 5 In. eq.ft. 6 in. • CODE F — PATCHES • YES 0 NO CK. NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an "F" may be repaired by patching. Ali other urea. — shall be repaired by reconstructio f full ■ tiaras, //O { / First Inspection and Form Made By: 5 ..— Date; Pork Department Review Required 0 YES NO — PERMIT ISSUED NO. DATE:, INSPECTION DATE: ' IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO: • ' CONTRACT COMPLETION DATE: 4 CODE G — Other i 1 ^ �___.____H. a 3 n v y,. l — • _ • SIDEWALK REPAIR SURVEY. FORM • WY OF WATERLOO. IOWA PROPERTY ADDRESS . /00 54, A--/z6y Le_ ,_5-r--- /. - 8 /3 -z3-28_6• PARCEL CODE CONTROL NUMBER CERT. NUMBER • LEGEND 1-4*- L -4.-1 AREA NEEDING REPAIR rirziivi-1/77A A` t t' L am length of repair needed i 22- ,-r-'0 - --, Type of defect (See reverse side for Defect Codes A-F) (Sea below for Defect Code C) • S,---..-1,-(0J:I 54 ' _ • A-'‘V•1?- ' 11'2' _L7 WATER SHUTOFF .- \ VISIBLE 0 ...5)c°4( • Lo'r rieE ' \_0 BROKEN 0 MISSING CD ,--.) _1 Lio= J • Property Line C-,_._ ----- ( . -11 • I, . , — x 5 AgGY Le •ST: — , ,44-y 102Sliati OF SIDEWALK Olf FRONT YARD 0 SIDE YARD 0 OTHER ...-- \•--?k' MUM OF SIDEWALK( 4 FEET-) 0 s FEET 0 5.3 FEET 0 OTHER cs DEPTH OF SIDEWALK 4 INCHES K4 5 INCHES 0 6 INCHES TO AREA TO HE REPAIRED ____1_.....-s inz q.tt. 4 . --sq.11.. 5 in_ —.__sq.11. 6 in. CODE F — PATCHES YES CI NO X NO. OF SQUARES WITH PATCHES • NOTE. Areas marked with an -r may be repaired by. patching. AM other areas shall be repaired by reconstruction full squ?_?)s. First Inspection and Form Mods ay; r--)_5 - Date: 3/zcho Pork Department Review Required El YES RiN0 , ...... ) PERMIT ISSUED NO._ DATE: INSPECTION DATE: • ! 1 •• IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. ."... CONTRACT COMPLETION DATE: CODE G — Other. i _. 1 • 1 ..: I , , 1 .-r•A F-, •—• 1"-- 7 (}j\\ -\° 4ej .1-) ,---2- \\ '' • SIDEWALK REPAIR SURVEY FORM V CITY QF WAT-ERLOO, IOWA - PROPERTY ADDRESS . 20 to A- YG_k- L57-% - 8915 - --301 _cx Z.D 5,3 — --PARCEL CODE CONTROL NUMBER CERT. NUMBER —' LEGEND tom' L' - AREA NEEDING REPAIR W zzLiziWA L length of repair needed - — Type of defect (See reverse side for Defect Codes A—F) 5\' (See below for Defect Code C) f, l J I ADDRESS. Z U-4(--- ',A I { - E SHUTOFF VWATISIRBLE [ . . \ . Lae BROKEN ❑ . MISSING 0 s Pro( ; y Li -- — - --- 1�[ j /1 ' O v,'J - J r LOCATION OF SIDEWALK jZ FRONT YARD ❑ 9E YARD 0 OTHER iy`--, J 3nUll OF SIDEWALK 0 4 FEET 9( 5 i E ' 0 5.3 FEET 0 OTHER— — DEPTH OF SIDEWALK f/ cX 4 INCHES ❑ 5 INCHES 0 6 INCHES AREA TO BE REPAIRED `S6. *9.Jtj4''•n- •q.ft. 5 in. sq.ft. 6 in. — CODE F - PATCHES YES 0 NOA NO. OF SOUARES WITH PATCHES — NOTE. Areas marked with an "F" may ba repaired by patching. All othor areas shall be repaired by reconstruction�(of full squares. / (�� First Inspection and Form Made By: !.Z3 3 5 Dote: �/ — Pork Department Review Required ❑ YES -,- -'0 PERMIT ISSUED NO. ,- DATE: INSPECTION DATE: ' IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: , CODE G - Other — v g° \, — 'L- — + y' SIDEWALK REPAIR SURVEY FORM V. CITY OF WATRLOQ. IOWA PROPERTY ADDRESS. . 41-6b b/k A-6Y Sr: - • — $g13_)H__:3o3_Qa3 . .5, PARCEL CODE CONTROL NUMBER CERT. NUMBER ' LEGEND U - •` AREA NEEDING REPAIR wizimz/A 3, M L — length of repair needed �e,t` Type of defect See reverse side for Defect Codes A—F) '''`� (See below for Defect Code G) • /7 ADDRESS. I t s *--- - I V A-GC1-1" I WATER SHUTOFF � VISIBLE 0 . • \ v' LSE BROKEN 0 MISSING 0 --- -- PropQ Lint 1 -- -- ' • • fir- ( lacer N OF SIDEWALK FRONT YARD 0 SIDE YARD ❑ OTHER laintl OF SIDEWALK ,❑ 4 FEET --- FEET 0 5_3 FEET 0- OTHER--...-..-.'-...:-{ / — DEPTH OF SIDEWALK 4 INCHES 0 5 INCHES 0 6 INCHES 24.4 AREA TO BE REPAIRED iq.tt. 4 in. sq.it. 5 In_ •q.tI. 6 in. — CODE F - PATCHES - YES ❑ NO Q' NO. Of SQUARES WITH PATCHES NOTE. Areas marked with on 'f may be repaired by patching. All other areas • ' shall be repaired by reconstruction of 1 squares. first Inspection and Form Made By: a � .r Date: 3 �� /o • Pork Deportment Review Required I] YES 0 NO • i PERMIT ISSUED NO. • DATE:, INSPECTION DATE: ' IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- - -- CONTRACT COMPLETION DATE: , CODE C - Other i 1 1 \U \O j-- - -n -...• -.1.i 0_,co. ' . _ .. . ... _ a _ . ___ ,_ SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO. IOWA F • PROPERTY ADDRESS. (-O• Pni •` r PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND E' II AREA NEEDING REPAIR A ,E L •� lenykh of repair needed" Type of defect See reverse side for Defect Codes A-F) (See below for Defect Cods C) r --f ADDRESS. t V I I WATER SHUTOFF 1ttSIBLE ❑ i 3 \ . • \ '• BROKEN ❑ i '-; l Me -\ ,_�_U MISSING Property tine ` VpVtili.k r/rif/ft ice; y. ? i • A lit, r LOCATION OF SIDEWALK p FRONT YARD 0 SIDE YARD 0 OTHER lagnj OF SIDEWALK 0 4 FEET 5 FEET ) 0 5.3 FEET 0 OTHER REEILI OF SIDEWALK 1 INCHES 5 INCHES 0 6 INCHES f d l��•S f AREA TO BE REPAIRED -(?" •q-tt. 4 in. sq•ft_ 5 in- sq.ft. 6 in. r ;I CODE F - PATCHES YES 0 NO 4 NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an -r moy bn repaired by patching. All other urea* shall be repaired by reconstruction of f squares.. 2 First Inspection and Form Made By:_� L- _ Date; S �� £s Park Department Review Required 14 YES ❑NO • - r I PERMIT ISSUED NO. ._ DATE: INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. CONTRACT COMPLETION DATE: 4 I CODE G - Other. I k� . LU \U ,2 z „ { \ ,\� n` i ---% . _ ' •-- . _ ., . • / • - SIDEWALK REPAIR SURVEY FORM • ...... CITY •OF WATERLOO, IOWA • PROPERTY ADDRESS _ 9 13 _4'_-11_n 03 _oat) PARCEL CODE CONTROL NUMBER CERT. NUMBER — LEGEND 1-.4-- La -0-1 • AREA NEEDING REPAIR. L - length of repair needed prif7i7MLIA , Type of defect .. OA A P (See reverse side for Defect Codes A-F) (See below for Defect Code C) 1, — \)\ 10 ADDRESS. I -- WATER SHUTOFF VISIBLE 0 • \ BROKEN CI . .... MIS,SING 0 Property Line ik _.i. _i .. , ....i Immo OF SIDEWALK MI\ 15:r FRONT YARD 0 SIDE YARD El OTHER , /--- ,-----) -1 ygglii OF SIDEWALK 0 4 FEET --t7i--- TEE1 0 5-3 FEET -(Er Dom OF SIDEWALK :a 4 INCH 0 5 INCHES 0 6 INCHES l'It' -,-- -1.1 • AREA TO BE REPAIRED ' aq.ft. 4 in. —__...sq.ft. 5 in. _______sq.ft. 6 in. - -. CODE F - PATCHES YES 0 NO yq NO. Of SQUARES WITH PATCHES NOTE. Areas marked with an -r may be repaired by patching. All other areas shall be repaired by reconstruction of full squares. First Inspection and Form Made By: ---6/- Date; ..t Park Department Review Required 0 YES NO PERMIT ISSUED NO. - DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. CONTRACT COMPLETION DATE: i • CODE G - Other 1 Nr•A \‘ rst-\ C. CO . N, \C-1-' / • ..- --) r - ' C---)- I . - -,,,,, ' SIDEWALK REPAIR SURVEY FORM V - CITY 'OF WATERLOO, IOWA PROPERTY ADDRESS y ArJt/ 03 612 ' 0� 2 _ - . 69. t3 .. z3_ ZSZ_ of I474 - • PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND L' -0.-1 - — AREA.NEEDING REPAIR G%7:?777777A L = length of repair needed - _- . Type of defect - _ (See reverse side for Defect Codes A-F) (See below for Defect Code G) 14 ADDRESS: a I N 1 cn t� v‘s+ y !/ r� �� + • _ Property il!ne T - j, WATER SHUTOFF j VISIBLE 0 CAP ' — - - } BROKEN ❑ 00(-Um F� )it 5 . MISSING 0 . — LOCATION OF SIDEWALK ❑ FRONT YARD *SIDE YARD ❑ OTHER — WIDTH OF.SIDEWALK ❑ 4 FEET ❑ 5 FEET .�`--t 5.3 FE ❑ OTHER _ DEPTH OF SIDEWALK L) 4 INCHES ❑ 5 INCHES ❑ 6 INCHES — AREA TO BE 'REPAIRED �0 sq.tt.� - in. sq.ft. 5 in. sq.ft. 6 in. CODE F - PATCHES YES 0 NO {Z NO. OF SQUARES WITH PATCHES NOTE: Areas marked with an "F" may be repaired by patching. All other areas shall be repaired by reconstruction o II squarejs. First Inspection and Form Made By: 1/� Date: 3JZ(/ /0 — •Park Department Review Required t;= PIA NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: - CODE G - Other C — \D .), Q- Oaf- G\ v L. f SIDEWALK REPAIR SURVEY FORM - . CITY OF. WATERLOO.. IOWA PROPERTY ADDRESS. 4/39 . VA- -tiO L ia_ - - gq 1:� _2 _252 -co3✓ (05 PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND. E' -0-1 , AREA NEEDING REPAIR WIZ//III/A L - length of repair needed — Type of defect See reverse side for Defect Codes A-F) f (See below for Defect- Code C) LSD - o`1c-.\ ADDRESS. 1-3 p — �� I ( WATER SHUTOFF VISIBLEVISIBLE`� • BROKEN 0 . MISSING 0 lac-ri .___ Property tine �t 1 (-rJ' ijV - BRA-c-7.1 -BErl_ 51-- .i OF SIDEWALK 0 FRONT YARD 0 SIDE YARD 0 OTHER DTH OF SIDEWALK ElETMEI 5 FEET ( 5.3 FEET ) 0 OTHER REEILI OF SIDEWALK • 4 INCHES 0 5 INCHES 0 6 INCHES JAREA TO BE REPAIRE '■q•tt. 4 in. ■q.ft. 5 in. ■q.ft. 6 in. • CODE F - PATCHES.. YES ❑ NO NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an "F' may be repaired by patching. All other areas shall be repaired by reconstruction f full squarer.First inspection and Form Made By: �- Dale: Z //2 • Pork Department Review Required 0 YES [�NO �!i PERMIT ISSUED NO. _- DATE: INSPECTION DATE: ' IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. CONTRACT COMPLETION DATE: , CODE C - Other i f �1 l i�\, V s 'ti,'\ �, .1� 1 t ` . c)' �Z- ---- ' SIDEWALK _ REPAIR SURVEY FORM - err( OF WATERLOO; IOWA PROPERTY ADDRESS Jd 0 g I ocK g ro acA w cc,/ S 89 t3—Z -255— oo3 _ • 60, PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND L' AREA NEEDING REPAIR viii/7/7//A L — length of repair needed A Type of defect :Ci (See reverse side for Defect Codes A—F) (See below for Defect. Code. C) ( . \2c\‘'CAS ( ADDRESS. I CP ate h WATER SHUTOFF[] V raeie viSIB�E Lo BROKEN ❑ .MISSING 0 2415424- Property Line •1 F� rooA o.. St. LOCATION OF SIDEWALK .ERONT YARD 0 SIDE YARD 0 OTHER WIDTH OF SIDEWALK Ft 4 FEET ❑ 5 FEET 0 5.3 FEET ❑ OTHER DEPTH OF SIDEWALK E 4 INCHES 0 5 INCHES ❑ 6 INCHES n .C• AREA TO BE REPAIRED ? � . 4 in. eq.ft. 5 in. ■q.ft. 6 in. CODE F — PATCHES YES 0 NO F4 NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an "F" may be repaired by patching. All other oreae shall be repaired by reconstruction of full squares. t�_z _t jj QS • First Inspection and Form Made By:_ S m$ _ Date: 3 Z Q-10 Pork Department Review Required 0 YES M.NO — PERMIT ISSUED NO. — DATE: INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: CODE C — Other — \V \G • • SIDEWALK REPAIR SURVEY FORM / CITY OF WATERLOO, IOWA lj PROPERTY ADDRESS /Z1 62o q " - - - 8°1 3 Z3 - 2-08 - Q 01 70 PARCEL CODE CONTROL NUMBER • CERT. NUMBER LEGEND L' • AREA.NEEDING REPAIR V///77/7//A i L = length of repair needed - • Type of defect �5� ' (See reverse side for Defect Codes A—F) �°"\ • (See below for Defect Code G) * Xii 6. ADDRESS: Z'-)kpoLw Ow) 0\ Avto � s'�c ° 3 — rJ c c_J1 Property Line .1 ii — Nil i I i1 WATER SHUTOFF 1 ! VISIBLE ❑ _ \,C.,- 1 C." \ A CAP / BROKEN LI MISSING ❑ - F. o vJr--/- ,05 51 LOCATION OF SIDEWALK ❑ FRONT YARD [g(SIDE YARD ❑ OTHER 7- �1 WIDTH OF•SIDEWALK ❑ 4 FEET El5 FEET OTH RE r J_u e DEPTH OF SIDEWALK . ( 4 INCHES ❑ 5 INCHES,! jj 6 INCHES )7.5 / I I,•— / — AREA TO BE REPAIRED sq.ft. 4y in. sq.ft. 5 in. sq.ft. 6 in. • CODE -F — PATCHES YES El NO NO. OF SQUARES WITH PATCHES . — NOTE: Areas marked with an "F may be repaired by patching. All other areas shall b-e repaired by reconstruction f full squares. • • First Inspection and Form Made By: ) Date: 3!l zi//Q •Park Department Review Required ❑ YES a' NO -PERMIT ISSUED NO: DATE: ' INSPECTION DATE — IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: - CONTRACT COMPLETION DATE: • - CODE G — Other • �'/ \/ \0 • \y \. \�. - . '6-. . n • SIDEWALK REPAIR SURVEY FORM — CITY OF WATERLOO, IOWA - — PROPERTY ADDRESS SOS t3 ra-ctd I-0aJ -. S , ag /4 -23 -?_e?6- o.,2a . 7/ . — • PARCEL -CODE CONTROL NUMBER CERT. NUMBER LEGEND ke-- L' —4,-1 - AREA.NEEDING REPAIR V///77//1/A L = length of repair needed - - Type of defect A _ (See reverse side for Defect Codes A—F) • (See below for Defect Code G) • Iv's A>i< ADDRESS: .508 (-----. \. . j (__0 \ Property Line _ T , - . — WATER SHUTOFF VISIBLE ❑ nJ CAP — BROKEN 0 MISSING ❑ 13 r Deal wm.y S f, LOCATION OF SIDEWALK El FRONT YARD K SIDE YARD ❑ OTHER WIDTH OF SIDEWALK El FEET ID FEET \� 5.3EET ❑ OTHER_ DEPTH OF SIDEWALK ❑ 4 INCHES ❑ 5 INCHES 6 INCHES AREA TO BE REPAIRED sq.ft. 4 in. sq.ft. 5 in.2 7.O sq ft. 6'In. CODE F — PATCHES YES El NO R NO. OF SQUARES WITH PATCHES - NOTE: Areas marked with an "F" may be repaired by patching. All -other areas shall be repaired by reconstruction of full squares. y;30-/0 ,ZS First Inspection and Form Made By: me BS. Date: 3 ZY fp . ' •Park Department Review Required ❑ YES 2 NO PERMIT ISSUED NO: DATE: INSPECTION DATE: - IF UNCOMPLETED: . SPECIAL ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: . — CODE G — Other yice vQ - -- C r� �,� — SIDEWALK REPAIR SURVEY FORM `",f CITY OF WATERLOO., IOWA - ti PROPERTY ADDRESS 601 6j?oQ km,t/ i. 8. 13 - g.5- ze31-- .ozi 71 PARCEL CODE CONTROL NUMBER CERT. NUMBER — LEGEND r L' — i , `n -- AREA.NEEDING REPAIR V///77/j7,2 'e — L = length of repair needed r—\ V V ,'. . _ Type of defect , ,\ - See reverse side for Defect Codes A—F) (See below for Defect.Code G) 1\'ri1 ADDRESS: 6-0Z , !.: 0 � tl f 7 v}jl4 / zq ,7 r - - x 5.4 Property Line f WATER SHUTOFF VISIBLE 0 CAP } BROKEN ❑ MISSING ❑ _ 4-y " LOCATION OF SIDEWALK PKI FRONT YARD (V SIDE YARD ❑ OTHER WIDTH OF SIDEWALK ❑ 4 FEET ❑ 5 FEET (gL 5.3 FEET [4 OTHER `i DEPTH OF SIDEWALK 2 4 INCH ❑ 5 INCHE , y 6 INCHES �__ ' AREA TO BE REPAIRED sq.ft 4 in. sq.ft. 5 in. sq.ft. 6 in. CODE F — PATCHES YES ❑ NO [I NO. OF SQUARES WITH PATCHES NOTE: Areas marked with an "F" may be repaired by patching. All other areas shall be repaired by reconstruction of full fr ll squares. First Inspection and Form Made By: 6'. 6 Date: 3/Z4/�° Park Department Review Required ❑ YES IN NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: IF UNCOMPLETED: . SPECIAL ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: - CODE G — Other N\4,''\ A ,'\C) - ..�,10 • - Li- SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO. IOWA PROPERTY ADDRESS. . (I Do atocK) . C�CWl E-e 57 89'13 -z3-z.3/ - 66z / ' --i'� PARCEL CODE CONTROL NUMBER CERT. NUMBER ' LEGEND U • AREA NEEDING REPAIR Ulifii zifi L — length of repair needed . F Type of defect i-� , `' See reverse side for Defect Codes A—F)(See below for Defect Code C) ri ADDRESS. I ./ WATER SH F' . � \ VIBROKEN EJ r S�LE Ilia_� �g a C1_F=._-( ._-r.�4 C,l _ MISSING ❑ I ropsrty tine 5-3 / E .. ..._ . ,,,,,z,,,i-- ,,±7 . . 1 \ /'E A/T-0 Ste. ,ZQMDO OF SIDEWALK 14 FRONT YARD 0 SIDE YARD Ell OTHER r 1 ,�f _ ___ i OF SIDEW Ll 4 FEET El FEET El5.3 FEET 0 OTHER DEPTH OF SIDEWALK / ` IX 4 INCHES 0 5 INCHE 6 INCHES r -r co,Li — ✓ 15.6, AREA TO BE REPAIR' • -_ _ ■q.tt. 4 in. sq.tt. 5 in. '7 ■q.ft. 6 in. 1 CODE F — PATCHES YES 0 NO K NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an "F" may bn repaired by patching. All other urea* shall be repaired by reconstruction of ul squ J First inspection and Form Made By:— ( _..5 ..__ Dale: /���/ 0 Pork Department Review Required 0 YES 4NO i PERMIT ISSUED NO. DATE: INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: , CODE C — Other Ii +a .: \� \D i Gti' ( ,,Q l/ I" • SIDEWALK REPAIR SURVEY FORM 7 CITY OF WATERLOO, IOWA . f PROPERTY ADDRESS 06 , '1k- z ,q 57:- . . 89>i3 _Z3_ z30_ 0 a 8 v -77 . • PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND t-5- L' 11' - . • AREA.NEEDING REPAIR f/T//i7777/-fi L = length of-repair needed Type of defect (See reverse side for Defect Codes A-F) a • (See below for Defect Code G) A .. ADDRESS: �� x• �� Crj y �A. a ,\. . \ i or �� f��� _ Property Line = V WATER SHUTOFF • - VISIBLE ❑ CAP ¢ BROKEN ❑ • MISSING El i CETFR ST - LOCATION OF SIDEWALK ❑ FRONT YARD 0 SIDE YARD ❑ OTHER ( ----- J-, ---' WIDTH OF-SIDEWALK ❑ 4 FEET [1:1 5 FEET • ❑ 5.3 FEET Vi OTHER_/ - r' DEPTH OF SIDEWALK 4 INC ❑ 5 INCHES ❑ 6 INCHES 25a ✓ ' AREA TO BE -REPAIRED sq.ft. 4- in. sq.ft. 5 in. sq.ft. 6 in. CODE F - PATCHES YES ❑ NO NO. OF SQUARES WITH PATCHES _ Areasmarked with an "F" maybe reppatching. All other areas NOTE: P by y shall be repaired- by reconstruction o full squarreej - First Inspection and Form Made By: Date: 3zz//v •Park Department Review Required [] YES g NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: -. IF UNCOMPLETED: . SPECIAL ASSESSMENT CONTRACT NO - CONTRACT COMPLETION DATE: - CODE G - Other '\-\ to • - • - • ' - c r\ • SIDEWALK REPAIR SURVEY FORMj. CITY OF WATERLOO, IOWA _ • PROPERTY ADDRESS Zo 7 C, u - Sr. _ • - 6,1,5 -Z3=z3;5- . 0 ./ • PARCEL CODE CONTROL NUMBER CERT. NUMBER - — LEGEND I..-- L• AREA.NEEDING REPAIR rllf//ll///A __ L = length of repair needed Type of defect A See reverse side for Defect Codes A—F) _ ' (See below for Defect Code G) _>1<4.0. ADDRESS: 7�o7 Y ) . N I _..._ . or 2- GS P \, Property Line ri j fr/4 `1 -1 WATER SHUTOFF VISIBLE ❑ BAc,k of&)'! C BROKEN ❑AP — j�� 5T MISSING El �, f \i de. l ' uO y Si n,5;,° T LOCATION OF SIDEWALK El FRONT YARD IX SIDE YARD El OTHER h�'w_�.� t`i```� ��i WIDTH OF'SIDEWALK El4 FEET ❑ 5 FEET L� OTHER❑ 5.3 FEET Qi. 7 {� ~ DEPTH OF SIDEWALK M 4 INCHES 0 5 INCHES ❑ 6 INCHES AREA TO BE REPAIRED' III� — t - sq.ft. 4 in, sq.ft. 5 In. sq.ft. 6 in. CODE F — PATCHES YES ❑ NO i NO. OF SQUARES WITH PATCHES • — NOTE: Areas marked with an "F" may.be repaired by patching. All other areas shall be repaired by reconstruction of full squares. • /' l- : . First inspection and Form Made By: M� i3 Date: 5�Z4P//d ._ Park Department Review Required ❑ YES al_NO PERMIT ISSUED NO: DATE: INSPECTION DATE: IF UNCOMPLETED: - SPECIAL ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: • CODE G — Other — • 4.\O.\ gALP.t� . /./ SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO IOWA PROPERTY ADDRESS 21 5 • C'Air- 2 -1 - • 9 13 _Z-3 --z33—off 7� -' PARCEL CODE CONTROL NUMBER CERT. NUMBER • LEGEND te- U AREA NEEDING REPAIR EI/I1//77TJA �S\ L s length of repair needed Type of defect pf:3-\\, (See reverse side for Defect Codes A-F) (See below for Defect Code G). ii -iE---1 ADDRESS. ` WATER SHUTOFF S VISIBLE 0 yak .Cate t� BROKEN IDk`} MISSING El. oar \ �O�t\ / /0 Property line G\, ..1 , - --- ,,,/ C -Al1 . LOCATION OF SIDEWALK Lkl FRONT YARD 0 SIDE YARD 0 OTHER yam OF SIDEWALK ❑ 4 FEET 0 S FEET ,5.3 FEET 0 OTHER DEPTH OF SIDEWALK 7-0 4 INCHES ❑ 5 INCH G INCHES AREA TO BE REPAIRED 53 sgfl4 in- sq.tl 5 in. , xq.ft. 6 in. CODE F - PATCHES NO 0 NO. OF SOUARES WITH PATCHES NOTE. Areas marked with an "F" may bet repaired by patching. All other ursae _ shall be repaired by reconstruction o f II squpry. ` First Inspection and Form Mode By:-._ PPP ____5 - Date: %/Z' // Park Department Review Required YES ❑NO PERMIT ISSUED NO. DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: # CODE G - Other Qc , SIDEWALK REPAIR SURVEY FORM - __ CITY OF WATERLOO, IOWA • PROPERTY ADDRESS. 1 9 CEA(7- -2 57" - 89 i 3 _z _z3 2 —c QZ . : if3 �Z, . _ PARCEL CODE CONTROL NUMBER CERT. NUMBER • LEGEND . L' AREA NEEDING REPAIR LW41_11111A — . L - length of repair needed Type of defect (See reverse side for Defect Codes A—F) (See below for Defect Cods G) � -- a� �s� 2 q t f -4(-- ADDRESS. l ,,,,, , „_, WATER SHUTOFF VI LE ❑ \ . See — BROKEN ❑ . ,,//, MISSING 0 _— tom -- Property tine rf . — L'c--c/7—e if- LOCATION OF SIDEWALK JRONT YARD 0 SIDE YARD El OTHER —' j OF SIDEWALK El4 FEET 0 5 FEET . • ED.3 FEET l OTHER �'/ % — • DEEM OF SIDEWALK ❑ 4 INCH 5 INCHES ) 0 6 INCHES AREA TO BE REPAIRED sq.4 i . _2_ sq.ft., In. sq.fl. 6 in. — CODE F — PATCHES YES ❑ OD NO N . OF SQUARES WITH PATCHES NOTE. Areas marked with on "F may be repairedother areas by patching. Ali (' shall be repaired by reconstruction of full squares. - /h First inspection and Form .Made By:_ •i" ..� Date: .34.5r) v • Pork Department Review Required 0 YES -[ NO • — PERMIT ISSUED NO. . .- DATE: INSPECTION DATE: ' • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO' — CONTRACT COMPLETION DATE: CODE G — Other ,I `U t . • )�`S (2`,`) I -. / i SIDEWALK REPAIR SURVEY FORM I CITY OF WATERLOO.- IOWA PROPERTY ADDRESS. 1777 . e .6.-/(7- _52'- - PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND L —0-1 AREA NEEDING REPAIR VVZ/ilUUle L — length of repair needed Type of defect •� ((See reverse side for Defect Codes A—F) • �� (Sea below for Defect Code C) 1 d ...*_I ADDRESS. I /6 1 WATER SHUTOFF VISIBLE ❑ BROKEN ❑ MISSING 0 � ‘. Property Line _ S' / VIA A , i e • LOCATION OF SIDEWALK ( FRONT YARD ❑ SIDE YARD ❑ OTHER --- — �- OF SIDEWALK 0 4 FEET 0 5 FEET 0 5.3 FEET I OTHER ) ------ INCHES 6 INCHES DEMI OF SIDEWALK /% 4 INCHi S � 0 5 AREA TO BE REPAIRED Z tt. 4 In_ •q.H. 5 in. eq.ft. 6 in. CODE. F — PATCHES • YES ❑ NO tQ/ NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an "r may ba repaired by patching. All other area, • • shall be repaired by reconstruction f full squop VZ47/ b First Inspection and Form Made By: t�{� S Data: Pork Department Review Required 0 YES NO PERMIT ISSUED NO. DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. CONTRACT COMPLETION DATE: , CODE C — Other- i I ! AO S r _ ..._ _... 4 . /- 1 . . . . y, SIDEWALK REPAIR SURVEY FORM r CITY OF WATERLOO, IOWA - PROPERTY ADDRESS. . f I Q ef s7•/v7 57- r 89 13 -Z _ Z3Z _ �Z7 • PARCEL CODE CONTROL. NUMBER CERT. NUMBER F • LEGEND . ko- L. -. AREA NEEDING REPAIR. V/wizzzAA L a. length of repair needed Type of defect (See reverse side for Defect Codes A-F) (See below for Defect Code.G) r ? --) • 0.'k s� 1<-- • ADDRESS. / / ) I AA L , } I I WATER SHUTOFF 1 VISIBLE ❑ . \ . BROKEN ❑ .. 1 MISSING 0 6' Qe G-) LL v 19 Ae- _ — - Property tine r" • / r r i l • . LOCATION OF SIDEWALK FRONT YARD 0 SIDE YARD 0 OTHER ,�/ bFEET/ El WiQJJ OF SIDEWALK �L..L 0 5 FEET • 5.3 FEET 0 OTHER - OF SIDEWALK l T 4INCHES') 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED \_ (_G'.i_e::ft. 4 in. sq.1t. 5 in- ■q.ft. 6 in. _ CODE F - PATCHES - YES 0 NO X. NO. OF SQUARES WITH PATCHES NOTE. Arson marked with on -r may be repaired by patching. All other urea* -- shall be repaired by reconstruction of 1Kane. First Inspection and Form Made By: c If .3 Date: 3/Z6 /d Park Department Review Required 0 YES VINO i - PERMIT ISSUED NO. - DATE:DATE: INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- ' CONTRACT COMPLETION DATE: , • CODE C - Other• 44 maw I 1 - � �l 0\- r . ;V 4 I J — — SIDEWALK REPAIR SURVEY FORM - CITY OF WATERLOO. IOWA PROPERTY ADDRESS. 403 cli1i i c • Kci 13 _a-i 5"3 -601 ✓ ge PARCEL CODE CONTROL NUMBER CERT. NUMBER D AREANNEEDING REPAIRr1717./7/7.IIA — f_': , L - length of repoir needed ®a\ ft.. Type of defect \ \V (See reverie side for Defect Codes A-F) ttt 'r (See below for Defect Code G) -. `� ADDRESS. 4,e)1.3 WATER SHUTOFF FCI_ALIV1 _ALE 0 1 \ � . V�\ \ • wc, Silk' V . v V. 3`j.-.. BROKEN 0 Cd MISSING 0 pt ,Q- 1 Ql-' A__... a-- A Property Uniy R ' Y/1 ll4//i,l 114111,1 (.0-------,- _____(;) lib et45' , 1- ,-, / i , . CAS J TION OF SIDEWALK . FRONT YARD 0 SIDE YARD ❑ OTHER yeilab OF SIDEWALK 0 4 FEET ( ►. . 5 FEET 0 5.3 FEET ❑ ou tER DEPTH OF SIDEWALK !A 4 INCHES 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED q.tt. 4 ;n. ■q.ft. 5 In_ ■q.ft. 6 in. CODE F - PATCHES YES ❑ NO j NO. OF SQUARES WITH PATCHES NOTE. Arsos marked with on "F- may be repaired by patching. All tither areas shall be repaired by reconstruction of full squares. (■quores. 1 First inspection and. Farm Made By: ti- Date: _i- C -f a • Pork. Department Review Required jej, YES: []NO i j PERMIT ISSUED NO. DATE: INSPECTION DATE: ' IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO CONTRACT COMPLETION DATE: , CODE G - Other i f` q) ' SIDEWALK REPAIR SURVEY FORM CITY QF WATERLOO. IOWA PROPERTY ADDRESS �� ��{ CGrq'� •�T — cd aL3' 41 -3°(- 017 ,/ 0q PARCEL CODE . CONTROL NUMBER CERT, NUMBER LEGEND k- L' `-a.'I - AREA-NEEDING REPAIR Gii%IT11TTil L = length ofrepair needed Type of defect (See reverse side for Defect Codes A-F) (See below for Defect Code G) �,�.�e r 10 ADDRESS: I "t V' E 3 L` 3-1- I Property Line . WATER SHUTOFF i------) VISIBLE ❑ __ sAE . BROKEN El MISSING ❑ L \j — . LOCATION OF SIDEWALK E4 FRONT YARD ❑ SIDE YARD 0 OTHER WIDTH OF'SIDEWALK ❑ 4" FEET ❑ 5 FEET EET ❑ OTHER_ DEPTH OF SIDEWALK 14. 4 INCHES ❑ 5 INCHES ❑ 6 INCHES cow • AREA TO BE REPAIRED • vq.ft 4. in. sq.ft. 5 in. sq.ft. 6 in. CODE F - PATCHES YES ❑ NO [N, NO. OF SQUARES WM-I PATCHES NOTE: Areas marked with an "r may be repaired by patching. All other areas shall be repaired by reconstruction of full' squares. W` Date: _3-`�5 ^I0 • First inspection and Form Made By: -- Park Department Review Required 0 YES RI NO PERMIT ISSUED NO: DATE: " INSPECTION DATE: • ._ IF UNCOMPLEILD: SPEl ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: • CODE G - Other _ :v` ,�\" 'Y - i// SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOOS. IOWA PROPERTY ADDRESS. . ZOO i//Z e�4 y 5T 9 i3 a9 . col-oo . . .9® • PARCEL CODE CONTROL NUMBER CERT. NUMBER trIA C ' LEGEND L a AREA NEEDING REPAIR Ilr////11/Ia �� 1— °: L — length of repair needed _,tl '. Type of defect !\ ((See reverse side for Defect Codes A—F) (See below for Defect Code G) `' �� ADDRESS. -- K131?. vrtL �• � ( WATER SHUTOFF 1�i7 p VISIRLE ❑ . \ BROKEN 0 . MISSING ❑ CrProperty Line - _I , arKISki OF SIDEWALK ts4 FRONT YARD 0 SIDE YARD ❑ OTHER Mb OF SIDEWALK El FEET 0 5 FEET C 5.3 FE. 0 OTHER DEPTH OF SIDEWALK // -4 INCHES (J 5 INCHES ❑ 6 INCHES ( ©f / iAREA TO BE REPAIRED 7. *q.tt. 4 eq.it. 5 in- sq.ft. 5 in. • CODE F — PATCHES YES❑_ ENO 0. NO. OF SQUARES WITH PATCHES Areas marked with an "F may be repaired by patching. All other areas 1 NOTE. shall be repaired by reconstruction of full squares. J_CJ Date; e First Inspection and Farm Made 8y:_._ �3 -''�-i Pork Department Review Required 0 YES }NO J PERMIT ISSUED NO. DATE:. INSPECTION DATE: • 1 IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: , CODE G — Other- i I1 ;0,- . . . f L., ,•,_.,_ . , ,, - .•____,..• . .:. • \.0 . _11 . .,A , , , „ . _, ,,,, , ,. • .. ,-- ,. , _,,,_ • . . : I • __ _ + /; T SIDEWALK REPAIR SURVEY .FORM CITY OF w TERLOO, IOWA l .l PROPERTY ADDRESS. . D-Oc1 C4`-' S+, r PARCEL CODE CONTROL NUMBER CERT. NUMBER }�, AREA NEEDING REPAIRi//f� 51— , L � tertgth of repotr nnadsd pa� ;�? Type of defect \ (See reverse side for Defect Codes A—F) 't I` (See below for Defect ect Code C) r vt, • I 1* ADDRESS. /2O I I WATER SHUTOFF I VISIBLE al OK . . \ . ..rde BROKEN 0 . MISSING 0 ._f Property tine _ A _. 1 1�5 i 5 � c ,j . LOCATION OF SIDEWALK FRONT YARD ❑ SIDE YARD 0 OTHER - r 18 OF SIDEWALK 0 4 FEET 0 5 FEET {.3iii5.3 FEET 0 OTHER. r DEPTH OF SIDEWALK r`�' I 4 INCHES [} 5 INCHES 0 6 INCHES AREA TO BE REPAIRED ' $ ■q.tt. �n. ■q.it. 5 In. ■q.ft. 6 in. CODE F — PATCHES YES NO NO. OF SQUARES WITH PATCHES • NOTE. Areas marked with on -r may bet repaired by patching. All other areas p— • shall be repaired by reconstruction of full squares. 1 l First Inspection and Form Made By:__._ 1` - __._ Date: 3- S ..yio 11 f Pork Department Review Required 11 YES ❑NO i PERMIT ISSUED NO. DATE: INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO' CONTRACT COMPLETION DATE: , CODE G — Other. i . i 1 , i . - 1 V SIDEWALK REPAIR SURVEY FORM • CITY OF -WATERLOO.: -IOWA PROPERTY ADDRESS. . ;t 7 Cla. . � - PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND l' -••-I 4)C. ® AREA NEEDING REPAIR VLIZZLIMA _ , R o. 4"' L. - length of repair needed tt s` Type of detect Al' (See reverse side for Defect Codes A-F) � (See below for Defect Code C) i • ADDRESS. tT f f i — WATER SHUTOFF \ VISIBLE ❑ \\ SA BROKEN 0 MISSING ❑ • -( C,,�;jJ-Pr pirty Linet-t- .... i — — — -- — . . ___ 1//74 ..(6-____--..L., -„:5? 1 • ...... c SSA, - _ . OF SIDEWALK !. FRONT YARD 0 SIDE YARD 0 OTHER Vani OF SIDEWALK 0 b FEET 0 5 FEET • 4-5-3 FEET ❑ OTHER r • DEPTH OF SIDEWALK d 0 4 IN 0 5 INCHES 0 6 INCHES a.1' 7JJ AREA TO BE REPAIRED ■q.ft. 4 ;n. .q.ft. 5 in. aq.ft. 6 in. ".. CODE F - PATCHES • YES 0 NO IN NO: OF SQUARES WITH PATCHES • NOTE. Areas marked with an "f may be repaired by patching. All other areas • shall be repaired by reconstruction of foil uorps. First Inspection and Form Made By: '� Date: `�� t Park Department Review Required ❑ YES ( NO • _ i f PERMIT ISSUED NO. DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. CONTRACT COMPLETION DATE: , • CODE G - Otheri 1 I r. j v \G. A �• _ Q / -'•\ e • .. _ --- •— - • . .LZ- ' T SIDEWALK REPAIR SURVEY FORM . . CITY OF WATERLOO: IOWA • f PROPERTY ADDRESS. . ,�.I? -1 Li JS+ �j f PARCEL CODE CONTROL NUMBER CERT. NUMBER C,`j�' LEGENDL 5 AREA NEEDING REPAIR riiYJ,WZZA Q�•\ 5 • I_ — length of repair needed A 1— �e.' Type of defect (See reverse side for Defect Codes A—F) (See below for Defect Code C) • 'OK ADDRESS. J 1 v + . WATER SHUTOFF I VISIBLE ❑ \ BROKEN 0 . T• . , • MISSING 0 Property tine _ 1 • OF SIDEWALK I. FRONT YARD 0 SIDE YARD 0 OTHER T- . MEI OF SIDEWALK 0 4 FEET 0 5 FEET 4 5.3 FEET ❑ OTHER MEM OF SIDEWALK • 4 INCHES 0 5 INCHES 0 6 INCHES S3.5 ft. s in. AREA TO BE REPAIRED •q.ft. 4 .n. —sail. 5 in_ ,q. • CODE F — PATCHES • YES 0 NO NO. OF SQUARES WITH PATCHES • t . NOTE. Areas marked with an -r may be repaired by patching. All other areas • shall he repaired by reconstruction of full squares. f" First Inspection and Form Made By: r L.t�' Date: J5 (1 • • Park Department Review Required 0 YES 04 NO . PERMIT ISSUED NO. DATE: INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO• r CONTRACT COMPLETION DATE: 4 I CODE G — Other 1 1 f- • V�' , - . ti i- : a a e, _ -- . - - . SIDEWALK REPAIR SURVEY FORM 1 Cr( OF WATERLOO, IOWA •• . . . - PROPERTY ADDRESS ?d9 ce-Ay sr . 3113 _:),,i-... 0a _0 61 / 24- - PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND 1+- U -••1 -.. X• ' • AREA NEEDING REPAIR 17777777777ii - .,1.2 L = length of repair needed II\40 • Type of defect ...-,IR - ° (See reverse side for Defect Codes A-F) 0... \" • 0 (See below for Defect Code G) k*\ fi-‘ . . • , _, b ><1,_ ADDRESS: -5e' -er.-1-4P` 7 fr3 — v) \ . j — . . I _ I , .. C, Property Line -. . -- --,1 WATER SHUTOFF • VISIBLE E] - _.- r- 0.2 ------ L6E if • .___ -- • . 4 } BROKEN D MISSING D ..i . LOCATION OF SIDEWALK '9 zi FRONT YARD sfe" SIDE YARD EA OTHER 1 • WIDTH OF'sioEvoku< El 4 FEET 154 5 FE / .fiEt 5.3 FEET 0 OTHER _ DEPTH OF SIDEWALK ,741 4 INCH ' 0' 5 INCHES 1:1 6 INCHES -I „.. AREA TO BE REPAIRED' 6 -ci.ft 4 in. . . 5 in. sq.ft. 6 in. . 1 CODE F - PATCHES YES El NO p NO. OF SQUARES WITH PATCHES •. NOTE: Areas marked with an "F" may.be repaired by patching. All other areas -.. shall b'e repaired by reconstruction of f _muores. . . • First Inspection and Form Made By: 1 r, (,---t'' ' Date: ---3--)\-5--(0 1 . •Park Department Review Required Li YES 0. NO PERMIT ISSUED NO: DATE: INSPECTION DATE: • 1 -I. IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: , CONTRACT COMPLETION DATE: • • . CODE G - Other J. . . , • • • • . 4-\'..• k Y.)4-0 ^'\ \G • k---,0- \ J * C • S 1,_ .--) V L _ ___ SIDEWALK REPAIR SURVEY FORM , . CITY OF WATERLOO.• IOWA PROPERTY ADDRESS. . 3 I(-1 ( lcu5-1— . . g l 13_3-`1_ 1173_o A i lea l� L,5 . W'1 PARCEL CODE CONTROL NUMBER CERT. NUMBER . LEGEND I-0- L. -,-1 Q�� AREA NEEDING REPAIR vi/I////I/�1 1 �� L I. length of repair needed A Type of defect vl (See reverse Bide for Defect Codes A—F) below for Defect Cods C) — 4-)1E— Li ADDRESS. 3 1 WATER SHUTOFF VISIBLE ❑ . \ . S.Be BROKEN 0 MISSING ❑ Prbpirty Lin* — I 1`1l/ LOCATION OF SIDEWALK p FRONT YARD 0 SIDE YARD 0 OTHER .S OF SIDEWALK 0 4 FEET 0 5 FEET ( L 5.3 FEET 0 oTHERt OF SIDEWALK 10, 4 INCHES 0 5 INCHES ❑ 6 INCHES AREA TO BE REPAIRED iq.tt. 4 in. sq.tt. 5 in. - eq.ft. 6 in. CODE F — PATCHES YES [] NO 0_ NO. OF SQUARES WITH PATCHES • NOTE. Areas marked with on "f" may be repaired by patching. All other urea* — ' shall be repaired by reconstruction of full squares. First Inspection and Form Mode By: �� Dale: —4 16 Pork Department Review Required 1J YES 0 NO I PERMIT ISSUED NO. DATE: INSPECTION DATE: ' IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- _ CONTRACT COMPLETION DATE: 4 CODE C — Other i I t- - L-,Cz( _ \O'\ 'S` . C ,j2-1 1\ ._ — - i SIDEWALK REPAIR SURVEY FORM . -CITY .OF. -WATERLOO, IOWA , . — PROPERTY ADDRESS . v 'a I a c-K C...-(al ,S-1-. • - _ -- .PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND • L' �55. ' • AREA NEEDING REPAIR V/I///lll/A Qp ` r L •• length of repair needed A Type of defect H r V t' - ' (See reverse side for Defect Codes A—F) (See below for Defect Code ) . — ADDRESS. 44.-71(--- 1 /Q4 4- WATER SHUTOFF Y /—o VISIBLE 0 — \ . BROKEN 0 • . r e,''' MISSING 0 � 2 ` - 3.1 0 119-91'— Property Line • 1*-04 JA)zi,,,,C7/\\\ c3. r.ti,,,,,e.f:0,0 e/ • Clcui sec . LOCATION OF SIDEWALK M. FRONT YARD 0 SIDE YARD ❑ OTHER • ItIQIl OF SIDEWALK 0 4 rEET El FEET IN 5.3 FEET 0 OTHER .....__--- DEPTH OF SIDEWALK IS 4 INCHES 0 5 INCHES ❑ 6 INCHES AREA.TO BE REPAIRED sq.ft. 4 in. q• CODE F — PATCHES YES 0 NO ':♦ NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an -F" may be repaired by patching. All other areas y-ZZ`f� �S shall be repaired by reconstruction of full squares. ? F LG t3ate: 3- '10 First 'Inspection and Farm Made By: Pork Department. Review Required 04 YES 0 NO PERMIT ISSUED NO. — DATE: INSPECTION DATE: 1F UNCOMPLETED. CON COMIAL ASSESSP ETION NT ODAT�ECT NO , • • • CODE G — Other SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO IOWA PROPERTY ADDRESS. . OD bik. eei L U rZA- _51— - . Eil 13__Z1_208_U 12, ✓ PARCEL CODE �� CONTROL NUMBER CERT. NUMBER LEGEND I-.-- L' AREA NEEDING REPAIR VZIZ Wi L s length of repair needed Type of defect (See reverse side for Defect Codes A—F) Sea below for Defect Code. C) V — U1ADDRESS. Lo * -- WATER SHUTOFF r\e�qti \ • VISIBLE ❑ VSAE • BROKEN 0 - MISSING 0 4:..- Z q �` 5 Lo C IC VrA ;.,.1 f,J•c, i f L_ I / Property Line _ / / / „ a d1 C_o��,y, �� 5fi c �ti�e • k\i',S> `! .00ATION OF SIDEWALK FRONT YARD 0 SlOE YARD 0 OTHER 7 r ,, d , .1111218 OF SIDEWALK 0 4 FEET 0 5 FEET 0 5.3 FEET q OTHER 5 -Y1 \1 DEPTH OF SIDEWALK 4 INCHES 0 5 INCHES 0 6 INCHES • AREA TO BE REPAIRED Z ,t 4 in. sq.1t. 5 in_ - ■q,ft. 6 in. CODE F — PATCHES YES 0 NO ❑ NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an 'F' may be repaired by patching. All other areas ' shall be repaired by reconstruction of full squares. First Inspection and Form Made By: '35 Date; J/Z9/7c • Pork Department Review Required jp YES 0 NO — PERMIT ISSUED NO. DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. ; CONTRACT COMPLETION DATE: 4 - • CODE G — Other. 1 — •w j) Z�' _ - SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO, IOWA - '�J" PROPERTY ADDRESS q Z� CU to 'i { _ - • PARCEL CODE CONTROL NUMBER CERT. NUMBER — LEGEND L' —'I " AREA.NEEDING REPAIR A - " L = length of"repair needed __ . Type of defectCO _ See reverse side for Defect Codes A—F) • (See below for Defect Code G) • . is,D to !l\ �`7k ADDRESS: z7 ZV - r '�1 Property Line . WATER SHUTOFF ' VISIBLE ❑ r HCAP BROKEN El MISSING El yi/ LOCATION OF SIDEWALKFRONT YARD ❑ SIDE YARD EllOTHER i��'' WIDTH OF SIDEWALK El FEFT_ ❑ 5 FLEA (1 5.3 FEET, ❑ OTHER— DEPTH OF SIDEWALK 4 INCHES) ❑ 5 INCHES ❑ 6 INCHES ... AREA TO BE REPAIRED S-3 ft. 4 In. sq.ft. 5 in. sq.ft. 6 in. CODE F — PATCHES YES ❑ ° NO NO. OF SQUARES WITH PATCHES "• NOTE: Areas marked with an "F" may be repaired by patching. All other areas shall be repaired by reconstruction of ful squares. �j First Inspection and Form Made By: 5 Date: -5/Z�//d -.. •Park Department Review Required YES 0 NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO CONTRACT COMPLETION DATE: • CODE G — Other \O `` K� \ C� 0'� • . - 6 eL • - � • . __ , ___ . . ._ _ SIDEWALK REPAIR SURVEY FORM i CITY OF WATERLOO. IOWA PROPERTY ADDRESS. . 7Li. 7 COLt./ -B.T-Wc : .5I-: ✓- 89 t 3 -2,3-20S-0 rE / Lp5 r PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND L -4-i . r AREA NEEDING REPAIR i/I/IlLIZZ/A I — length of repair needed Type of defect Gj ((See reverse side for Defect Codes A—F (See below for Defect Code C) )f QC-4\ � a0s ,� 7t. I ADDRESS. W 7 - I vp, WATER SHUTOFF � � \ vlS�i E ❑ \ • see 1 BROKEN 0 T MISSING 0 , ,,,..: zqii .3,-.,„... Re,v_c....,.,: .„,, ,,, -.4-r.-_—,, -,., ,z , 1 ,.6; -- -,,..,,,,___ a___ INA 1 , ( ... 4,, ,Ef5x ' . . ., . v e c1- ,•� \C) J(.. \O' kQ(- ,�{ v\`' ,,, t\U LOCATION OF SIDEWALK 12! FRONT YARD 0 SIDE YARD 0 OTHER ` ` I OF SIDEWALK CI FEET 0 5 FEET - ❑ 5.3 FEET la OTHER 5~ DEEM OF SIDEWALK L ' 4 INCHES. 0 5 INCHES ❑ 6 INCHES AREA TO BE REPAIRED "— to-ft. 4 in. ■q.it. 5 in. ■q.fl. 6 in. CODE F — PATCHES YES 0 NO q NO. OF SQUARES WITH PATCHES NOTE. Argos marked with on "F" may be repaired by patching. All other areas shall be repaired by reconstruction of all squares.• First Inspection and Form Made Ely:___Ely:___ 5. — Dale: 3 /Z3 )40 Pork Department Review Required Xl. YES ❑NO i PERMIT ISSUED NO. DATE: INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: , CODE G — Other• 1 i 1- \O ,i 0 .. C\CL C iw `'1 SIDEWALK REPAIR SURVEY FORM CITY 'OF WATrRLb0, IOWA _ .. . . . . PROPERTY ADDRESS 603 eowititexTA il---- . . e913 _z3_z_cx.„,_ (Di /07 ---- --- --- . • PARCEL CODE CONTROL NUMBER CERT. NUMBER - —. LEGEND I+ L' AREA NEEDING REPAIR V/7/177777/I • -4 L =-- length of repair needed A r, _ Type of defect •mu, c., IC. ' (See reverse side for Defect Codes A-F) — (See below for Defect Code G) ?- A .,___- 1,\,\ ADDRESS: 50-3 _- -'----._ ' --, ti 21 -1--E,ni C _.------------,--. --------) —, 7i ':A WATER SHUTOFF , VISIBLE 0 A, T GD CAP ., D BROKEN 1::1 --- MISSING 0 6:0 IJIVZO 37-• , . LOCATION OF SIDEWALK El FRONT YARD KSIDE YARD n OTHER i WIDTH OF.SIDEWALK ED 4 FEET EI 5 h LE I DEPTH OF SIDEWALK /v 4 INCHES 0 5 INCHES El 6 INCHES 7 -- __ --/-1, -- — AREA TO BE REPAIRED --,, " sq.ft. 4 in. sq.ft. 5 in. ,z1.-ft. 6 in. • CODE F - PATCHES YES 111 NO PI NO. OF SQUARES WITH PATCHES NOTE: Areas marked with an 'F" may be repaired by patching. All other areas shall be repaired by reconstruction of f 1 squares. . • • First Inspection and Form Made By: 5 Date: _3 )zt-I — •Park Department Review Required 2c YES 0 NO PERMIT ISSUED NO: DATE: INSPECTION DATE: • —. IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: CODE G - Other CO RILE C.:1- C,JJ ..... O . D \,\-' — _7(3-` >\.\ cQ- .-Ci SIDEWALK REPAIR SURVEY FORM • CITY OF WATJRLOO. )OWA PROPERTY ADDRESS. t'va b/t<(dL% 4 57 - -. .. e.,ct /3._z3-zz4-oo3 tee PARCEL CODE CONTROL NUMBER CERT. NUMBER ' LEGEND 10— L' -.4 AREA NEEDING REPAIR TlIJIIl./llM , L = length of repair needed Type of defect 6 2 2 (See reverse side for Defect Codes A—F) VCA (See below for Detect Cods C) ‘1) ti,, )Qty ,12 -46-* ADDRESS. ' 1 �O I N1.6-C. L_ci"C- WATER SHUTOFF r VISIBLE ❑ \ . > ae F, " BROKEN CI MISSING 0 '-� ',\" Property Line r 114,- • A a Cot) 8_ 0 S1. LOCATION OF SIDEWALK 94 FRONT YARD 0 SIDE YARD ❑ OTHER r maul OF SIDEWALK ❑ 4 FEET 0 .5 FEET Lt)f STET 0 OTHER DEPTH OF SIDEWALK 4 INCHES C3 5 INCHE/S, 0 6 INCHES r 40. AREA TO BE REPAIRED ' sq.ft. 4 in. ■q.ft. 5 in. ■q.tt. 6 in. I'' CODE F — PATCHES YES ❑ NO I( NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an "Fa may be repaired by patching. All other areas . . shall be repaired by reconstruction I full :qv s, /32��d T First Inspection and Form Mode Ely: Date: Pork Department Review Required YES 0 NO ! PERMIT ISSUED NO. DATE: INSPECTION DATE: ! IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: , r CODE G — Other 1 I " � I ,, .� ,om ,0 - l „ r f v _ • • . . . . . . ... ___ __ .. __ ___ ...... - . . - SIDEWALK REPAIR SURVEY FORM / 1./ _ _ CITY OF WATERLOO, IOWA - . . . .. .- . . . . •- PROPER ADDRESS (0 5 . cod.6L-_-----_ a .5r- . • . _. 8() /3 -z(-1-- /0 /- 0,t3 7 009 __ __ _ . . PARCEL CODE CONTROL NUMBER CERT. NUMBER — LEGEND I-o— U —*-I 1 — ••-•;\., AREA.NEEDING REPAIR V/1./(17/7/A _._.,/ NN, • . . —, L = length of-repair needed .... . Type of defect• (See reverse side for Defect Codes A—F) • (See below far Defect Code G) — . 14; '. • ADDRESS: (.. 5 . _- ------- -"... A19.1, BLDG.G. < \ . . o — \ . . . , . — _ A\ Property Line . — WATER SHUTOFF -....7 VISIBLE 0 . 21' (clot , E)/ BROKEN 0 . MISSING 0 , . . . ..... • LOCATION OF SIDEWALK El FRONT YARD g SIDE YARD El OTHER WIDTH OF'SIDEWALK ID 4 FEET El 5 FEET •-12f573-7.-EET E51 OTI-L5______,L1-1 2 — , DEPTH OF SIDEWALK El 4 INCHES El 5 INCHES N76 INCHES . --, AREA TO BE REPAIRED q.ft. 4 in. q.ft. 5 in. c. ft. 6 in. CODE F — PATCHES YES El NO kr' NO. OF SQUARES WITH PATCHES •. —., NOTE: Areas marked with an "F" may be repaired by patching. All other areas shall be repaired by reconstruction of f II squares. - . • . ' ' • First Inspection and Form Made By: $ Date: 3171 ii 0 — .. -Park Department Review Required El YES . • PERMIT ISSUED NO: DATE: INSPECTION DATE: ...... IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: • CONTRACT COMPLETION DATE: . CODE G — Other • - ..... . - • \CI JR ft,' ° • ,-.. 0„, . • ' . • _ ..... „•z.'"3\ c\--r2;\ ,\`'-c••• •4,11- • . - 5--' , ,s.:,- •-,,., - •O‘ . . k-' - • ' . SIDEWALK REPAIR SURVEY FORM 7 -OIN OF WATER bo Ioyi — j PROPERTY ADDRESS. La kik • co/6 � �/ - . 8913 _ _._L z g _o o- • - /l� PARCEL CODE CONTROL NUMBER c\ Z CERT. NUMBER �� LEGEND . _ �... 1' AREA NEEDING REPAIR Iri-- L. � L length of repair needed — Type of defect See reverse side for Defect Codes A—F) //9 See below for Defect Cods C) I -A IZ . .� 1 ADDRESS. ' I n , WATER SHUTOFF \v� vrst8LE [] • Z0' Pik-R1 L gee _ $� BROKEN C] . • i e.Sk• LftSSINC ❑ i �� LAI. /f ii property tine _ I c,s - • (D!✓6E2 51 IOW= OF SIDEWALK 9FRONT YARD 0 SIDE YARD 0 OTHER 1. yam OF SIDEWALK C:i ..4 FE_ET} 0 5 FEET • 0 5.3 FEET 0 OTHER DEEM OF SIDEWALK - ❑ 4 INCHES 021 5_INCHES 0 6 INCHES IAREA TO BE REPAIRED 4 7 — q.ft. i �q.ft 5 in., sq,ft. 6 in. j' CODE F — PATCHES • YES 0 NO NO• 512uARES WITH PATCHES NOTE. Areas marked with an "f" may bn repaired by patching. All other areas shall be repaired by reconstruction II squ 3/z6 first Inspection and Form Made By: Dale: ho liPark Department Review Required 0 YES ONO li PERMIT ISSUED NO. _._• DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: CODE G — Other' . - - - .._ - i / SIDEWALK REPAIR SURVEY FORM . - . GL�____ F WAT 00 IOW. 57-: . . . PROPERTY ADDRESS. . 3 / ' " 2 a9 3 113 � �" �Z�4_�� CONTROL NUMBER CERT. NUMBERPARCEL CODE • LEGEND AREA NEEDING REPAIR L .• length of repair needed Type of defect \•' � (See reverse side for Defect Codes A—F) S (Sea below for Defect Code G) �a� 1 .�. ��� � �,DDREss. � WATER SHUTOFF ,,� I VISIBLE ❑ NBROKEN ❑ MISSING ❑ 7 -/ prapsrty Line 1� --.\ ..--------------- ' l� OF SIDEWALK FRONT YARD 0 • SIDE YARD 0 OTHER i �I�4 FEET/; ❑. 5 FEET • 0 5.3 FEET ❑ OTHER AIM OF SEW J\ �� — 6 INCHES . OF SIDEWALK /"— 4 INCHES El 5 INCHES 0 / .q.it. 5 in. Z5 ,`f ary.H.--4 in. ■q.f1 5 in- _ -- AREA TO BE REPAIRED - PATCHES _� CODE F — PATCHES YES 1 NO j NO. Of SQUARES WITH atabin4. All ether areas NOTE. Areas marked with an "f" may be repaired by P / / shalt be repaired by reconstruction f all squares. /Z U First Inspection and Farm IAada By:— Dote ! Pork Department Review Required 0 YES 1 0 NO. ' DATE:.._--.-INSPECTION DATE: — PERMIT ISSUED —" IF UNCOMPLETED. SPECIAL NO' .-------- --- CONTRACT COMPLETION CODE G — Other \�` Y)/ { / j . SIDEWALK REPAIR SURVEY FORM �iTY OF WAT RLOO Inwq PROPERTY ADDRESS. . 1/77 ea/v6.E �'7"-- _ . eD t3 —z-3—z4_ooa ie� _ PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND ,,� L. t AREA NEEDING REPAIR 1r�Irirrtri�s L - length of repair needed Type of defect See reverse side for Defect Codes A_F) (Sce below for Defect Code C) _, ADDREss. _ /.7 e k *5 --"4 --- . 53. , �v ' WATER SHUTOFF I' " N vraat E 0 Lee � --- BROKEN 0 • • MISSING 0 . Li' L i_--_ — reperty f c:�,p _ _ ----_ - ,el 1aCeT]Qy OF SIDEWALK_ YARD 0 OTHE[Y FRONT YARD 0 SIDE -' / —Th--! 11fI 1 Mang OF SIDEWALK\ J( 4 FEET/ ❑ 5 FEET - ❑ 5.3 FEET 0 OTHER OF SIDEWALK • 4 INCHES 0 5 INCHES 0 6 INCHES •6) AREA TO 8E REPAIR sg.tt. 4 in. sq.tt. 5 In- _ ■q.ft. 6 in. CODE F — PATCHES YES 0 No NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an -r may be repo{-ed by patching. All othe l shall be repaired by reconstruction t ull s s r areas first Inspection and Form Made By:.. - rl Dale: (J Pork Deportment Review Required 0 YES NO _yr PERMIT ISSUED NO. DATE: INSPECTION DATE: IIF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: ,! CODE G — Other. 1 III R .� �L� \O i L' 1 • { r - - . SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO. IOWA . -- . PROPERTY ADDRESS `3O 9 C 5 CEaT Pc-• Q QQ Z 2_6 2_ ©c =7 11 PARCEL CODE CONTROL NUMBER CERT. NUMBER _ LEGEND U -0'1 • . • AREA.NEEDING REPAIR r//IJ///I//A • - - L = length of repair needed -- Type of defect - ' (See reverse side for Defect Codes A-F) See beiow for Defect Code G • ) x.irC. ADDRESS: (_50 1 ,,., --. .t-4 (:--- 1 kvj-- , — l'\ \ - . v Property Line • - WATER SHUTOFF VISIBLE 0 CAP • • .r ril BROKEN ❑ • MISSING 0 LOCATION OF SIDEWALK 4FRONT YARD 0 SIDE YARD ❑ OTHER WIDTH OF-SIDEWALK ❑ 4 FEET ❑ 5 1-t1..l 4\----573-FEET E OTHER-5-7 - DEPTH OF SIDEWALK 4 INC ES ❑ 5 INCHES ❑ 6 INCHES AREA TO BE REPAIRED sq.ft 4 in. sq.ft. 5 in. sq.ft. 6 in. CODE F - PATCHES YES ❑ NO 9( NO. OF SQUARES WITH PATCHES NOTE: Areas marked with an "F" may .be repaired by patching. All other areas - - - shall be repaired by reconstruction of f411 squares. / First•Inspection and Form Made By: L `� • 1 >5 Date: 3!Z5 l0 _, Park Department Review Required 9(YES ❑ NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: . _- IF UNCOMPLETED: . SPECIAL ASSESSMENT CONTRACT NO: - CONTRACT COMPLETION DATE: - CODE G - Other `® SIDEWALK-REPAIR SURVEY FORM CITY _OF WATERLOOi IOWA = PROPERTY ADDRESS _ 32,7 C t--.5-ce 7" PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND 1.+-- L.AREA NEEDING REPAIR r zme_17,,A L : length of repair needed Type of defect (See reverse side for Defect Codes A—F) (See below for Defect Code C) ADDRESS. 327 WATER SHUTOFF \ • VISIBLE ❑ tee BROKEN ❑ , MISSING 0 Property Line k y LOCATION OF SIDEWALK FRONT YARD 0 SIDE YARD TH OF SIDEWALK 0 4 FEET 0 5 FEET ( 5. 0 OTHER _.-- DEPTH OF SIDEWALK 7 4 INCH 0 5 INCHES ❑ 6 INCHES AREA TO BE REPAIRED Z3 '/ ,ft. 4 ;n. sq.ft, 5 in. , sq.ft. 6 in. CODE F — PATCHES Yt-S-121 NO 0 NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an "F" may be repaired by patching. All other arson shall be repaired by reconstruction f full squ First Inspection and 'Form Made By: Date; ,3f Z 5)D Pork Department Review Required ❑ YES jel NO PERMIT ISSUED - NO. DATE: INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: 4 CODE C — Other w �;w - - • SIDEWALK REPAIR SURVEY FORM % CITY OF WATERLOO IOWA - _ — PROPERTY ADDRESS v�" Z Aar T_. • 8Di3 - s c • PARCEL CODE // CONTROL NUMBER CERT. NUMBER • LEGEND , L, AREA-NEEDING REPAIR L = length of-repair needed . - Type of defect • (See reverse side for Defect Codes A-F) • (See below for Defect Code G) �'4 0 ADDRESS: Z _ 1 L::,,,i \.\ . .. d _. N . ,;,Zy _ Property Line r J i9� WATER SHUTOFF a`' VISIBLE El ) _c_ (10 — BROKEN ❑ 4064 - 4✓E MISSING ❑ • O ATIO " OF SIDEWALK X FRONT YARD ❑ SIDE YARD ❑ OTHER _Mai OF SIDEWALK ❑ 4 FEET ❑ 5 fLLi ❑ 5.3 FEET j � $Z ______ 7`� OTHER DEP N OF SIDEWALK \ �� l 4 INCHES a ❑ 5 INCHES ❑ 6 INCHES :` AREA TO BE REPAIRE '26 5 --�q.1t 4 in. sq.ft. 5 in. sq.ft. 6 in. CODE F - PATCHES YES 0 NO I�( y-� NO. OF SQUARESWITH PATCHES - _ NOTE: Areas marked with an "F" may be repaired by shall be repaired by reconstruction o f II squares. First Inspection and Form Made By; • Date: Z /0 — -Park Department Review Required ❑ YES - ENO 'PERMIT ISSUED NO:_ DATE: • ---_ INSPECTION DATE IF UNCOMPLETED: - SPECIAL'ASSESSMENT CONTRACT NO: • CONTRACT COMPLETION DATE: CODE G - Other �0 // . _ 1 SIDEWALK REPAIR SURVEY FORM 1 - . . . refeLL.,QEAAIERL-QQ.12-616 .._ F PROPER 1Y ADDRESS i--- I' . _.;..----------- PARCEL CODE CONTROL NUMBER CERT. NUMBER i-- A C36* . LEGEND 1-4I- LI --0-1 • AREA NEEDING REPAIR = ° 2ZOZMri 1/4 L •• length of repair needed ,A__I r „.... \ - Type of defect o Yes-tr, (See reverse side for Defect Codes A-F) p ty (Sea below for Defect Code G) •••••• .S.,VI F647 I ADDRESS. _-----_ ViVt'ANrr WATER SHUTOFF r i--\ r ,iy,T., VISIBLE 0 . .e BROKEN 0 . I MISSING 0 • ....._-----._---._-- ---1-----. . r jarAnial OF SIDEWALK IP FRONT YARD 0 SIDE YARD 0 OTHER---.- r ADM OF SIDEWALK 0 4 FEfik 5 FEET---.- 0 5-3 FEET 0 OTHER--- - . id DliZjli OF SIDEWALK 4 INC.H ..'e. 0 5 INCHES 0 6 INCHES 7 i- AREA TO BE REPAIRED '-----• q.tt. 4 in. -..sq.lt. 5 In_ q.ft. 6 tin. I CODE F - PATCHES YES 0 NO tg,j NO. OF scruAREp WITH PATCHES--- NOTE. Arson marked with an -r may be repaired by patching. All other urea* shall be repaired by reconstruction of lull squares. 3—d-s— to First Inspection and Form Made By:______-----------__ We: .• Park Department Review Required CI YES rAtio i f ! PERMIT ISSUED 140, _ DATE:_____... .--INSPECTION DATE: _____---"---- IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. ------ ; CONTRACT COMPLETION DATE: _--- ---------------------- CODE G - Other ----------------------- ! r- i . 1 I . o . •-4- _\-" - c) . :r------c- - ----,-<' zk\ • ‹ . . \ . - �,SIDEWALK REPAIR. S �' SURVEY FORM / T � FWTRtn PROPERTY ADDRESS. S / . 1- - V •PARCEL CODE f Z J CONTROL NUMBER 'RA MA LEGEND CERT BER - y AREA NEEDING REPAIR �� .. 2222,222 L length of re �n 2.�• TYPe of defect pair needed See reverse side for Defect Codes A_ ,' _ �t/ .® (See below for Defect Code C) tD r 1 1 I ADDRESS. _— U /1 r CATER SHUTOFF tk sfeLE .0 • BROKEN 0 �1 D MISSING 0 �_"' -. `rly tine .)4�;.1'` •�ILa► OF SIDEWALK - FRONT YARD 0 SIDE YARD I OF SIDEWALK ❑ 4 y.�.� ❑ OTHER t 5FEET • 0 5.3 OF SIDEWALK +t� 4 INCt1 0 O O �-- 5 with d e kINCHES AREA TO BE REPAIRED Z7.i� 6 INCH CODE F — PATCHES YES q.f1 4 :n. yt✓ q.ft. g i �7b. . ❑ NO 14 NO. q.lt. in. E. Areas mar � $BARES WITH P . Aral! be b an _F may bet repaired PATCHES li Y reconstruction ofPfull A by patching• FAll otter areas - NOTE Inspection and Form M quarts. ads By: Pork Department Review Required t3ate: �- —f ❑ YES NOif l� • PERMIT ISSUED NO._________ DATE: IF UNCOMPLETED SPE SPECIAL AS INSPECTION DATE: CO ASSESSMENT CONTRACT NO- NT�tACT COMPLETION DATE: CODE C — Other I tt � • \.(.2). �� > •`e 0. i .. _ . • • -•------- . . . . „ . . . ._.., •. - • / SIDEWALK ,REPAIR SURVEY FORM ir .. TY F- PROPERV ADDRESS. . &D.(AIA--ev _ - _ PARCEL CODE CONTROL HUMBER CERT. NUMBER AREA NEEDING REPAIR length of repair needed • Type of defect _-------- See below for Defect Code C) • See reverse side for Defect Codes A-0 ( • \-- . 1 A.I3DRESS. - . I I WATER SHUTOFF' N • v,s,am • • BROKEN C3 MS • issiNG \-‘• CO) 11 x. ‘••i (0/ 6.6 -- i 0 1:, "1/ ---- --------- 10 i t I • \ . r • j.0 2 1 ISal OF SIDEWALK tX FRONT Y C3 SIDE YARD ARD C3 OTHER.----- \ yams OF stoEwo.Lx 0 4 Mr 0 5 FEET _5___3_,ET ° 14 ' -- -. OTHER------ \..._ - DEM OF SIDEWALK -: 4 WIC A46-, (:) 5 INWES 0 6 ItCRES, • \ AREA TO BE REPAIRED lot 7---• / Ltf.( stiAL irit. --•----ficlit- fk_lf:_ 17.1- 5.41-: 6 it% . • CODE F - PATCHES • a NO NO. of SQUAREp WITH PATCHES------••---- __ \'. NOTE. Areas merited with an -F" may b spaired by patching. NI tither areas shall bs repoirod by rscanstruction f full sgu . • first Inspection ond Data: • \\ Park Deportment Ftsv 0 isw Required YES 0 HO , • • PERMIT ISSUED t4o._______• DATE:_____----INSPECTION DATE: IF UNCOMPLETED. SigNCIAL tt SCEOSrEtfloCHOrt,, :CT NO- --------- ------. . i ----------------. CODE O - Othar• i\l1 •-• • . 1 ‹ ,,-) \C' • . - - • \-- 111-- --- - -•-- c-/ , c3\ . . . • • •-- .•,-( g•-.,,c. .9° . • 1 1 - • • FORM 1 SIDEWALK REPALR SURVEY V / GkTY OF WATERt00 i0�'A i ptPROPERTYZv Y ADDRESS 2 — . -ERT. NUMBER 8 /3 _z3 : 33 a O� CONTROL NUMBER---�— • PARCEL CODE • A LC. -- L' LEGEND AREA.NEEDING REPAIR L = length of-repair needed — Type of defect i-, ` (See reverse side for Defect Codes A—F) i . - (See below for Defect Code G) ADDRESS: -------- 4 OLJ A C c15 C3 A-A -v _ N mkat__,,,,--__ ._ tit ts?r- i -,\, . ,, _ • ,,,,, . . �, (��� Property LI�_ WATER SHUTOFF �1L� �— VISIBLE ❑ ��°°°� JJ CAP `'l BROKEN ❑ —' MISSING ❑ L�-�i� OF SIDEWALK 0 FRO YARD 0 SIDE YARD ❑ OTHER — c • 05,3 FEET LZS OTHER ❑ 4 FEET 0 5 FEET DIM VIM OF SIDEWALK �[ 6 INCHES I XI 4 INCHES ❑ 5 INCHES ❑ OF SIDEWALK '�C 1 Gq,ft. 6 in. 1\5 �q.ft. 4 in. sq.ft• 5 in. AREA TO BE REPAIRED WITH PATCHES_____--- YES 0 NO IX NO. OF SQUARES CODE F — PATCHES - patching.maybe repaired by P All other areas LLL2. NOTE: Areas maeped with arecnstrtin of full squares. shalt be repaired by Date: J � - First Inspection and Form Made By:IF — NO uired 0 YES �• Park Department Review Req INSPECTION DATE: NO:.� DATE:________— . -PERMIT ISSUED - UNCOMPLETED: - SPECIAL ASSESSMENT CONTRACT NO: —• CONTRACT COMPLETION DATE: CODE G — Other - \U - - \7 - .) o SIDEWALK REPAIR SURVEY FORM Fw nn - W PROPERTY ADDRESS. 30 6,0,1,\f 89 t3—z3—z3Z _a /4� PARCEL CODE �' CONTROL NUMBER CERT. NUMBER LEGEND L' AREA NEEDING REPAIR L '. length of repair needed Type of defect See reverie side for Q Code= A-F (See below for bafect CO::od. C) -4 Pc`l E- ADDRESS. —_ if... I '"" I I,— WATER SHUTOFF VISIBLE ❑ S.241 • see w BROKEN ❑ . �; MISSING ❑ — PropsrfY t ina • I T � ��14e1 OF SIDEWALK fC. FRONT YARD 0 SIDE YARD I SIDEWALK 0 OTNER �a�__ ❑ 5 FEET ''�E- =s FEEET QEQIb OF SIDEWALKOTI!� �• l., 0 4 INCH �� �/ 5 INCHES 0 6 INCHES / I-- . AREA TO BE REPAIRED CODE F q•ft. 4 ;n. _ i - PATCHES q•iL gin_ YES 0 N•-ted 'q.rt.0 E6 in. NO, OF SQUARES WITH PATCHESi..- NOTE' Areas marked with on 'F' shall be ke irsd b may be repaired b Y reconstruction of fui squares Y Patching, All ether areas. First Inspection and Form By; } Park Department Review Required Made Date: LS2&:2_____ i'-' ❑ YES CNO I i PERMIT ISSUED Na .-__-,_. DATE: INSPECTION GATE: 11 IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT COMPLETION DATE CT NO CODE 9 - Other I CV- i .. V FORM Spa NO-�. ��. ' 000 a. RESS . C01 o�NU ERA tea �� /! _Z3 B ptkik6k" ¢ G REP1411 no es 1,,fl LEAistv, ssoo oi rsPou. Cad ,` vsocP, O. ds of OC ds G. o.ok o� . "\ L eat spa sv tt c \ w� � X• I y% oo tat lie------ h �S°6 Oss. / fa t^ w µ ,G V \X \ . N 4k\to\l . ck, v, A rki i0 .....„- .I --';. Lx o 01'I iZ/ xi , YI,iiO 0 g f 6� 0 6 l� 0. StO 4 ":11,0) � © ItietlES S q11. 6 �. stow , 1 • �� 5 �� P�tcN�S 040) �"1 1n4 � sgeoEp �Oa CI° 5 a trod b/ r Fh to and1 . cow F dos m Ko. by t" Vad� au: ONO ti0 . 1 bs d f ' ai ICS u "P.c. °n �aa opEGTiON Orsk Poi` OAP°ft Np../_ WTPAC7 µO. R 155UEv E 5344p1 ° t .. , Pam' 0 SCONtR► f - µpm . ------------------ 1 ot"`` Cove c • q 4 sok- -.ill. �� kFP,4//? SPRopERT)' A0OReS F. � rUSVPo&M /S4q,� (co �y� y ��"�ay � eio .oaf pt c ff�/Nc/ tzativo coAtrii,Dt IyV S Pae or gib or re fPgtR /..-. '4eEq �SQQ rev +�d *Pair Deedrd � '. � coo: f� �® �� w Tor Direct Cod cf dad HVmark /, e 0) �� 4. ( ' k' �DSS N • Val l ? �` ��''l / I / .-- --- - ' itorq SNP �cp,rty`^+ £ k1 ��i�xee 1' { �$ ^T,r .rmokT Y�C r^ s c� Y�odf $Ipr ` F`R CD °7�E g FEET ~`Vof sstiK , ST fig c-rileti, r�� t0 sr Cs �Nfs H ��-4.^EDG C CF�E F F4-- --------._4;t1. 4 _ .... -". +q,rt S !n /` NO [a• + NCrSOUr.ES 4.". M.ha •'tVt7rwithan . �'ey� eaaYre .j ^=` be �� 4: 6y �M 7NP^TC�tFi+lt 1niPs.t., QndPQm a��QL�'1"1�1, 1pct,'r � _`ar+ax� a-eEri " -® �PQrt Dtper -,e_t Ravi, R�Yro: d YEs � C'ate; m! CNO='E 1SSUEC NO ''NCDMPLLTFD DATE': SPECK SS _�_ �`"OTj C; C _ NTMCT C u ON DATE: N0 ; Other i, \o I4 -_ , r b / . w i . _ - • . _ . . .. . _. ....___ .. ___. ... SIDEWALK REPAIR SURVEY FORM — CITY OF WATERLOO, IOWA . . . PROPERTY ADDRESS ZE.- PARCEL CODE CONTROL NUMBER CERT. NUMBER • LEGEND 1-.4— L' • \V---- AREA NEEDING REPAIR V7///l/ZZZA ik- _ L = length of repair needed ti A , ,-, Type of defect L.---' -2,s (See reverse side for Defect Codes A—F) (See below for Defect Code G) [TT :";,', _ . • • >1<4 ADDRESS: _ -----__ N C I , r,1 .--. i..., , ,,,. • v , 120. 6 i Property Une,o,t; • WATER SHUTOFF — \ \J''' 0 . I 5/, s'.i.,1) ')' 6,N .,1 D C VISIBLE I . AP BROKEN El U - • MISSING El -7-1)G.r...f.s.6-y, A ve. .„1 . _ LOCATION OF SIDEWALK U FRONT YARD Ft SIDE YARD El OTHER WIDTH OF SIDEWALK El 4 FEET 0 5 hELI a 5.3 FEET ID OTHER_ • —. . DEPTH OF SIDEWALK V..._4 INCHES 50_..,INCHES ri 6 INCHES •F ,,.. /. • I — AREA TO BE REPAIRED cf0 i.tcy nq.ft. 4 in. /00.7 sq.ft. 5 in. sq.ft. 6 in. • CODE F — PATCHES YES El NO P NO. OF SQUARES WITH PATCHES NOTE: Areas marked with an "F" may.be repaired by patching. All other areas '—' shall be repaired by reconstruction of full squares. First Inspection and Form Mode By: R 4) ..D G- Date: ? -244 -12) Park Department Review Required X YES .1g7740 -PERMIT ISSUED NO: DATE: INSPECTION DATE •— IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: - • CODE G — Other ..... :7,•:- 5 — \\- • - . - - I! SIDEWALK REPAIR SURVEY FORM . . .CITY OF WATERLOO. IOWA PROPERTY ADDRESS. . 67 FOA-&) •- _7 . B913 -�3_425 -oz3 /36, PARCEL CODE CONTROL. NUMBER CERT. NUMBER _ • LEGEND U _ AREA NEEDING REPAIR cV,Jt7J i"i i '"D '�✓ Lit P, I - length of repair needed ✓ Type a/ defect i 5 (See reverse side for Defect Codes A—F) .. (See below for Defect Cod. C) ADDRESS. l WATER SHUTOFF 5< VISIBLE 0 BROKEN 0 ` fatE _ MISSING 0 c_�I--) Property line Z ";) _ 1111d I -I i.;-► c, cf ' jD E= OF SIDEWALK ,FRONT YARD 0 SIDE YARD 0 OTHER, yagjb OF SIDEWALK 0 4 FEET 0 5 FEET 72 5.3 FEET 0 OTHER DEPTH OF SIDEWALK INCHES 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED 1"5 3'q•tt• { in' q' 1L 5 in. sq.fl. 6 in. CODE F — PATCHES YES 0 NO NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an "F may be repaired by patching. All other areas . shalt be repaired by reconstruction of full squares. 3 h5-//c) El First Inspection and Form Made y.— — Date: • Park Department Review Required 0 YES (ONO PERMIT ISSUED NO. ._- DATE:. INSPECTION DATE: i • IF UNCOMPLETED. SPECIAL CONTRACT COMPLETION ODATE:CT NO. + . CODE C — Other. `` \ \C I " + V SIDEWALK . REPAIR SURVEY FORM CITY OF. WATERLOO( IOWA PROPERTY ADDRESS. 3C)`/ f-1( t,�1 +-- . PARCEL CODE CONTROL NUMBER CERT. NUMBER ' LEGEND I-+— L. --.1 . AREA NEEDING REPAIR r Z/fArd WA L length of repair needed Type of defect ,C., (See reverse side for Defect Codes A—F) (t�1i.0 (See below for Defect Code C) . 1\j + i3 ADDRESS. " 5 ,r, WATER SHUTOFF �` �i _ VISIBLE ❑ \ • Lee • BROKEN ❑ . . MISSING ❑ ' c! A Property tine • f/iWili'iV ' e(1 11/ ,_q ,0-\- — . Mard6MS OF SIDEWALK I FRONT YARD 0 SIDE YARD 0 niajd OF SIDEWALK' 0 4 FEET 0 S FEET 5.3 FEET 0 OTHER ' - — Duni OF SIDEWALK • E4 4 INCHES 0 5 INCHES ❑ 6 INCHES ✓ r i AREA TO BE REPAIRED 4�'-■q ft. 4 in. t'a_ ■q.1i.. 5 In. eq.fl. 6 in. • CODE F — PATCHES YES 0 Nop NO. OF SOUARES WITH PATCHES NOTE. Areas marked with an "F" be repaired by patching. All other areas shall be repaired by reconstruction of full r ores. • First Inspection and Form Mode By:___ C�� ' Date; 3 �`' 1U • Park Department Review Required 0 YES NO • • • PERMIT ISSUED NO. DATE: - - INSPECTION DATE: • • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. �, ; CONTRACT COMPLETION DATE: 4 - CODE G - Other 1 t -- 1 . � 15 �1I tiitY^ � ��/ �\, • q v \`z� . F SIDEWALK REPAIR SURVEY FORM CITY 'OF WATCRLOO, IOWA r.. . _____• PROPERTY ADDRESS 1 3) 35 Hirik:elcjih 5-F-1 !.... ....._ , . SR i 3 _ 2., _:11 1_ o og - 1447 . PARCEL CODE CONTROL NUMBER• CERT. NUMBER • LEGEND I-4— L --m-1 - . • - AREA_NEEDING REPAIR 1/777777./i1 • - • L = length of•repair needed• . Type of defect r------- r (See reverse side for Defect Codes A—F) • . • . . (See below for Defect Code G) . • • >l< ADDRESS: 3131 3 -.5 - r-._ :4-. . . 1 ‘; f) "----._. i-.) Cc-5\^ • Pt `kiL‘jiu M' I . . \ I,) \ . r I . - I Property Line I . • WATER SHUTOFF •Z- I- D VISIBLE El ----.5,U1X 5,-.3\ . 1 . C--.. .../ SAE • } BROKEN El • MISSING El • . Fir-A.ilK i 4 \ . - • , • . . - .. r LOCATION OF SIDEWALK 0 FRONT YARD IA SIDE YARD CI OTHER . Lt • Y/101 OF-SIDEWALK D 4 FEET El 5 FEET •VI 5.3 FEET OTHER 1 ? ' r • EMI OF.SIDEWALK 4 4 INCHES El 5 INCHES 0 6 INCHES . - c„1,7 AREA TO BE REP .9 5 AIRED q.ft. 4 in. —sg.ft. in. q.ft. 6 in. 1- CODE *F — PATCHES YES p NO it NO. OF SQUARES WITH PATCHES . - •. • NOTE: Areas marked with an "F" may.be repaired by patching. All other areas • r i - shall be repaired- by reconstruction of full sc,..cr res. _ I . - • • First Inspection and Form Made By: , i____c_, Date: -3 „ . •Park Department Review Required El YES 10 NO I- -PERMIT ISSUED NO: DATE: IF UNCOMPLETED: •. SPECIAL ASSESSMENT CONTRACT NO: INS.PECTION DATE: • • r • CONTRACT COMPLETION DATE: 1 CODE G — Other . . • r • • „ . , ,,, _ v,,,(\•-iy.- - 0-16—1°,)k . \ . - _ • . i • :`->ct,'C'''''') - -- y,,\'v\, '0-" u--‘ " . r ''' . SIDEWALK REPAIR SURVEY FORM CRY OF WATERLOO, IOWA PROPERTY ADDRESS /00 kik /-//W25ait-I S -- 8q /3 _ z3- 2J6- o01 ✓ 95,E • PARCEL CODE CONTROL NUMBER CERT. NUMBER - LEGEND t''-' L" 1 . AREA.NEEDING REPAIR V///7/777lit L = length of repair needed _. Type of defect (See reverse side for Defect Codes A-F) • (See below for Defect Code G) k• f ADDRESS: c * Q �� to� �C 4, \ ,?.0 \2.1-- ,(vcs° t/, Property Line . O ��� ^' t ¢� f !n � WATER SHUTOFF 4r � 2� — � VISIBLE ❑ CAP ` j BROKE HI ❑ /-/AR(1 �,A 57 MISSING ❑ LOCATION OF SIDEWALK El FRONT YARD 14 SIDE YARD ❑ OTHER WIDTH OF'SIDEWALK k 4 FEET ❑ 5 FLLI El5.3 FEET ❑ OTHER _ • DEPTH OF SIDEWALK 4 INCHES ❑ 5 INCHES ❑ 6 INCHES f • — AREA TO BE REPAIRED VLq.ft. 4 in. sq.ft. 5 in. sq,ft. 6 in. CODE F — PATCHES YES ❑ NO [� NO. OF SQUARES WITH PATCHES_ • NOTE: Areas marked with an "F" may .be repaired/ by patching. All other areas shaft be repaired by reconstruction of full First1 squares. 2 r� lJ/� Inspection and Form Made By: . �,a 3 , Date: /Z7 / — Park Department Review Required ❑ YES xi NO PERMIT ISSUED NO: DATE: INSPECTION DATE - m IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: - V CONTRACT COMPLETION DATE: CODE G — Other — \\ t� . _ ' / - ' a - SIDEWALK REPAIR SURVEY FORM CITY Of WATERLOO.- IOWA PROPERTY ADDRESS. . /5 / /I -50j/ . -7-- 850 _Zz_2.65-c3z7d . . .1� PARCEL CODE CONTROL NUMBER CERT. NUMBER • ' LEGEND 1-o— E' • AREA NEEDING REPAIR vz 71W W . I - length of repair needed r Type of defect See reverse side for Defect Codes A—F) C.5'`• (See below for Defect Code G) ` I 1 ADDRESS. 15 V I WATER SHUTOFF 1 ` VISIBLE ❑ \` BROKEN. CI . 1 . MISSING 0 ill r Property trine I . A • • ra -50A S- — 1QjON OF SIDEWALK ji FRONT YARD 0 SIDE YARD ❑OTHER I } OF SIDEWALK 0 4 FEEL— ❑ 5 FEET 4it 5.:( 5ET 0 OTHER /,�,l/ 5 INCHES ❑ S INCHES DEPTH OF SIDEWALK. / L,J( 4 INCHES 0 AREA TO BE REPAIREO� ��1`1 -tt. 4 in. ■q.lt. 5 in. sq.ft. 6 in. • CODE F — PATCHES —YE5 ❑ NO A_ NO. OF SQUARES WITH PATCHES NOTE. Areas marked with on "F" may be repaired by patching. All other areas is. .� shall be repaired by reconstruction of full sq . � ^ 2/0 First Inspection and. Form Made By:_ /' Date: cxlJ Park Department Review Required 0 YES 0 NO PERMIT ISSUED NO. DATE: INSPECTION DATE: '_ IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. • CONTRACT COMPLETION DATE: i r (i CODE G — Other i r 1 /j 1— l �l r`/ . (7 � Z` I� �S . V/ SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO; . IOWA ZLs PROPERTY ADDRESS /JA, p-5 A.f _„5-1:: . • PARCEL CODE CONTROL NUMBER CERT. NUMBER 1 LEGE�bS• AREA NNEEDING REPAIR wirwzmA QO'A �'� • L s length of repair needed I‘ Type of defect t3 (See reverse side for Defect Codes A—F) (See below for Defect Code C) -**--i ADDRESS. 203 2 is ` WATER SHUTOFF VISIBLE ❑ ,J S� J BROKEN 0 . MISSING 0 Q Property Linn Cs 44 -Ui sr-- LOCATION OF SIDEWALK cZt FRONT YARD ❑ SIDE YARD 0 OTHER WIDTH OF SIDEWALK ❑ 4 FEET 0 S FEET ET —Et OTH�ER��_.._L} DEPTH OF SIDEWALK CD INCHES Ii; ❑ G INCHES — • AREA TO BE REPAIRED �q,tt. 4 in. " *q.ft. 5 in. *q.tt. 6 in. CODE F — PATCHES YES 0 NO NU. Of SQUARES WITH PATCHES . T NOTE. Areas marked with an "F" may be repaired by patching. Alt Other areas shall be repaired by reconstruction f full squor rees. z' / c/ First Inspection and Form Made By: ',5 Date: 3/?7 //u Pork Department Review Required 0 YES [ NO PERMIT ISSUED NO. DATE: INSPECTION DATE: IF UNCOMPLETED. SPECtAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: 4 CODE G — Other (Q `/ tJJ �v� . . \ • . - - _ . . . . . , ........ .. .. ___ .. . . • SIDEWALK REPAIR SURVEY FORM CITY 'OF WATERLOO. IOWA •- . — .._. , . . . . .PROPERTY ADDRESS 4' 27 -2--,-DLJO, • _9--, • . Y7 —9-'1— it23- Q2. /57 PARCEL CODE • CONTROL NUMBER CERT. NUMBER . — • LEGEND kl-. L -0-1 • -‘11‘ AREA.NEEDING REPAIR r/3 /77777A - - u.,\"•-%:31/-A L = length of'repair needed B - . _ _ • .cr\ . Type of defect e, (See reverse side for Defect Codes A-F) • : SC.1/4.' (See below for Defect Code G) - . — • . ADDRESS: R7 - . -----..... - — 0 . \ t ,, . 0 S4 /1 ( - • ,„,V., ,;-,(.., -,4A. -.. . z-0,- LAtt. ,v. s\,' rq Property Line -+ -•.2." ..1; ( • — • . r rprir _ WATER SHUTOFF VISIBLE 0 . -3) BROKEN 0 . • • MISSING El • . _1:_pliv-,_ . . . . LOCATION OF SIDEWALK ili FRONT YARD 0 SIDE YARD 0 OTHER WIDTH OF SIDEWALK 0 4 FEET 5 FEET • 0 5.3 FEET 0 OTHER _ . • DEPTH OF.S1DEWAU< it 4 INCHEs ID 5 INCHES 0 6 INCHES . ScL5 • . . — • AREA TO BE REPAIRED ____._sq.ft. 4 In. ____sq.ft. 5 in. ___sq.ft. 6 in. CODE F - PATCHES YES [3 NO p, NO. OF SQUARES WITH PATCHES • NOTE: Areas marked with an "F" may.be repaired by patching. All other areas . • • shall be repaired- by reconstruction of full squares. . - -• • First Inspection and Form Made By: TE 1--(-- Date: — •Park Department Review Required 0 YES p, NO • -PERMIT ISSUED NO: DATE: INSPECTION DATE - — • IF UNCOMPLETED: • SPECIAL ASSESSMENT CONTRACT NO: - • CONTRACT COMPLETION DATE: CODE G - Other . — . . . . . . . ,\() c,\--‘-' • . ' • • 's--\\ V't -\ • . . • - — •S‘'`'' • ,,,,) \-' c'Z-''' -. — • • 1 V SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO, IOWA PROPERTY ADDRESS 1147 - 1149 4pLiq,u .01 , • _ eft 13-oz.-i 5Z.— of /57-,4- PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND I-'- L' -0d AREA NEEDING REPAIR 1/,//////Z7A l length of repair needed Type of defect (See reverse side for Defect Codes A-F) (See below for Defect Code C) \ Ei ( ADDRESS. 1(4 7 -//4/ L/ % WATER SHUTOFF — (A-- \ . . VISIBLE 0 . LIT A, BROKEN ❑ \ , MISSING ❑`` � _ _ Property Linn )--4 . / \ a .4 e j LOCATION OF SIDEWALK 5 4 FRONT YARD ❑ SIDE YARD 0 OTHER r_ WIDTH OF SIDEWALK 4 FEET 0 5 FEET 0 5.3 FEET 0 OTHER — DEPTH OF SIDEWALK {t 4 INCHES 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED '_`�•q.ft. 4 in. sq.ft. 5 in. eq.ft. 6 in. CODE F — PATCHES YES 0 NO tk NO. or SQUARES WITH PATCHES NOTE. Areas marked with an "F" may be repaired by patching. All other areas shall be repaired by reconstruction of full squares, First Inspection and Form Made By: i>4 Date: X4:00 Pork Department Review Required 0 YES "aC NO PERMIT ISSUED NO. DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: 4 • -1• CODE G — Other SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO, IOWA PROPERTY ADDRESS j2p 0 — 1zo3 41,dt4 1 17, gg/3-01— /5Z -017 157-3 PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND L' AREA NEEDING REPAIR r////2/71Wel L length of repair needed A Type of defect rf (See reverse side for Defect Codes A—F) (See below for Defect Code C) ADDRESS. 1 Z01 WATER SHUTOFF i \\ VISIBLE ❑ CAP \C) BROKEN C] MISSING ❑ 5 ws:fr'; _ _ Property Line — ...— Q ,Z� LOCATION OF SIDEWALK (q FRONT YARD [.I SIDE YARD ❑ OTHER WIDTH OF SIDEWALK [ 4 FEET ❑ 5 FEET ❑ 5.3 FEET ❑ OTHER DEPTH OF SIDEWALK 4 INCHES ❑ 5 INCHES ❑ 6 INCHES AREA TO BE REPAIRED—sq.ft. 4 in. ■q.tt. s in. sq.ft. 6 in. CODE F — PATCHES YES ❑ NO EL NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an "F" may bn repaired by patching. All other areas shall be repaired by reconstruction of full squares. First Inspection and Form Mode B r`p A Date: 3/Z4VzZ)/3 Park Department Review Required ❑ YES aNO PERMIT ISSUED NO. _ DATE: — INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: , CODE G — Other' SIDEWALK REPAIR SURVEY FORM CITY. OF WATERLOO, IOWA • PROPERTY ADDRESS • . 00 I✓A' Lg ca •e f- e, 54, — Sit 13 —23— y3.4— 60LI ✓ /40'0 PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND I-4-- L' AREA NEEDING REPAIR - 17I//7,-/ it L : length of repair needed /( Type of defect !'T a ((See reverse side for Defect Codes A-F) • (See below for Defect Code C) • — it )1c ADDRESS. r ` WATER SHUTOFF . `J \ • N Ct n�( VISIBLE _ 0 - L. -.. sdE -\ V BROKEN ❑ — .;}i} �-. ` MISSING 0 1�1 _ Property Linn 6 i j r. ' —� 1 7 .' g'. N\ — . aw= OF SIDEWALK c(FRONT YARD 0 SIDE YARD 0 OTHER WIDTH OF SIDEWALK 0 4 FEET ❑ 5 FEET 5.3 SET 0 OTHER DEPTH OF SIDEWALK ' / l.�4 INCHES j 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED Zit O�sq.t' t. 4 in. sq.ft. 5 in. •q.ft_ 6 in. CODE F — PATCHES YES 0 NO (X. NO. Of SQUARES WITH PATCHES NOTE. Areas marked with an -F may be repaired by patching. All other areas — shalt be repaired by reconstruction of full squares. ''ii First Inspection and Form Made By: 1` D Date: `2`l _ �� ._ Pork Department Review Required 0 YES E .N1O PERMIT ISSUED NO. DATE: INSPECTION DATE: — IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: • CODE C — Other SIDEWALK REPAIR SURVEY FORM - = CITY OF WATERLOO . IOWA PROPERTY ADDRESS 5 0 • LcJ-c eAke q 't1 —Z3_ if 3 —oaf ,/ /lvZ- PARCEL CODE CONTROL NUMBER CERT. NUMBER • LEGEND 1-*- L' — AREA NEEDING REPAIR V111///I11A L = length of repair needed — Type of defect (See reverse side for Defect Codes A-F) (See below for Defect Code G) 1 ADDRESS. 50 WATER SHUTOFF y 4 (.0 .visiBLE ❑ rAe BROKEN ❑ . — MISSING izib Property Lino KrZ(4 ---\\ L-Qcl oose - . — LOCATION OF SIDEWALK [. FRONT YARD ❑ SIDE YARD 0 OTHER TH OF SIDEWALK ❑ 4 FEET ❑ 5 FEET CY 5-3 F ET 0 OTHER —___._ DEPTIj OF SIDEWALK ❑ 4 INCHES ;'r 5 INCHE� ❑ 6 INCHES AREA TO BE REPAIRED sq.tt. 4 nq,ft. 6 in. CODE F — PATCHES YES ❑ NO w NO. OF SQUARES WITH PATCHES-� NOTE. Areas marked with on "F" may bet repaired by patching. All other areas shall be repaired by reconstruction of full squares. First Inspection and Form Made By: ,,,KS- 1) Cz Date: 3"214- /0 — Pork Department Review Required ❑ YES NO PERMIT ISSUED NO. DATE: INSPECTION DATE: • — IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: CODE G — Other- — f d / SIDEWALK REPAIR• SURVEY FORM :.. .CITY OF .WATERLOO,• IOWA . PROPERTY -ADDRESS . 5,Z Ls-cal��i-e S+, - PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND U . AREA NEEDING REPAIR . fI,Il,7./! _it L .. length of repair needed A • Type of defect See reverse side for Defect Codes A—r) (See. below for.Defect Code G) — ..... Ki ADDRESS. -5 Z � WATER SHUTOFF vv \ VISIBLE C] . k., \\ See '> I BROKEN ❑ MISSING 0 Property — — en — —' LOCATION OF SIDEWALK rill FRONT YARD ❑ SIDE YARD 0 OTHER • WIDTH OF SIDEWALK 0 b FEET 0 5 FEET IS-( 5.3 FE '' 0 OTHER — DEPTH OF SIDEWALK 4 INCHES ) 0 5 INCHES 0 6 INCHES i AREA.TO BE REPAIRED �7 __sgslt4 in. ■q.ft. 5 in. , sq.ft. 6 in. CODE F — PATCHES YES ❑ NO NO. OF SOUARES WITH PATCHES NOTE. Areas marked with on -F" may be repaired by patching. All tither areas shall be repaired by reconstruction of full squorer. First Inspection and Form Mode h By: S . (_,- Date: 3 "Gq lb Park Department Review Required 0 YES f4 NO PERMIT ISSUED NO. — DATE: INSPECTION DATE: '_ — IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: CODE C - Other JR.)' s . C•r' - 3 . w` . \ -- • . L Jv4 t� v r SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO IOWA PROPERTY ADDRESS. . (© ( , i'e,.1-e 5-1-, • %913-23.- 143o— Lii 3 V it,f PARCEL CODE CONTROL NUMBER CERT. NUMBER • ' LEGEND 1-N-- L. • AREA NEEDING REPAIR Vllllllll/A L s length of repair needed Type of defect A, G See reverse side for Defect Codes A-F) j. t' (See below for Defect Coda.G) . . r 0,S , ADDRESS. &3 I %'. I WATER SHUTOFF VISIBLE ❑ \ • see BROKEN 0 . . _ MISSING 0 • l Property tine • [�� G S l\ver ivl,p\�. — _LOCATION OF SIDEWALK FRONT YARD 0 SIDE YARD_---0 OTHER &BM OF SIDEWALK 0 4. FEET 0 5 FEET • 3---FEET' 0 OTHER' — DEPTH OF SIDEWALK • 4 INCHES 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED ' ■q•ft. 4 in. sq.ft. 5 in. ■q.ft. 6 in. — • CODE F - PATCHES • YES 0 NO Q NO. OF SQUARES WITH PATCHES • NOTE. Areas marked with an "r may be repaired by patching. All other areas — shall be repaired by reconstruction of full squares. First Inspection and Form Made By: �> D V- Dais: Y� -t C • • Park Department Review Required a. YES ❑NO — PERMIT ISSUED NO. DATE: INSPECTION DATE: - . IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- — pCONTRACT COMPLETION DATE: CODE G - Other' t O & c a''k r�ta-CQ-"'tiest} et4 IA e-"Jcll( ;fr +reP re8�'S awe- • I11.rese oS cl24-e_/'•^1.ne_J .6 Li c--t -- :nF-F.r ,L ,7 /, r y ' SIDEWALK REPAIR SURVEY FORM - J -- CITY OF WATERLOO, IOWA - PROPERTY ADDRESS 260 Lacrv1 i-4-e . 3-9!3 Z3 _ � $0- 0° ✓ I//' PARCEL CODE CONTROL NUMBER CERT. NUMBER - — LEGEND L' -"l AREA.NEEDING REPAIR V///77777/A L = length of repair needed A _. Type of defect (See reverse side for Defect Codes A-F) • (See below for Defect Code G) >l<11‘ ADDRESS: I — '----__. kil �, (&- \ \ N oas;; 3' Property Line ye WATER SHUTOFF ' VISIBLE El . 4 DCAP - BROKEN ❑, \ MISSING 0 I-- CQ1/4;tEA'4 SA . — LOCATION OF SIDEWALK I1 FRONT YARD ❑ SIDE YARD ❑ OTHER WIDTH OF'SIDEWALK 0 4 FEET ❑ 5 I•ELI 1 (2S(,5.3 FEET ❑ OTHER— • DEPTH OF SIDEWALK K 4 INCHES ❑ 5 INCHES ❑ 6 INCHES — AREA TO BE REPAIRED - 2_7'0 sq.ft. 4 in. sq.ft. 5 in. sq,ft. S in. CODE F - PATCHES YES ❑ NO ii2 NO. OF SQUARES WITH PATCHES -• _ NOTE: Areas marked with an "i" may.be repaired by patching. All other areas shall be repaired by reconstruction of full squares. • First Inspection and Form Made By: P.—S . DC-s Date: - 3 -Z S -/O -Park Department Review Required ❑ YES NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: - IF UNCOMPLETED: . SPECIAL ASSESSMENT CONTRACT NO: • CONTRACT COMPLETION DATE: - • CODE G - Other .\.0 - - `p 0 124° 0 �0`\ ` 1 — / - / - - SIDEWALK REPAIR SURVEY FORM \\ CITY OF WATERLOO, IOWA PROPERTY ADDRESS 4-Ao bIA< GAF y r- --- 5- = — SiIa-2 1-3.56,- 43 cp°6 ✓ M PARCEL CODE CONTROL NUMBER CERT. NUMBER — ' LEGEND L' AREA NEEDING REPAIR U!////?Z1Zii L — length of repair needed - Type of defect C' See reverse side for Defect Codes A—F) (See below for Defect Code G) .{ 51( ADDRESS. I .0 I n,IL pp I t WATER SHUTOFF - °� i 1, p VISIBLE ❑ �{ � ''f \ - U I.0 �,t'c SAP v / v i\al,r, BROKEN 0 . - MISSING 0 iA _ _ Property Line r- I/1 2 v/--r /,‘',,:, 77/ - Y (5:-7 Lct cal }z St. - LOCATION OF SIDEWALK L51 FRONT YARD 0 SIDE YARD 0 OTHER WIDTH OF SIDEWALK 0 4 FEET 0 5 FEET 0 5.3 FEET IX OTHER __— — MEDI OF SIDEWALK Lam, 4 INCHES 0 5 INCHES " J ANCHES AREA TO BE REPAIRED sq.ft. 4 in. ■q.ft. 5 in. 6. + q.ft- 6 in. CODE F — PATCHES YES 0 NO fa NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an "F" may be repaired by patching. All other areas shall be repaired by reconstruction of full squares. • First Inspection and Form Made By: _ D G Date: 3`23-10 Pork Department Review Required ❑ YES bl NO PERMIT ISSUED NO. — DATE: INSPECTION DATE: — IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: , CODE G — Other — S t'uy'4 4 1,1 J -10 • fc4 ,,,,,, LI-15-10 - :.-- .• - . - , . - - - / - . SIDEWALK -REPAIR SURVEY FORM 11 _ CITY OF WATrRLOO, IOWA ._ _ . . . . . ..... PROPERTY ADDRESS 4 bik - 1-*A-Y6'7'7-6---- 6-77 • zad 3 - Z.1-1- 3_5_0- . PARCEL CODE . CONTROL NUMBER - CERT. NUMBER — rim LEGEND 1-■*-• L' -0-I 1...n - - AREA.NEEDING REPAIR — • L = length or repair needed A ., • . _, • • Type of defect (See reverse side for Defect Codes A-F) • . (See below far Defect Code G) — • • . . •- . •. -+,,., iol< 'ADDRESS: * v.)...... -,_______ •6) D ` v)c/Ii. • Iv 'x .,) _e,------ • -, -3 `-4- _O -•-. 0 krt - _ . • - 114:-- -.1-,1\ „' , roperty Line), •--__ ,t vl . — . . - KO A, . WATER SHUTOFF VISIBLE 0 .v BROKEN 0 , . 3 rel. s_l_ i . --1 MISSING 0 • - . . • • . — LOCATION OF SIDEWALK .IXr FRONT YARD 12- SIDE YARD D OTHER ------------„, 7-14 ) WIDTH OF 0SIDEWALK 0 4 FEET 5 I-ELI \ 5.3 FEET En, 0 ER • -----/ — DEPTH OF SIDEWALK . " 0 4 INCHES 0 5 INCHES gi 6 INCHES • — AREA TO BE REPAIRED -63. 7 gq.ft. 4 In. ci.ft.. 5 In. 43/to sq.ft. 6 in. •CODE F — PATCHES YES 0 NO L NO. OF SQUARES WITH PATCHES •. - NOTE: Areas marked with an "F" may .be repaired by patching. All other areas . • _ full squares. shall be repaired- by reconstruction of fu . Vs - '. 3 First Inspection and Form Made By: Date: 3 -1 0 -Park Department Review Required AL YES . D NO • PERMIT ISSUED NO: DATE: INSPECTION DATE: • IF UNCOMPLETED: . SPECIAL ASSESSMENT CONTRACT NO: . . CONTRACT COMPLETION DATE: • CODE G — Other ?•kev,--Vzql. repk.t ,ir ,C s-1-ci.e_v..10.,W,--'s c -1-1--f.p rert5+5 4,re..- - pc r-5RA - ‘.s (6.-Ice-rm),:ieA 1 CIA--y eAQ-er- . ..,\Q. ., \° •`" - `'• • - . , . . . . - .-. •s-.., ,j,,O.,'. ' •V.,;\., j9j., , SIDEWALK REPAIR SURVEY FORM — CI'TY OF WATERLOO, IOWA PROPERTY ADDRESS '-Is 2_ L&F -1+-e_ -SI-% g9i3 - ?24 - _3 g. oa_l ✓ /70 _ PARCEL CODE CONTROL NUMBER CERT. NUMBER Jr, It.') , LEGEND _- L. 0.1 .---'- ) — l f AREA.NEEDING REPAIR r/II/llll7l�t ti y L = length of repair needed t' --;_i tiEN101111 �` Type of defect A (4,4 § t�3` a_ See reverse side for Defect Codes A-F) c I�' — ;� (See below for Defect Code G) �f\. 1 ADDRESS: I 7 \--\ v — 1 , CO' S L u- \ `->i r� i eat , ,� Property Line /i �T �ot- t 1' „ ``/ `- _�yi' WATER SHUTOFF ... ,-1•4 '� -(/f +y �,�✓f� f! / VISIBLE ❑ h 3-. � ►, CAP = �� ' 'iv`r- ', ! / 1A4 /A J BROKEN ❑ { 4.' ) — r MISSING ❑ t t't c 4 e St i�-`N,,AL c Dp>i t k�, ThY3,i LOCATION OF SIDEWALK Li FRONT YARD CI SIDE YARD ❑ OTHER ci (-i x 4'l ', 3'` — WIDTH OF SIDEWALK ❑ 4 FEET ❑ 5 I-EEI • ❑ 5.3 FEET &' OTHER _ Li DEPTH OF SIDEWALK 1.0 4 INCHES 0 5 INCHES ❑ 6 INCHES • AREA TO BE REPAIRED Z sq.ft 4 in. sq.ft. 5 in. q,ft. 6 in. CODE F - PATCHES YES ❑ NO ❑ NO. OF SQUARES WITH PATCHES — NOTE: Areas marked with an "F" may .be repaired by patching. All other areas shall be repaired by reconstruction of full squares. " • First Inspection and Form Made By: Fc 5 .b Date: s^Z� `/0 Park Department Review Required r.A YES ❑ NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: — IF UNCOMPLETED: . SPECIAL ASSESSMENT CONTRACT NO: • CONTRACT COMPLETION DATE: - CODE G - Other Q6'r e.,n 41-at r e 3 k cza e.a.A�-" o f ;-C.tea..w`K ;I 4-ret rabit"S Q.re- �k0�i0 P re s e✓�-4 czs a.E e.r,v:i..e d 11 C 6 n e.e,r , irt�`3? A/ w j \' —, , •3° — SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO, 'OWA - ~f PROPERTY ADDRESS 11425 L0. H-ei-1-e .',?r-, S` 1 —2,-J -35 0a5J /7 ,,5•a PARCEL CODE CONTROL NUMBER CERT. NUMBER ` y,i x LEGEND L' —4■'1 . .1 ALI AREA-NEEDING REPAIR I'll/IZ!//I7A . - 1� �i, I', L = length of repair_ needed a X Type of defect 7�t� "" j'/L, (See reverse side for Defect Codes A—F) � - . V/ - (See below for Defect Code G) ! u ADDRESS: i 2-C. v _ � . I .,,, • Y J , V — • ;, '/ — '�' qti G Property Line � �` `.....>2 r6ipWATER SHUTOFF J 4W ti, 'x.3.5' ,r DVISIBLE ❑ 4117 ix °' CAP ' (Z.fa x ..%'a- BROKEN ❑ ci'c ,r-1 ,� v�Y ', Lq e_A-Ne - MISSING ❑ z y ,�- ` 4. Z vn'Kam. i). — LOCATION OF SIDEWALK ❑ FRONT YARD M., SIDE YARD ❑ OTHER WIDTH OF.SIDEWALK ❑ 4 FEET ❑ 5 FEET - ❑ 5.3 FEET u OTHER _ DEPTH OF SIDEWALK - Nt. 4 INCHES 0 5 INCHES ❑ 6 INCHES — AREA TO BE 'REPAIRED 22-7:0 sq.ft. 4 In. sq.ft. 5 in. sq.ft. 6 in. CODE F — PATCHES YES ❑ NO ia NO. OF SQUARES WITH PATCHES _ NOTE: Areas marked with an "F' may be repaired by patching. All other areas shall be repaired- by reconstruction of full squares. First Inspection and Form Mode By: R$ i & Date: 3 `.2 3 `1d — Park Department Review Required ❑ YES lAs. NO "PERMIT ISSUED NO: DATE: INSPECTION DATE: — IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: - CONTRACT COMPLETION DATE: . CODE G — Other _ci,iu ` i` , l .� r:;„ S 1 \, • I SIDEWALK REPAIR SURVEY FORM . • CITY OF WATERLOO. IOWA i PROPERTY ADDRESS. 51-1 52 1 . Lam.-=a�th4e c -.-, g ci I 3 2M-M3-6i 1 V . . /73 PARCEL CODE• CONTROL NUMBER CERT. NUMBER LEGEND k— L' " ' AREA NEEDING REPAIR Vfi/I/iZf/A • La. length of repair needed A Type of defect See reverse side for Defect Codes A—F) (See below for Defect Code G) • 11411 .— j\( ADDRESS. 521 V n l f WATER SHUTOFF r VISIBLE ❑ \.:_,\ - \ • LSE .BROKEN ❑ r MISSING 0 i ��.�jX6.f0`' o art line r$"5l q i , . Lct c*a.v€fife. Sly LOCATION OF SIDEWALK -a FRONT YARD 0 SIDE YARD 0 OTHER I Mad OF SIDEWALK 0 4 FEET 0 5,FEET 0 5-3 FEET et OTHER DEPTH OF SIDEWALK 4 INCHES 0 5 INCHES 0 6 INCHES i AREA TO BE REPAIRED 7'3 3■q•tt. 4 in• ■q.ft. 5 in sq.ft. 6 in. ]� -CODE F — PATCHES • YES ❑ NO NO. OF SQUARES WITH PATCHES• f NOTE. Areas marked with an "F" may be repaired by patching. All other areas shall be repaired by reconstruction of fullsquares, First Inspection and Form Mode By: Date: � 3`_ . . Pork Department Review Required 0 YES 1NO i PERMIT ISSUED NO. ,-DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. CONTRACT COMPLETION DATE: I CODE C — Other l -,!...et. it— a°—i c) i ry . d - . . • . Lt f —C . . - - --. - Y V SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO-. . IOWA : • • PROPERTY ADDRESS. . 140 f31.C1GK Lir1c6Iel Sfir,.- . — ggLa-23—Z9 —©®3 )76 • PARCEL CODE CONTROL NUMBER CERT. NUMBER— ' LEGEND k- LI AREA NEEDING REPAIR r//!I!l/ems.ei L •• length of repair needed A Type of defect '�9 See reverie side for Defect Codes A-F) (See below for Defect Code C) 1 ADDRESS. — 0 5k• Y I G r a3 P_ I WATER,SHUTOFF Par Qay VISIBLE 0 ` 0 \ . Bel L'incel'. S . S� + 6•• BROKEN CI-� `` ' ` � � _ MUSSING 0 1Property Line VGA J , , . Linc.1,-% sv. JLO ON OF SIDEWALK PI2 FRONT YARD 0 SIDE YARD ❑ OTHER •WIDTH OF SIDEWALK \ ► 4 FEET! 1 0 5 FEET ❑ 5-3 FEET 0 OTHER- DEPTH OF SIDEWALK Sr: 4 INCHES ', 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED •q'1:-4 in. •qf ft,. 5 in. • � q. q.ft. 6 in. CODE F - PATCHES YES ❑ NO Es. NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an -r may be repaired by patching. All other areas Q� shalt be repaired by reconstruction of full squares. II-2Z-po First Inspection and Form Mode By:_Ja 8 S r Date: 3-2' 10 } Pork Department Review Required 0 YES ONO y PERMIT ISSUED NO, ,' DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. CONTRACT COMPLETION DATE: CODE G - Other. i I SIDEWALK REPAIR SURVEY FORM / — CITY OF WATERLOO, IOWA PROPERTY ADDRESS I OS �-I titccx-4-1 ✓ — &D t3 z3 -Z - a?3 ✓ /77 _ • PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND L' --"1 — AREA NEEDING REPAIR V///77/77/A -F - L = length of repair needed Type of defect si ' 1 \ _ (See reverse side for Defect Codes A—F) 13 - �,�,E. \ (See below for Defect Code G) 4 7 1- \ , c-,-r c:\zu 0,,s k aA ADDRESS: I US —S \4 S ,c �7 CCU�J \ o `��( 1. ,.(— , J k y-'< — L‘e� ' its 3l LL fl& i 0�U ix {2 Property Line . 3 W:A�-� J2.,n`'1Ji'.{ — libli L I ZS' 4.D` ZS` I WATER SHUTOFF - VISIBLE ❑ c c F pF s�. 4' .5" - . CAP _ i BROKEN D MISSING ❑ L_DG --( LOCATION OF SIDEWALK FRONT YARD SIDE YARD ❑ OTHER WIDTH OF'SIDEWALK C 4 FEET ❑ 5 FEET • 15.3 FEET ❑ OTHER _ ii DEPTH OF SIDEWALK ix 4 INCHES It, 5 INCHES ❑ 6 INCHES Li AREA TO BE REPAIRED �' q.ft. 4 in. 3 •'s`�.ft 5 in. sq.ft. 6 in. CODE F — PATCHES YES ❑ NO 11 NO. OF SQUARES WITH PATCHES — NOTE: Areas marked with an "F" may be repaired by patching. All other areas . shall be repaired by reconstruction of full squares. first Inspection and Form Made By: t`'c 6.D, Date: 3 -2'—/Q 'Park Department Review Required ❑ YES I NO — PERMIT ISSUED NO: DATE: INSPECTION DATE: IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: - CONTRACT COMPLETION DATE: CODE G — Other SIDEWALK REPAIR SURVEY FORM V/ CITY •OF WATERLOO. IOWA PROPERTY ADDRESS. S '� ll l ;nr oin Sf. - _ — 8 9 13 _23—28.3-_oo,,s l 78 PARCEL CODE CONTROL NUMBER CERT. NUMBER ' LEGEND I-0- U 3 Y AREA NEEDING REPAIR f7111/.,,zzei (Plc. . L length of repair needed A G 0., � Type of defect !"► �\\ (See reverse side for Defect Codes A-F) .` ��� V (See below '.for Defect Code C) • ...)_---) (..._ C' J I ADDRESS. f I S _ I . I WATER SHUTOFF « VISIBLE gl .2 2 .,;q h , \ . _CM 1�J c\e C. �k BROKEN ❑ . ' -MISSING 0 �° l z.c ;\` v • -• Property tine \zc- '` � �rz '- - _ X ACaE ce 0tiy a ' k`ti y ' k 0 ///S b-t — A Q P LOCATION OF SIDEWALK 51 FRONT YARD El SIDE YARD 0 OTHER itsild OF SIDEWALK 12KI 4 FEET 0 s FEET - 0 5.3 FEET ❑ OTHER* • — � OF SIDEWALK MI 4 INCHES 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED Zar®■q.ft. 4 in. ■q.ft. 5 in. ■q.ft. 6 in. CODE F - PATCHES • YES 0 NO IS NO. OF 5t3Uf1RES WITH PATCHES • NOTE. Areas marked with on - may be repaired by patching. All other area* 5 13-Jo RS shati be repaired by reconstruction of full squares, First Inspection and Form Made By: IAA bS. Data: 3/261/n Park Department Review Required 0 YES in NO I PERMIT ISSUED NO. DATE: • INSPECTION DATE: ' IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: 4 _ CODE G - Other. S;4deW &K. panel +'S -Fne . Vva.}er valve needs L'ck.jvs--ed d a wn . - ) t}fi L-,a - ° \C) \ r - SIDEWALK REPAIR SURVEY FORM V CITY OF. WATERLOO, IOWA. PROPERTY ADDRESS 13 9 L; r CoJr 87 r3-2-3—,28.5-602 / 79 PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND L' AREA NEEDING REPAIR 17Z77/7l/f/A L length of repair needed A ci Type of defect f F (See reverse side for Defect Codes A—F) (See below for Defect Code C) ADDRESS. 1 39 f WATER SHUTOFF VISIBLE Et CAP BROKEN ❑ �ck MISSING ❑ .t n. D Ll � ._ Property Li — — 5OP i�d0 LOCATION OF SIDEWALK V FRONT YARD ❑ SIDE YARD El OTHER vim OF SIDEWALK 4 FEET 5 FEET ❑ 5.3 FEET ❑ OTHER DEPTH OF SIDEWALK CI 4 INCH [ 5 INCHES F1 6 INCHES .� AREA TO BE REPAIRED LOX_ 4 ■q.ft. � in. rq.fi. 6 in. CODE F — PATCHES YES 0 NO N . OF SQUARES WITH PATCHES NOTE. Areas marked with on '"F" may be repaired by patching. All other areais shalt be repaired by reconstruction of full squares. ,Z2_/0 �g First Inspection and Form Mode By:_ -e 13 S Date: Pork Department Review Required ❑ YES [aNO PERMIT ISSUED NO. _ DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: , CODE G — Other SIDEWALK REPAIR SURVEY FORM i _ CITY OF WATERLOO, IOWA - _ ./ PROPERTY ADDRESS 50 3 Lixicozn/ 577 ..... . PARCEL CODE V CONTROL NUMBER CERT. NUMBER • — 1° LEGEND — L-. • —=tri 0 AREA NEEDING REPAIR G/77/7 ////1 _ V - ..(-- ,4 L = length of repair needed •V • - Type of defect % (See reverse side for Defect Codes A—F) g;‘ / r _ (See below for Defect Code G) ./k • A•* ''' . ADDRESS 503 - --- Qt- ., _ \c)--- N \ ' — -----Property Line . — 144 WATER SHUTOFF VISIBLE 0 0 A ff CAP Di BROKEN 0 _ ,40 ;` E 0 14PIRD5 MISSING 1:1 _ LOCATION OF SIDEWALK El FRONT YARD SIDE YARD ili OTHER -- \ ) 1--1 WIDTH OF.SIDEWAIX 04 FEET El 5 FEET M5.3 FEET I t___I OTHER — • / DEPTH OF SIDEWALK 4 INCHES n 5 CHES 0--filNCHES 102 at — AREA TO BE REPAIR * sq.ft. 4 in. sq.ft. 5 in. sq.ft. 6 in. CODE F — PATCHES YES [1] NO NV- NO. OF SQUARES WITH PATCHES — NOTE: Areas marked with an "F" may be repaired by patching. All other areas shall be repaired by reconstruction of full squares. , First Inspection and Form Made By: 143 13, Date: 3)z 5 iio - Park Department Review Required ,, ' YES NO PERMIT ISSUED NO: DATE: V INSPECTION DATE IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: V CONTRACT COMPLETION DATE: • CODE G — Other — - _,V ' . \-k. ,1', - .C. •\• \'— \\ , • '"'' --- \,‘' ,t,s. 2'''Y—• \t' ,Z-" .,::\ •:'' -'''' t CCM C'' VIC—' • • SIDEWALK REPAIR SURVEY FORM — CV OF WATERLOO, IOWA -- - / PROPERTY ADDRESS 6Ca / -/ ,,7co Lit/ �7 - 39 13 -z3- Z?3- 3 05 _ PARCEL CODE - CONTROL NUMBER - : CERT. NUMBER - LEGEND L' - - AREA.NEEDING REPAIR C////l/!T//ii .. L = length of repair needed _- . Type of defect (See reverse side for Defect Codes A-F) — • (See below for Defect Code G) .4‹._. . ADDRESS: �0 / - i — c� r'1 — , la, 53 \I I \ I -CT' . • Property Line — WATER SHUTOFF VISIBLE 0 PI)} CAP " BROKEN 0 — MISSING ❑ . Cc v7E2 LOCATION OF SIDEWALK CX FRONT YARD 0 SIDE YARD 0 OTHER — — WIDTH O SIDEWALK El FEET ❑ 5 fEEI l Iq 5.3 F ' ❑ OTHER _ F• • DEPTH OF SIDEWALK 4 INCHES ❑ 5 INCHES ❑ 6 INCHES • AREA TO BE .REPAIRED . ,i q.ft. 4 in. sq.ft. 5 in. sq.ft. 6 in. CODE F - PATCHES YES ❑ NO NO. Of SQUARES WITH PATCHES •• — NOTE: Areas marked with an "F" may.be repaired by patching. All other areas • shall be repaired by reconstruction of full squares. l . • First Inspection and Form Made By: - -3 5 Date: 32Zr-/�0 Park Department Review Required ❑ YES [ NO :PERMIT ISSUED NO: DATE: INSPECTION DATE: — IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: - CONTRACT COMPLETION DATE: - CODE G - Other CO R,E c rrd,tl ' \ \O _ .- sfi -,-... SIDEWALK REPAIR SURVEY FORM _ . CITY -OF WATERLOO, IOWA PROPERTY ADDRESS (-02,6 LiwcnLq .5-1--. / . PARCEL CODE , CONTROL NUMBER • CERT. NUMBER - — LEGEND k— U AREA NEEDING REPAIR V///777777A • - — L = length of repair needed - -- Type of defect (See reverse side for Defect Codes A—F) • (See below for Defect Code G) — . lic. ' ADDRESS: 6:3-2-6 --,j 1 . • Property Line I< C14 )30P4ct I WATER SHUTOFF 1 i----1 VISIBLE El . tf<x; / \ / 41 1 _. ) CBROKEN \ D MISSING D LOCATION OF SIDEWALK El FRONT YARD ASIDE YARD 0 OTHER . , c5 --)°-‘ (-)c: WIDTH OF.SIDEWALK D 4 FEET f---, L__I 5 FEET • 5;ic 5.3 FEET 0 OTHER <. •••\ f_,_, DEPTH OF SIDEWALK EN INCHES D 5 INCHES EI 6 INCHES V . N'---- N • AREA TO 'BE REPAIRED •74/ Z %:i.ft. 4- in. sq.ft. 5 in. sq.ft. 6 in. CODE F — PATCHES YES 0 NO 1=1‹ NO. OF SQUARES WITH PATCHES NOTE: Areas marked with an "F may be repaired by patching. All other areas shall be repaired by reconstruction of squares_6 First Inspection and Form Made By: Date: 346'40 — -Park Department Review Required IX YES - D NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: - — IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: - CODE G — Other _ . • . - . — - .N,,M• \\-\° '" \D- . • - . . , SIDEWALK REPAIR SURVEY FORM . ___ _ CITY 'OF WATERLOO, IOWA • . • . • - • _ PROPERTY ADDRESS SOO bi le 4', ii,xi 4y . - • PARCEL CODE • CONTROL NUMBER CERT. NUMBER 4------, — r', LEGEND I-•— l! --•-1 ---co — AREA NEEDING REPAIR f771/777/77A — .--.\ ..-4, • • QS /\\\ -‹ • L = length of repair needed . ... . Type of defect , — (See reverse side for Defect Codes A—F) (See below for Defect Code G) . . . . — >1<sio. ADDRESS: Uic . I Col- I 5 \ Property Line . ....., WATER.SHUTOFF VISIBLE 0 • CAP — BROKEN 0 MISSING El • / 66A aN1 /9(/ . - . • LOCATION OF SIDEWALK p FRONT YARD 0 SIDE YARD lil OTHER WIDTH OF SIDEWALK 1:11 4 FEE-T-- --, El 5 EEL I [ 5:37EEr El, OTFIER --" ' -- — -----.. _-- • — ,--- DEPTH OF SIDEWALK 7" 4 INCHES. 0 5 INCHES 0 6 INCHES — • AREA TO BE REPAIRED - 1-6 "10q.ft. 4- in. sq.ft. 5 In. sq.ft. 6 in. - . . CODE F — PATCHES YES EI NO c'el NO. OF SQUARES WITH PATCHES . — NOTE: Areas marked with an "F" may.be repaired by patching. All other areas shall be repaired by reconstruction of full squares. • ' . First Inspection and Form Made By: --F-25 Date: _*25- 110 Park Department Review Required 0 YES • D NO PERMIT ISSUED NO: DATE: INSPECTION DATE: — IF UNCOMPLETED: SPECIAL'ASSESSMENT CONTRACT NO: • CONTRACT COMPLETION DATE: • — CODE G — Other . . • \0 _0- • - ..„.\ 0„' ,,7 • — , • . - - SIDEWALK REPAIR SURVEY FORM ,J - CITY OF WATERLOO, IOWA - • PROPERTY ADDRESS 50 3 -Lo 6 A-A). A-(l-.- • • PARCEL CODE • CONTROL NUMBER - CERT. NUMBER — LEGEND I-0- L' --0-1 i„.� - AREA.NEEDING REPAIR fl//lTllll/A l^ ��/ , ,. —' L = length of repair needed <t Type of defect See reverse side for Defect Codes A—F) • • See below for Defect Code G) 2 • ADDRESS: 3 05 - � �• 5\ Q ;, v • Property Line • WATER SHUTOFF --- ' n VISIBLE 0 CAP - BROKEN 0 A ` _ MISSING 0 • • LOCATION OF SIDEWALK FRONT YARD ❑ SIDE YARD ❑ OTHER WIDTH OF•SIDEWALK ❑ 4 FEET ❑ 5 FEET 5.30 OTHER • � -' (1_,- -EET—i DEPTH OF SIDEWALK j" 4 INCHES El5 INCHES ❑ 6 INCHES --. AREA TO BE REPAIRED ' z�' ' sqft.T 4 in. sq.ft. 5 in. gq.ft. 6 in. • CODE F — PATCHES YES El NO)3 NO. OF SQUARES WITH PATCHES NOTE: Areas marked with an "F' may.be repaired by patching. All other areas shall be repaired by reconstruction of full s uares. j 1 _ • First Inspection and Form Made By: %` / Date: 3/Z5 // — -Park Department Review Required ckY YES ❑ NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: • IF UNCOMPLETED: SPECIAL*ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: - CODE G — Other n� i SIDEWALK REPAIR SURVEY FORM - _ CITY OF WATERLOO. IOWA PROPERTY ADDRESS. . 315 to.6A. A 6 -• • g9 13—Z3—Z58— c t 8 7 PARCEL CODE CONTROL NUMBER CERT. NUMBER — ' LEGEND E' • AREA NEEDING REPAIR 14////4A4//4 L — length of repair needed Type of defect See reverse side for Defect Codes A—F) 2 (Sea below for Defect Code C) ` J lc a �Sl ADDRESS. ,31`� ✓ Z " WATER SHUTOFF VISIBLE 0 . LAE _ BROKEN 0 • MISSING ❑ Property tine Pr • Lo6,W AVE- LOCmo OF SIDEWALK FRONT YARD 0 SIDE YARD 0 OTHER ALM OF SIDEWALK 0 4 FEET 0 5 FEET y______._3_,_F�> 0 OTHER DEEMOF SIDEWALK //v • C�}' 4 INCHES 0 5 INCHES ❑ 6 INCHES / 47z.0„..- AREA TO BE R£PAIRE •• iq•ft. 4 in. iq.ft. 5 in- sq.ft. 6 in. CODE F — PATCHES YES ❑ NO [ NO. OF SQUARES WITH PATCHES 1"-- - NOTE. Antos marked with an -r may bn repaired by patching. Ali other areas shall be repaired by reconstruction kf full squ s. 3�Z S ��Q First fe.spection and Form Wads By: /�/ 5 - _ Date; T Pork Department Review Required 0 YES 0 NO PERMIT ISSUED NO. DATE: INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO' CONTRACT COMPLETION DATE: CODE G_ — Other r— Q , `A • / i _ . • / V .... SIDEWALK REPAIR SURVEY FORM CITY OF. WATERLOO. IOWA PROPERTY ADDRESS. . 02 ,I2.I Ic Zo 6 A Ai Au ei /3 _4-34g5 _0/ / /00 PARCEL CODE CONTROL NUMBER CERT.t'NUMBER — • LEGEND I-.-- U --A AREA NEEDING REPAIR 171/177./1/7A — Ak3 L no length of repair needed Type of defect f.>\• r (See reverie side for Defect Codes A-F) LI 2 I VCI'A (See below for Defect Code C) _ ---7 * ADDRESS. WATER SHUTOFF VISIBLE 0 \ BROKEN 0 _ - \ -,'--. ,c- MISSING 0 ,., i /(./I I ,---' L - ,-, \,_ _ ----- Properly Line —. // /A ,..,, 0 A) . c - -- . LOGAN AdE• LOCATION OF SIDEWALK c'/S.i1 FRONT YARD 0 SIDE YARD 0 OTHER _I SIM OF SIDEWALK 0 4 FEET CI 5 FEET 03 FEET___--,Th 0 OTHER _--- DEM OF SIDEWALK / Pf 4 INCHES 0 5 INCHES 0 a INCHES 1 AREA TO BE REPAIRED \, ---...=:----- _Otr4 in. _____so.lt. 5 in. q.N. 6 in. CODE F - PATCHES YES 0 NO yi NO. OF SQUARES W111-1 PATCHES _ NOTE. Areas marked with an "F' may be repaired by patching. All other areas shall be repaired by reconstruction of ul square First Inspection and Form Made By: 5 Dote: iPark Department Review Required 0 YES 0 NO PERMIT ISSUED NO. DATE: INSPECTION DATE: • • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. CONTRACT COMPLETION DATE: , --' ; CODE C - Other. 1 I — I . ),-- T -\ 1 \ ''' - \O • ! ....: 0- ___ _ r. • SIDEWALK REPAIR SURVEY FORM J -- OIlY OF WATERLOO, IOWA • - - PROPERTY ADDRESS 4(2) D LCO G.41-k - 89_I z�=75- or Ig9 -- • PARCEL 'CODE CONTROL NUMBER ' CERT. NUMBER 3L !� f L' LEGEND . - AREA-NEEDING REPAIR i/7//77///VA L = length of repair needed ' -- Type of defect , .IC' ,) `' ,U -.- (See reverse side for Defect Codes A-F) s, .=.' Cry' • (See below for Defect Code G) ` �= rz Sk �j ADDRESS: -r' ->t<- j 7ay..� 4} �� LP j i /t , V --- ` • Property Line,- _ • 1 Gr/1` WATER SHUTOFF VISIBLE ElCAP — . -,/ ., DBROKEN ❑ MISSING ❑ 0A-Mt s o, LOCATION OF SIDEWALK ❑ FRONT YARD J- SIDE YARD ❑ OTHER WIDTH OF-SIDEWALK ❑ 4 FEET . ❑ 5 l•ELI EPA). 5.3 FEET ❑ OTHER_ DEPTH OF SIDEWALK 7 . IE 4 INCHES ❑ .5 INCHES ❑ 6 INCHES AREA TO BE REPAIRED sq.ft. 4 in. sq.ft. 5 in. sq.ft. 6 in. CODE 'F - PATCHES YES ❑ NO p. NO. OF SQUARES WITH PATCHES NOTE: Areas marked with an "F. may.be repaired by patching. All other areas shall be repaired by reconstruction of full squares. / • • First Inspection and Form Made By: 1-A DO Date: 3 l z/i 0 -Park Department Review Required ' YES ❑ NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: IF UNCOMPLETED: - SPECIAL ASSESSMENT CONTRACT NO: ' • CONTRACT COMPLETION DATE: • .- CODE G - Other _ AP . ` k _ . - _ f G� Q-`• - 7 Y Ji - - o ,_ / — SIDEWALK REPAIR SURVEY FORM V . CITY OF WATERLOO, IOWA PROPERTY ADDRESS . '7/9' LC 6 4AI AVE • • _ 8E L _z I-i5 —9W ' • /'® PARCEL CODE CONTROL NUMBER CERT. NUMBER — LEGEND L' AREA NEEDING REPAIR WIIWjJ 77A L length of repair needed • Type of defect See reverse side for Defect Codes A—E) • �A (See below for Defect Code G) — t`J 4?' • ADDRESS. 11/ f I �5k f Cr41)1(-- f WATER SHUTOFF ` � VISIBLE 0 J ME BROKEN 0 _- MISSING 0 3i5 Property Line I,- A LvGAAl f} (1) , LOCATION OF SIDEWALK yg FRONT YARD 0 SIDE YARD ❑ OTHER DTH OF SIDEWALK 0 b FEET _ `❑ 5 FEET (0_5�3-FEET F ❑ OTHER —...y. — DEPTH OF SIDEWALK /C0 4 INCHES ❑ 5 INCHES 0 6 INCHES — AREA TO BE REPAIRED " ✓✓\ sq.f 1. 4 in. sq.ft. 5 in. sq.ft. 6 in. CODE F - PATCHES YES 0 NO f. . NO. OF SQUARES WITH PATCHES _ NOTE. Areas marked with an .r may be repaired by patching. All other areas shall be repaired by reconstruction of full ,qua C.• First Inspection and Form'Mode By:_ ._�_.Y_ Date; /// V _ Pork Department Review Required ❑ YESp-NO PERMIT ISSUED NO. _• DATE: INSPECTION DATE: IF UNCOMPLETED, SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: 4 CODE G - Other s� _ ��:.�0 \D _ i C3- � ' •,r n ``, :IQ SIDEWALK REPAIR SURVEY FORM — CETY OF WATERLOO, IOWA - PROPERTY ADDRESS •/2 6 2.06 91J A — - 89 13 -ZA--, /. - cx.,l it'W _ • PARCEL CODE • CONTROL NUMBER CERT. NUMBER LEGEND k- L' • -- AREA.NEEDING REPAIR G777777777A .. L = length of"repair needed V -- Type of defect (See reverse side for Defect Codes A—F) (See below for Defect Code G) . j • f ��.13-›<— ADDRESS: �Z —I . — Property Line . i--( WATER SHUTOFF / , - VISIBLE ❑ C \ CAP — BROKEN ❑ MISSING El LOCATION OF SIDEWALK ❑ FRONT YARD L_y(SIDE YARD ❑ OTHER/ --_ — WIDTH OF.SIDEWALK ❑ 4 FEET ❑ 5 I-ELI \� ET \ - OTHER _ // DEPTH OF SIDEWALK El INCHES/ INCHES' LI 6 INCHES '/ _ { 7`e - • AREA TO BE REPAIRED sq.ft. 4 in. .ft. 5 in. sq.ft. 6 in. CODE F — PATCHES YES ❑ NO NO. OF SQUARES WITH PATCHES — NOTE: Areas marked with an 'F" may be repaired by patching. All other areas shall be repaired by reconstruction of full squ e First Inspection and Form Mode By: a - Date: )/2 // 0 Park Department Review Required ❑ YES NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: V _ IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: . CONTRACT COMPLETION DATE: - CODE G — Other �a \0 _. rya fit . \0-U7 - C - �� — . . SIDEWALK REPAIR SURVEY FORM _ /CITY OF - WATERLOO, V IOWA _ . . - PROPERTY ADDRESS 3/30 Stk._ LC)C2A-10 1\--te-- / • . 5111 -ZLY-' 2-8/- 011V I 42Z • PARCEL CODE CONTROL NUMBER i CERT. NUMBER — / '›c . . LEGEND 1-e— L' —04_ j/ AREA NEEDING REPAIR V///)7////A il".2-.. 21 L = length of repair needed Type of defect , (cJ1.5 _ (See reverse side for. Defect Codes A—F) _ . (See below for Defect Code G) ADDRESS: — -,..,.„.., ' #ti ) - AfiLl.A__ C-i,64jr cfr---r__— _ Pe-E.-.1- , \ •\ ° — 1 l'-++' +-' 4 ' ----:— r‘s• . L?> Property Line r\Q' --a 0 a- 90' -&t=g*4tttt4 --)1. WATER SHUTOFF VISIBLE 0 f / " (c\9' II351/7 904X ' CAP 17)) BROKEN El _ /(01A) i , MISSING El • , . • ..... LOCATION OF SIDEWALK _. IE( FRONT YARD 4Xt SIDE YARD D OTHER -- -- ------ , L LIE _ WIDTH OF.SIDEWALX lb-. 4-- LEI 0 5 FEET • 0 5.3 FEET DO OTHER DEPTH -----...- OF SIDEWALK 4 INCHES 0 5 INCHES/ DK 6 INCHES----- \ (• — AREA TO BE REPAIRED \---_ — •'' q.ft. 4 in. _____sq.ft. 5 in. 111.24 sq.ft. 6 in. ) CODE F — PATCHES YES Ei NO M NO. OF SQUARES_AyITH PATCHES"- . NOTE: Areas marked with an 'P may be repaired by patching. All other areas shall be repaired by reconstruction of full squares. First Inspection and Form Made By: - 35 Date: 3/266 / ( 0 _.. •Park Department Review Required 0 YES VI NO 'PERMIT ISSUED NO: DATE: INSPECTION DATE: . • IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: • CONTRACT COMPLETION DATE: - _ CODE G — Other .. . • \O - . —. zNA, , 7'Q' - . . ' . 5' --, zi,- •.' • SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO. IOWA PROPERTY ADDRESS. L U.(2,A A L. Au 89 (3-z,_Ze3 {-aid— M5 PARCEL CODE CONTROL NUMBER CERT. NUMBER .f3 I I ay . LEGEND � L. AREA NEEDING REPAIR �f�/llllii�t ? L - length of repair needed I- ,_, Z-' Type of defect(See reverse ride for Defect Codes A—F) (See below for Defect Code C) • 0 \ ���� ,w ADDRESS. 3 ! c , A SHUTOFF I ` F 2., WATER El \ . DIE - BROKEN El . MISSING 14 y.3 Property tine m r a , ? F• • ,,,c,44...) A L" IfrA1121 OF SIDEWALK p FRONT YARD ❑ SIDE YARD 0 OTHER r BM OF SIDEWALK ❑ 4 FEET 0 5 FEET ❑ 5.3 FEET ch OTHER T REM OF SIDEWALK fX 4 INCHES 0 5 INCHES 0 6 INCHES r AREA TO BE REPAIRED ( 2L2'q•tt " n• ■q.fL 5 in. ■q.ft. 6 in. „, CODE F — PATCHES - YES--— Ho E( NO. Of SQUIRES WITH PATCHES NOTE. Antos marked with an -r may be repaired by patching. All other areas • • shalt be repaired by reconstruction of full squares. /�//� • First Inspection and Farm Made By: (A/ i ���l�l Date: / Pork Department Review Required 0 YESNO ! PERMIT ISSUED NO. • DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO' -CONTRACT COMPLETION DATE: CODE C — Other {1 ..:. 1 . . \Q - . • , . 4,D. ,\ ,_ . . 5 fig. - 'f SIDEWALK REPAIR SURVEY FORM :f, CITY OF WATERLOO, IOWA PROPERTY 3OR€SS -32 4°64 Al �e, - '� 89 t — - L S a'1 ✓ ii'I • PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND ti— L' • AREA.NEEDING REPAIR V7//7/7777A .. L = length of-repair needed __ Type of defect ,� See reverse side for Defect Codes A—F) ( ri (See below for Defect Code G) ( P•, , 4ii‹._ ADDRESS: S 167 I v �5X •IkS `. f s� D Q \ \ ,^ --1 ` tip, ( -) l LA,5, i 51/Ra6 - , \Z0-C. �P perlj.Lure I.(-- R...01114 �_7 ; - '�� +C r%��A V/%l WATER SHUTOFF VISIBLE 0 C C ,¢At Am LK_ - CAP . L 157. Z BROKEN ❑ MISSING ❑ LOCATION OF SIDEWALK ❑ FRONT YARD j` SIDE YARD El OTHER ,�-\ / WIDTH I OF SIDEWALK ❑ 4 FEET ❑ 5 FEET 54) .3 FEET it OTHER 5 DEPTH OF SIDEWALK 4 INCHES ❑ 5 INCHES ❑ 6 INCHE�___-------------- — AREA TO BE REPAIRED sq.ft. 4 in. sq.ft. 5 in. sq.ft. 6 in. CODE F — PATCHES YES ❑ NO 0 NO. OF SQUARES WITH PATCHES • — NOTE: Areas marked with an "f" may be repaired by patching. All other areas shall be repaired by reconstruction f f II squar First Inspection and Form Made By: i D,5- 3 Date: //Z//a •Park Department Review Required .YES ❑ NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: - CONTRACT COMPLETION DATE: - CODE G — Other r)t) — SIDEWALK REPAIR SURVEY FORM ✓✓✓ - CITY OF. WATERLOO, IOWA • PROPERTY ADDRESS . &W. CIA Lob/ JJ AV& &�( 3 -Z3-Z37-CGS/''PARCEL CODE CONTROL NUMBER CERT. NUMBER • LEGEND L AREA NEEDING REPAIR Ulll/llfllA L — length of repair needed Type of defect ` ((See reverse side for Defect Codes A—F) (See below for Defect Code C) ADDRESS. WATER SHUTOFF J \ z_o T VISIBLE ❑ SAP • BROKEN ❑ — MISSING 0 '1 Property--Line �.. I A ; 6 LoGAtI ALg • LOCATION OF SIDEWALK [ FRONT YARD ❑ SIDE YARD ❑ OTHER jt j OF SIDEWALK ❑ 4 FEET ❑ 5 FEET P 5.3 FEET/ 0 OTHER __— — E ]B OF SIDEWALK i f, ►S' 4 INCHES\ ❑ 5 INCHES ❑ 6 INCHES AREA TO BE REPAIRED :aq.ft. 4 ,n. eq.ft. 5 in. eq.ft. 6 in. CODE F — PATCHES YES [] NO (c NO. OF SQUARES WITH PATCHES NOTE. Areas marked with on -r may be repaired by patching. All other areas shall be repaired by reconstruction of full aquores. First Inspection and Farm Made By:_ � 'OS __ Data: -3/ ,/, /a Pork Department Review Required ❑ YES [ NO PERMIT ISSUED NO. . _ DATE: INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: • CODE G — Other CO2/26C O/t/ — — \i L.`,,G SIDEWALK REPAIR SURVEY FORM v/' - CITY OF WATERLOO, IOWA - PROPERTY ADDRESS 6, 0 1 - L(){ A U - PARCEL CODE CONTROL NUMBER CERT. NUMBER — LEGEND I L' 1 t - • • AREA.NEEDING REPAIR V 7ZWll/A 3 L = length of repair needed 1 l - L'C: . Type of defect ti V� (See reverse side for Defect Codes A—F) k� (See below for Defect Code G) , r ' • ] ,, ... . n ADDRESS: LJ '.� v.%M' ;\ r �_ y �. ttl? ,, J , , , , „ , ., \ , ropery7TFe -"� . l // t WATER SHUTOFF' VISIBLE ❑ 7 C Yuyx� _�- r._a CAP yX c/ `'f BROKEN ❑ MISSING IDx_.i CN-ESTA)()I- LOCATION OF SIDEWALK I`-', FRONT YARD ❑ SIDE YARD ❑ OTHER WIDTH OF'SIDEWALK 4 4 FEET ❑ 5 Fttl [75.3 FEET ❑ OTHER_ DEPTH OF SIDEWALK 7 4 INCHES ( I� 5 INCHES ❑ 6 INCHES — AREA TO BE REPAIRED -�g'jq,ft. 4 in. 'R sq.ft. 5 in. sq.ft. 6 in. • CODE F — PATCHES YES ❑ NO NO. OF SQUARES WITH PATCHES . • •— NOTE: Areas marked with an "F" may.be repaired by patching. All -other areas - - shall be repaired by reconstruction o full s res. - • First Inspection and Form Made By: Date: Jz4 //c) — Park Department Review Required ❑ YES NO PERMIT ISSUED NO: DATE: INSPECTION DATE: — IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: - CONTRACT COMPLETION DATE: - CODE G — Other • • -— �,� s`� r c '` L)c ' zb Jf SIDEWALK REPAIR SURVEY FORM •,/ -- CITY -OF WATERLOO, IOWA V PROPERTY ADDRESS GO Z (_-_o G,c • PARCEL CODE CONTROL NUMBER CERT. NUMBER t. LEGEND rfi , . hi - AREA.NEEDING REPAIR %/////////. �.qo - , L = length of repair needed d J „,i;° Type of defect d o' ` (\"CV (See reverse side for Defect Codes A—F) r>- • (See below for Defect Code G) U 1 -zip" • 1 * ADDRESS: 62aZ 'D i ' " ___ - a� 6 3 !,- Li. -- P n -j n VI C ° ,�r - 6 �1 PI' Property Line WATER SHUTOFF VISIBLE ❑ CAP — BROKEN ❑ MISSING ❑ • • L �r4 L(• LOCATION OF SIDEWALK ❑ FRONT YARD Vr SIDE YARD ❑ OTHER fir__ _ WIDTH OF•SIDEWALK ❑ 4 FEEL------ fl 5 I•ELI •-- -5:3—FEET OTHER `— - ��� DEPTH OF SIDEWALK , W 4 INCHES-) ❑ 5 INCHES II] 6 INCHES _ AREA TO BE 'REPAIRED S ==:/----'Sq.ft 4 in. sq.ft. 5 in. sq.ft. 6 in. CODE F — PATCHES YES,or' NO tg NO. OF SQUARES WITH PATCHES — NOTE: Areas marked with an "F" may .be repaired by patching. All other areas shall be repaired- by reconstruction of full squares. . - • First Inspection and Form Made By: M VI .ap Date: 33 -24 -/c . "Park Department Review Required , YES ❑ NO -PERMIT ISSUED 'NO: DATE: INSPECTION DATE: • IF UNCOMPLETED: . SPECIAL ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: - CODE G — Other \fJ _ nry�s SIDEWALK REPAIR SURVEY FORM • CITY. OF WATERLOO. IOWA PROPERTY ADDRESS 76 / 06A 4 /\U6 PARCEL CODE CONTROL .NUMBER CERT. NUMBER LEGEND L' AREA NEEDING REPAIR W///l//ZIA L : length of repair needed Type of defect (See reverse side for Defect Codes A—F:) See below for Defect Code C) Pam, ADDRESS. 70 / WATER SHUTOFF • ` VISIBLE Q SAE BROKEN ❑ /� MISSING ❑ Property Line — A . LOCAT1QN OF SIDEWALK Git FRONT YARD ❑ SIDE YARD ❑ OTHER Li,WIDTH OF SIDEWALK ❑ 4 FEET 0 5 FEET FEET Pei OTHERS 1/ DEPTH OF SIDEWALK 54' 4 INCHES 0 5 INCHES [J 6 INCHES AREA.TO BE REPAIRED sq.ft. 4 in. •q.ft. 5 in. , sq.ft. 6 in. CODE F — PATCHES YES ❑ NO t NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an 'F" may be repaired by patching. All other areas shall be repaired by reconstruction of full s ores. First Inspection and Form Made ey: i ' ' 5 Oslo._ 3/Z (, /0 Pork Department Review Required ❑ YES JNO PERMIT ISSUED NO. DATE: INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: CODE C — Other \\. \\ -- ` - SIDEWALK REPAIR SURVEY FORM V) CITY OF. WATERLOO. IOWA . . PROPERTY ADDRESS ID 5 60 6 4(0 4 JZ 63 3 _23_337_653 : . . . 1,9 . PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND L' AREA NEEDING REPAIR Tll/]Ii //lA L a length of repair needed ... Type of defect (See reverse side for Defect Codes A-F) (See below for Defect Code C) -›1‹- . ADDRESS. 7oi WATER SHUTOFF c')'•'' 3 \ - VISIBLE ❑ rote ol 9/1 i 5 i. BROKEN ❑ . MISSING 0 " 3 �) Property Linn 3 — A ) • C.0GA Aua LOCATION OF SIDEWALK 0 FRONT YARD ❑ SIDE YARD 0 OTHER --'� , Th OF SIDEWALK ❑ 4 FEET ❑ 5 FEET 3—F€ET ja OTH ` J / -- DEPTH OF SIDEWALK [ 4 INCHES 0 5 INCHES 0 6 INCHES 5y.5 - AREA TO BE REPAIRED eq.it. 4 in. ■q.ft. 5 in. sq.ft. 6 in. CODE F — PATCHES YES ❑ NO NO. OF SQUARES WITH PATCHES — NOTE. Areas marked with an "r may ba repaired by patching. All other areas shall be repaired by reconstruction of squares. First Inspection and Form Mode By:;,__• Date: /z6. 4U _- Park Department Review Required YES 0 NO PERMIT ISSUED NO. DATE: INSPECTION DATE: • — IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: CODE G — Other C,Gr _3 — . ...... . . , SIDEWALK REPAIR SURVEY FORM . - ... . _ CITY OF WATERLOO, IOWA . . PROPERTY ADDRESS . 7,24, - 7 2 8 La3c1.4 A ve • ‘-• - 139 t —24--tos -ce-- z- PARCEL CODE CONTROL NUMBER CERT. NUMBER • LEGEND I-o- LI AREA NEEDING REPAIR li.i7I,Mizii L a• length of repair needed —, Type of defect (See reverse side for Defect Codes A-F) (See below for Defect Code G) • — ) — ADDRESS. WATER SHUTOFF \ jiN r5 \ VISIBLE C3 raw —. 0°---\ .,•k__:-; '' . BROKEN El . MISSING 0 — -- • Property Line i . -...i S“ (.-4.-fit-z-{ Li-i"AX..- ,et.'‘ 1 . e3.5 4-1 .5' G-W _ C>V- ,,-- 4-_.,,,,t-t\'' \i , •\— ,c,- , \\z, ,-..zZ - lormild OF SIDEWALK , gl FRONT YARD D SIDE YARD 0 OTHER NUM OF SIDEWALK 0 4 FEET . -igi 5 FEET 0 5-3 FEET 0 OTHER _ DEPTH OF SIDEWALK P 4 INCHES 0 5 INCHES 0 6 INCHES -70-7.5 V AREA TO BE REPAIRED sq.ft.,4 in. --sq.11.. 5 in. _______Eq.H. 6 in. CODE F - PATCHES - YES 0 NO 0 NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an -F- may be repaired by patching. All other areas , • 'hail be repaired by reconstruction of full squares. .....! . first Inspection and Form Made Ely:_.. Date: . ----3 l- V) . Pork Deportment Review Required 0 YES ) No ---.i i • PERMIT ISSUED NO, - DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: — ! . CODE G - Other' i . ,..,A .. ... -- i---- • (- \C) . AV . . v i SIDEWALK REPAIR SURVEY FORM t CITY. OF WATERLOO. . 4OWA , . z Y (i- _ PROPERTY ADDRESS . (9 o _. 2 6 o 4 ii A ✓ - e9 t3-7 —LoL—call ,/ jdl- _. PARCEL CODE CONTROL NUMBER CERT. NUMBER - ' LEGEND L' AREA NEEDING REPAIR WIZ/IV.//A L length of repair needed Type of defect Cd (See reverse side for Defect Codes A—r) (See -below for Defect Code C) • 41* ADDRESS. 849/ WATER SHUTOFF VISIBLE [j i , . \ - rar BROKEN ❑ ask MISSING ❑ r'rsl •.. O 7 Property Lints 7 )_-.f' � _ T14.1-ni A/6- e'4c/ G P FA 7- /A�- tai Lc 6.i A/ ,4 i ii=- rr LOCATION OF SIDEWALK [ FRONT YARD ❑ SIDE YARD ❑ OTHER �� AEU OF SIDEWALK D 4 FEET 0 S FEET 0 5.3 FEET II OTH 71 ��- / k ez DEPTH OF SIDEWALK r 4 INCHES `, 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED 2Z' sq.l�4/in. sq.tt. 5 in. sq.ft. 6 in. CODE F - PATCHES ES-❑r- NO [ NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an -r may bet repaired by patching. All other areas shall be repaired by reconstruction I full squares. 1 First Inspection an Form Made By:_J s �,_ Date: 3/ z /6 Pork Department Review Required (Q YES ( NO PERMIT ISSUED NO. - DATE: INSPECTION DATE: ' IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: , CODE G - Other — c -3 ;v • \ C - - ' —• __ . / SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO. IOWA PROPERTY ADDRESS . . 8 13 LU GA _, gel i.?_73_ z_z6-Li i W5 PARCEL CODE CONTROL NUMBER CERT. NUMBER — LEGEND --)-- AREA NEEDING REPAIR VNAVINYA , ' • —, ,1),1 60 I_ a. length of repair needed L V , Type of defect e ...4_, ....., (See reverse side for Defect Codes A-F) c , (See below for Defect Code C) If- --ftt- -I-- -,?:' ----J L -%' >Kt) ADDRESS. 23 I 3 ,- _, WATER SHUTOFF , ‘.,. - VISILE B 0 ,.n,.„-., \ BROKEN 0 — MISSING 0 Property Line _., ' ' 1 21 \\. . ' f Lo 6.4n1 i rA \\\'cl) 10CATION OF SIDEWALK 4?. FRONT YARD 0 SIDE YARD 0 OTHER et f, 5 0-7---, .i. - yajalif OF SIDEWALK Ci 4 FEET 0 5 FEET 5.3 FEET 0 OTHER__- 12211:1 OF SIDEWALK 0 4 INCHES INCHES 0 6 INCHES —1 AR EA TO BE REPAIRED q.ft. "n,---=:-12- 4.1L 5 in. _____Aq.f I. 6 CODE F - PATCHES YES 0 NO pf NO. Of SQUARES WITH PATCHES NOTE. Areas marked with an "F" may be repaired by patching. Ali other areas -1 shall be repaired by reconstruction a full squ First Inspection and Form Mode By: \). - — Date: 2 _...1 Park Department Review Required 0 YES p-440 PERMIT ISSUED NO. DATE:• INSPECTION DATE: ' _j. IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO' CONTRACT COMPLETION DATE: 8 1' CODE 0 - Other' ....]1 li (1 . --ii--- 0\ \k) ,-=' `1 -r- ' , ''' / SIDEWALK REPAIR SURVEY FORM . CITY OF WATERLOO. IOWA • PROPERTY .ADDRESS. s. R 1 7 LLO 6 A IV A - ®913—z-3—Z2es—cf,I;5 "06, PARCEL CODE CONTROL NUMBER CERT. NUMBER • LEGEND tom" L. • AREA NEEDING REPAIR illll/llll,A • L ` length of repair needed Type of defect See reverse side for Defect Codes A—F) (See below for Defect Code C) . F". • ADDRESS. 8'7 I WATER.SHUTOFF F.- VISIBLE ❑ \ . - LAE t.-- BROKEN ❑ . - 9k. I , MISSING 0 . • D cLi `( g.. i Z _ 'Property Linn _ _. — E • / c . "\\\ • • LO6A' A u . 1OCATIO OF SIDEWALK qFRONT YARD 0 SIDE YARD ❑ OTHER _ind OF SIDEWALK ❑ 4 FEET 0 5 .FEET .S FEET ,t1 OTHER -'- q DEPTH OF SIDEWALK - ❑ 4 INCHES INCftES [] 6 INCHES 23,t3 AREA TO BE REPAIRED eq.tt. 4 in. ti.it. 5 in. eq.11: 6 in. • CODE F - PATCHES YES 0 NO 14 NO.'OF SQUARES WITH PATCHES NOTE. Argos marked with an "f.. may be repaired by patching. All other areas shot( be repaired by reconstruction of 1u squares / //0 . . r ' •First inspection and Form Made By:— Date: Park Department Review Required ❑ YE , •• i NO. ji PERMIT ISSUED NO. • DATE:, INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- • CONTRACT COMPLETION DATE: , € CODE G - Other l I • c. SIDEWALK REPAIR SURVEY FORM / .CITY OF ..WATERLOO IOWA t PROPERTY ADDRESS 824/. . 40 64/1/ Ad__ • _ 8 1a-Z4 -la! _oc: Z PARCEL CODE • CONTROL NUMBER CERT. NUMBER — • LEGEND I"'- L' AREA NEEDING REPAIR vmvWz.f a • L — length of repair needed • Type of defect — (See reverse side for Defect Codes A—I=) (See below for Defect Code, C) • — 4_ ADDRESS. - WATER SHUTOFF VISIBLE . Q k A ‘ \ see y 6. BROKEN ❑ . Cr\ D MISSING 0 Property Line — efz/ZC1. ram' Ad LOCATION OF SIDEWALK FRONT YARD 0 SIDE YARD ❑ OTHER WIDTH OF SIDEWALK ❑ b FEET 0 5 FEET • 45.3 FEET ❑ OTHER ______ am OF SIDEWALK � ' INCHES' 0 5 INCHES 0 6 INCHES /`Y _V — AREA TO BE REPAIRE ' zq.ft. 4 in. eq.ft. 5 in. eq.ft. 6 in. CODE F — PATCHES YES ❑ NO jki NO. OF SOUARES WITH PATCHES NOTE. Areas marked with an "F may bet repaired by patching. All other areas — shall be repaired by reconstruction f full squares. , • First Inspection and Form Made By: _ Dale: ..,_57/' -7/ ' D Pork Department Review Required ❑ YES WIO PERMIT ISSUED NO. — DATE: INSPECTION DATE: . — IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: i CODE C — Other n - 'tJ v\ — V hn 5 . / V 50 SIDEWALK REPAIR SURVEY FORM ��`�\y CITY OF WATERLOO, IOWA . L.c�\ v PROPERTY ADDRESS 832 2 0 6-Aiv A u ., 5,L ,_\e( eD -z`i- !o( -ac) - PARCEL CODE CONTROL NUMBER CERT. NUMBER ' LEGEND U . AREA NEEDING REPAIR -: Ufl//I 7 L — length of repair needed Type of defect L; (See- reverse side (or Defect Codes A—F) ' 3_( `) ((See below for Defect Code G) '..: * es-` �,c, rr� ADDRESS. a-"' �' ( WATER SHUTOFF iili . \ VISIBLE ❑ . -- \Y" — k c�` SAE � , BROKEN ❑ . R GA ® I S V-` "- .77 l MISSING 0 Prperty Linn A— A ice‘"- l'q '''.1.". 1 \A [-%1 l' i/ V-''''\ °L-. 0 �` •\ .0 o rf — LOCATION OF SIDEWALK FRONT YARD 0 SIDE YARD 0 OTHER 12218 OF SIDEWALK 0 4 FEET ❑ 5 FEET "I3—FEET OT - ' • DEPTH OF SIDEWALK tA 4 INCH 0 5 INCHES 0 6 INCHES 150., , AREA TO BE REPAIRED _eq.tt. 4 en. eq.ft. 5 in. *q.ft. 6 in. CODE F — PATCHES YES ❑ NO g NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an aF' may bn repaired by patching. All other areas shall be repaired by reconstruction of full squares. - • First Inspection and Form Mode By: . ?5 — Data: ! //0 ,_.,_ . Park Department Review Required x YES 0 NO PERMIT ISSUED NO. DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: e - CODE C — Other 1-- \k �. '--2 5 , Qj SIDEWALK REPAIR SURVEY FORM - CITY OF WATERLOO, IOWA �/ • — PROPERTY ADDRESS 859 L06.11 nJ AUC, B9l3 �Z3 = 2Z.g- oto Z13 PARCEL CODE CONTROL NUMBER CERT. NUMBER - LEGEND L' —1.1 AREA.NEEDING REPAIR Vl////////a L = length of repair needed _ Type of defect (See reverse side for Defect Codes A—F) — ((See below for Defect Code G) • ___>1+ ADDRESS: 8 ✓ \� \\\ � ��� J. • ,..5 , Property Line 0:\ n-3!.® — — — WATER SHUTOFF— - P 's VISIBLE ❑ J BROKEN ❑ Lo GA n) A 0-. MISSING El — LOCATION OF SIDEWALK El FRONT YARD Ly SIDE YARD ❑ OTHER WIDTH OF SIDEWALK CY( 4 FEET ❑ 5 FEET ❑ 5.3 FEET ❑ OTHER_ DEPTH OF SIDEWALK / 4 HES ❑ 5 INCHES ❑ 6 INCHES / — AREA TO BE REPAIRED - 3Z` .ft, 4- In. sq.ft. 5 in. sa.ft. 6 In. CODE F — PATCHES YES NO Cgi NO. OF SQUARES WITH PATCHES `„ NOTE: Areas marked with an "F" may be repaired by patching. All other areas shall be repaired by reconstruction of fu squares First Inspection and Form Made By: D5 Date: 7 -- Park Department Review Required ❑ YES [ NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: — IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: . CODE G — Other — 2�rr• a\ :\ �, zc • . , . ,, ..„ _ •• ..„.../ . SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO,- IOWA . • PROPERTY ADDRESS. . 5 i ni u 1\De r f+11 -St-. - - r 3, 13_Z --`�Zg _a 13 / f. 2 PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND L' AREA NEEDING REPAIR W7/1/1/l/A I — length of repair needed r Type of defect S See reverse side for Defect Codes A—F) Sae below for Defect Cods C) r- /< ;. t 0J I ADDRESS. 5 , „ I- ' '. WATER SHUTOFF V VISIBLE ❑\ BROKEN 0 . I • MISSING ❑ Property Li '7 j:`I l ._..L — i . I . m v I brri S+,. -- lacatiatf OF SIDEWALK 1 FRONT YARD 0 SIDE YARD 0_,EITHER I j OF SIDEWALK 0 4 FEET ❑ 5 FEET [ _ 3—FEET 0 OTHER TN \ 5 INCHES 0 6 INCHES OEP OF SIDEWALK ` mew s)CHES j 0 i , AREA TO BE REPAIRED Z ` �jq=ft.4 in. eq.ft. 5 in_ ■q.fl. 6 in. 1" CODE F — PATCHES YES NO a, NU. OF SQUARES WITH PATCHES NOTE. Areas marked with an "F" be repaired by patching. All other areas shall be repaired by reconstruction of full squares. First inspection and Form Mode By: s D c, • Data: 3-2 Li-/O Park Department Review Required 0 YES 0 NO i T PERMIT ISSUED NO. DATE: INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. CONTRACT COMPLETION DATE: CODE C — Other. 1 r 1 i . J .> C,c ,.' , . l \ ... / - • - . ' — ,r. _ V SIDEWALK. REPAIR SURVEY FORM . . ..,- CITY OF WATERLOO.- IOWA . . . . . . . PROPERTY ADDRESS. . 53 in ti le-4-4--1 ,c1-. _ . . _ g c 1 13-Z3- 'I_IS- 21z / PARCEL CODE CONTROL NUMBER . CERT. NUMBER — , LEGEND AREA NEEDING REPAIR VW/WAWA L .= length of repair needed ...- Type of defect (See reverse side for Defect Codes A—F) (Sea below for Defect Code C) • *-- ADDRESS. 53 - OH -3- WATER SHUTOFF / yrsistx 0 \ • SAE • I.." BROKEN L-J • — MISSING 0 5,0 _per__V.-tile ri— — . . . 1 . . • — . WCAT1ON OF SIDEWALK (21.. FRONT YARD 0 SIDE YARD 0 OTHER . Anj OF SIDEWALK 0 4 FEET 0 5 FEET L7116-- 3 5. FEET 0 OTHER -/-----' "-------, — • REM OF SIDEWALK :- 4 INCHES; 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED ;n. —so.ft. 5 in_ ___:....__s q.11. 6 —: CODE F — PATCHES - YES 0 . NO R NO. Of SQUARES WITH PATCHES - ; NOTE. Arsos marked with an -r may be repaired by patching. Ali other areas shall be repaired by reconstruction of full squarer. 7 ' First inspection and Form Mode By: fk5 D& • Date; 3-2 q -1 b .•.• • Park Department Review Required 0 YES .. 16 NO •i PERMIT ISSUED NO. - DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. CONTRACT COMPLETION DATE: 4 CODE C — Other. t 1 . —i • .. 1 ‘. ,,,.-.,,,•3 C:e .,r . 17 . (.._--)C, —1 ,S° \ k - . / SIDEWALK REPAIR SURVEY FORM _ CITY .OF. -WATERLOO, IOWA - PROPERTY ADDRESS - ¶'3 1,17ut\ �� &1-f 913 -_23- 43A - eo '_ PARCEL CODE CONTROL NUMBER CERT. NUMBER rs LEGEND Li T AREA NEEDING REPAIR F77,7 /1:7A L length of repair needed A Type of defect See reverse side for Defect Codes A—F") (See below for Defect Code C) 441,01‘ � `/ ADDRESS. ; �; ' -Y f X WATER OFF 1'v ,r �` , \i'` t_ 5 VISIBLE �� // \ . ree '' '2 lfi, -'' BROKEN 0 ,2" — MISSING g /4;w,k � J (LI.9 ' .' Property Line — "A LOCATION OF SIDEWALK 44 FRONT YARD 0 SIDE YARD ❑ OTHER WIDTH OF SIDEWALK 0 4 FEET - .._\ 0 5 FEET L 5.3 FEET ❑ OTHER ......_._.-. NTH OF SIDEWALK Inc( 4 INCHES 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED 2 °'b=_;sg fft. 4 in. sq.ft. 5 in. rq.ft. 6 in. CODE F — PATCHES - YES 0 NO 154 NO. OF SQUARES WITH PATCHES NOTE. Arens marked with an "F. may be repaired by patching. All other arras ..— shall be repaired by reconstruction of full squarer. First Inspection and Form Made Ely:_—" R4-N A) (.7.- Date: "'"2q -1 6 -Pork Department Review Required ❑ YES NO PERMIT ISSUED NO. DATE: INSPECTION DATE: ' IF UNCOMPLETED. SPECtAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: 4 CODE C — Other C c' v `�' . .. . . . . ___. • • . _ . . . r -.. _ ...., , • . - • v SIDEWALK •REPAIR SURVEY - FORM . • _ CRY OF -WATERLOO.- IOWA- . • - - PROPERTY ADDRESS. . g 7 gluibr-r-v- ,Sj-re e+ , _..- . 7. . .. . .. . . 220 PARCEL CODE CONTROL NUMBER CERT. NUMBER • • LEGEND . I-- L' ---1 • AREA NEEDING REPAIR - . L M. length of repair needed - , • Type of defect A (See reverse side for Defect Codes A-F) (Sea below for Defect Code G) - • _ . •. ' NE ADDRESS. 8 7 .. . - _ - . WATER SHUTOFF . e \ • VISIBLE el °: I/‘ • • LW 1 1 i 1 C1,:1 . BROKEN El . . I.A . .:`-' _____ , MISSING (1.) - El-, _ Property Line -I. . • . • .., 0 / \ ••v4.,.,. _ _ . . . • pi,,6er,, . .s.f.,„...4_ • • . _ . . OF SIDEWALK IS1 FRONT YARD 0 SIDE YARD El OTHER ,.._•----- -- ---,,, . 201218 _ OF SIDEWALK 0 4 FEET 0 5 FEET 7.-U,±____3; 5-3__KET/ . 0 OTHER DEPTH OF SIDEWALK - " . f 4 INCHEy 0 5 INCHES 0 6 INCHES -1 --' • AREA TO BE REPAIRED( 29....2..._sqft. 4 .n. sq.lt. 5 In. ____....___..sq.D. 6 in. - . CODE F - PATCHES - YES 0 NO 0. NO. OF SQUARES WITH PATCHES --- : NOTE. Areas marked with an "F" may be repaired by patching. All other areas — shall be repaired by reconstruction of full squares. 5-H-i 0 Rs • . First Inspection and Form Made By: (a$. _pc" Date: 3-Zq-/D . • • - Park Department Review Required 0 YES- n,140 . •• - i i • PERMIT ISSUED NO. - DATE: INSPECTION DATE: ' IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO - - CONTRACT COMPLETION DATE: CODE G - Other. I ! . i - I . . • . i • - . • . I . . . s .,,O • . . • I` . • . .-..• , _ \.., i,,,, . • • . . \ - -- \ / SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO, IOWA (No SiociC°) _ PROPERTY ADDRESS . 'I t;1 V) mi S-I- . 16_ -23-. -003 ✓ Z/ PARCEL CODE CONTROL NUMBER CERT. NUMBER - LEGEND 1-*-- L' . AREA NEEDING REPAIR P///////j/A t `��� L = length of repair needed . = -: Type of defect -1 . ,_ See reverse side for Defect Codes A-F) 6 (See below for Defect Code G) S� r ( ---)K. ADDRESS. QZ _� WATER SHUTOFF U Va_c_Qv.-V Lek- VISIBLE 0 `�\,i CAP �1'� n'7 BROKEN El - . _ MISSING El Property Line 2(b C/\C' 44 1/%d 5 \-1-� sr ._ G muop,_,,, , ...._ LOCATION OF SIDEWALK Ca FRONT YARD ❑ SIDE YARD 0 OTHER WIDTH OF SIDEWALK ❑ 4 FEET 0 S FEET El 5.3 FEET ', ❑ OTHER ______ -- DEPTH OF SIDEWALK .0. 4 INCHES 5 INCHES 0 6 INCHES AREA TO BE REPAIRED ZCT's q.ft. 4 :n.I°(v''q ft. 5 in. Aaq.ft_ 6 in. CODE F - PATCHES YES 0 NO LJ NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an "F, may be repaired by patching. All other areas shall be repaired by reconstruction of full aquoresr. • First Inspection and Form Made By:_ . .. Ra 1 c . Dale: 3" Z' -I D Park Department Review Required IR_ YES ❑ NO PERMIT ISSUED NO... _ DATE: INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: 4 CODE G - Other 4 ZL \_ 7 I''' \ ,T L- \\v j ' . • - i - . SIDEWALK REPAIR SURVEY FORM .• - - CITY 'OF WATERLOO. IOWA . •- . . - ... -• . • • . PROPERTY ADDRESS • (360 8 loci() Mu! ry • '69, a S- 2-11-; 5--1-- C°C. V z5 ..._ PARCEL CODE CONTROL NUMBER - CERT. NUMBER - • • LEGEND kw- U --,-1 • ' _ AREA.NEEDING REPAIR V7/77/7/7/A • - • b t sP- L --= length of repair needed . . • Type of defect ----4C--- \;t - (See reverse side, for Defect Codes A-F) _ • • • (See below for Defect Code G) • • . . •. ADDRESS: • L1!•(":_5 . 1.. ) . \ PQr 6nic . )4) t-)( . . • - . \,V Lof I- - \ U-, •N •-\• Li-\\,2., c•9\;,c, , C itch\ waiti.,, --ID: '2 J s\-,/ Property line ( 1 0,,,,,0 ) i.44,,,s 1 - \\ • f/4 1///1 1 0 K. . WATER SHUTOFF VISIBLE 0 . S-3. win,_:, • CAP • ril BROKEN D - MISSING El :4 . . . . . • . — LOCATION OF SIDEWALK 0 FRONT YARD 0 SIDE YARD ID OTHER ---, 1\ WIDTH Or SIDEWAy< El 4 FEET • EI 5 I-E.t_i ' IN 5.3 FEET' LA OTH•R ____.:___/ " _ • /. \--„_, DEPTH OF SIDEWALK El] 4 INCHES 0 5 INCHES x 6 INCHES ./ . AREA TO BE REPAIRED q.1-t. 4 in. cq.ft. 5 in.5°1"°•I %IA. 6 in. • CODE F - PATCHES YES 0 NO N NO. OF SQUARES WITH PATCHES • -. __. • NOTE: Areas marked with an "F" may .be repaired by patching. An other areas . • shall be repaired- by reconstruction of full squares. . • -- : • First Inspection and Form Made By: P.S j)G- Date: .3 ---23-ib _ Park Department Review Required E] YES MI- NO -PERMIT ISSUED NO: DATE: INSPEC11ON DATE: • IF UNCOMPLETED: • SPECIAL ASSESSMENT CONTRACT NO: • • CONTRACT COMPLETION DATE: . . - CODE G - Other - . . . . . ,._ • ,1,;`'' •/\(-) 7,--; •\.° - . . . . - - • ' '\ -) tji . ., . . SIDEWALK REPAIR SURVEY FORM - - CITY OF WATERLOO, IOWA PROPERTY ADDRESS . 4-co kik Mac- y ST . 211.5-Z4-. - 01,3' 2?5 PARCEL CODE CONTROL NUMBER CERT. NUMBER — ' LEGEND L' AREA NEEDING REPAIR V/lj/IAIZ/A L = length of repair needed .— Type of defect (See reverse aide for Defect Codes A—F) (See below for Defect Code C) 2HZ — 1 ADDRESS. r�,vYiS i itik ' A * ,l WATER SHUTOFF yN� VISIBLE ❑ AP g, \ . BROKEN 0 . — \ MISSING ❑ (13/ �' Property Linn '—' ' �f1�Y�l /ram — Miggi747.y 57 LODATION OF SIDEWALK aFRONT YARD ❑ SIDE YARDD D OTHER _ WIDTH OF SIDEWALK ❑ 4 FEET ❑ 5 FEET L,1E 5.3 EET ❑ OTHER DEPTH OF SIDEWALK 0 4 INCHES 0 5 INCHES tk 6 INCHES AREA TO BE REPAIRED sq.ft. 4 :n. _.__.sq.ft. 5 in. J 77q.ft_ 6 in. CODE F - PATCHES YES 0 NO K NO. OF SQUARES WITH PATCHES_ NOTE. Areas marked with an -F- may be repaired by patching. All other areas shall be repaired by reconstruction of full squares. 3_: First Inspection and Form Made By:___ g5 p, LL Gate: Z3 -/0 — Pork Department Review Required L] YES [2I NO PERMIT ISSUED NO. DATE: INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: CODE G - Other _ �r � - `` " t,- \J SIDEWALK REPAIR SURVEY FORM Lz/./ CITY OF WATERLOO, IOWA PROPERTY ADDRESS 1 f 2_ M 4ecy-1 j, -e . PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND L' AREA NEEDING REPAIR Vf///I//1/A L : length of repair needed A Type of defect (See reverse side for Defect Codes A—F) (See below for Defect Code G) — ( ADDRESS. 11 C WATER SHUTOFF �� '�� VISIBLE 0 1,2 \ - re.62 \` ' BROKEN D 0 MISSING 0 \\ ii, C "y„ \,DJ i — Pro '' `inn _ .—. _ \ y . „.7. mu4)..e.,r1 sA__ , — LOCATION OF SIDEWALK a FRONT YARD 0 SIDE YARD 0 OTHER TH OF SIDEWALK El4 FEET El 5 FEET 5.3 FEET ❑ OTHER DEPTH OF SIDEWALK ❑ 4 INCHES 0 5 INCHES P. 6 INCHES 1 AREA TO BE REPAIRED _sq.ft. 4 in. sq.ft. 5 in. P . I q.ft. 6 in. CODE F — PATCHES YES 0 NO is. NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an _F. may be repaired by patching. All other areas shall be repaired by reconstruction of full squores. First Inspection and Form Made By:_—. Rs D� Date: 2 - /0 i Pork Department Review Required ❑ YES ,q NO — PERMIT ISSUED NO. DATE: INSPECTION DATE: 0 IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT. COMPLETION DATE: CODE G — Other 4\i k — 5 \D c s,-_._ .., _ • ..._. • _ , ,i r SIDEWALK REPAIR SURVEY FORM ' CITY OF WATTRLOO.. IOWA . r PROPERTY ADDRESS. . ,2O Mulierry S-4 - l__ � � —�� . . _.z.,0 • FPARCEL CODE CONTROL NUMBER CERT. NUMBER ' : ` r • , . LEGEND L' . AREA NEEDING REPAIR . P117/ //« L ■. length of repair needed 4 P r ,, Type of defect (See reverie side for Defect Codes A-F) See below for Defect Code C) , \ j '//�� , ADDRESS. 520 J • . F • V --->KI ( . F WATER' SHUTOFF n 'D" \ . oc5 • • m LAE \' 0 a VISIBLE ❑ i;,,�` ri ,;. , • . BROKEN .❑ r v\ uiSSiNG 0 . 1•t` Properly Line �i' .. . r . . --0--r �// / / `-;,1;ts( 1' ¢ ,,,, ,, ,,-,,- • 1,....„. m �{\\,2v f/ St � •��� C5 7 zl'�' f v., i • LOCATION OF SIDEWALK FRONT YARD 0 SIDE YARD 0 OTHER r • • jlj OF SIDEWALK 0 4 FEET ) 5 FEET • 0 5.3 FEET 0 OTHER- '. DEMI OF SIDEWALK tSil 4 INCHES 0 5 INCHES C5jr 6 INCHES r AREA TO 8E REPAIRED 1 .11.41.9c1.1 t. 4 41. eq.ft. 5 in. 2-S'Osq.!t. 6 in. r CODE F — PATCHES YES 0 NO I21 NO. OF SQUARES WITH PATCHES • NOTE. Areas marked with oh "F" may be repaired by patching. All other areas • shall be repaired by reconstruction of full squares. r first Inspection and Form Made ey:� �S i?G Date: 3 `G 3" !C� ' Pork Department Review Required 0 YES- .J NO r i PERMIT ISSUED NO. DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT N0' ' CONTRACT COMPLETION DATE: , • CODE G — Other' t i 1 ` . i . •.. . — - _ - • i • ...., -. . _ . SIDEWALK REPAIR SURVEY FORM . . ---, OW OF WATERLOO.- IOWA PROPERTY _ADDRESS. . 300 gioc( I E__ trisittc,,, Ave. — gq_13.-23- 43k.--filk V .. • 73Z - PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND * L' -,-I AREA NEEDING REPAIR TIZZ/Z/ZIWA — L M. length of repair needed • .) ,-)) Type of defect (See reverse side for Defect Codes A-F) (Sea below for Defect Cods C) -..- ADDRESS. I )(,-- .f. - \-' — ' :) \.-'() • Lz-A-• 1 VtSIBLE 0 • \ . ,.AV--- \ t:--, Lae , • BROKEN 0 . VD:\ ,,..,.,.it MISSING 0 ' C.•'-'• • 0-21'. , I-10' Tofo..1 --"" i ,...7 o) _ Property Line 1 0 — — • ,s_ 1 ji \\ A jel . i sH \ • _ • - E , Pik; Ilci" Ave . — . =Mei OF SIDEWALK [St FRONT YARD 0 SIDE YARD 0 OTHER — mini OF SIDEWALK 0 4 FEET 0 5 FEET - N. ,3 rEET I3 OTHEil PS- ) DEPTH OF SIDEWALK • a 4 INCHES f42-5-.INCHES 0 6 INCHES / Li V • AREA TO BE REPAIRED 16"..._1—...s9 lc` g.ft. 4 ;n. LI---:----112 q.-1 1.. 5 in. _:.___sq.ft_ 6 in. — . CODE F - PATCHES - YES 0 NO D NO. OF SQUARES WITH PATCHES • NOTE. Areas marked with an "f- may bn repaired by patching. All other areas • shall be repaired by reconstruction of full squares. — i ' K ,; D c-,-, . Dote; 3 -2 LI Ti 0 • First Inspection and Form Mods Ely: Pork Department Review Required 0 YES NO — i i PERMIT ISSUED NO. - DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- - CONTRACT COMPLETION DATE: CODE C - Other' i - — 1 i • . . . , 1 . .u. '' \-, • . i . L--) -,:,,---, ' ,-•-, ) \ . \ //-, . • . t., ,,:K, -C-• / ' ,) -'s \., • ,... 4'. \ • ____. - . ,, . - • _,...__________n . . ., . • 4...' . - ...„ . - • ',- ,,, - SIDEWALK REPAIR SURVEY FORM . . . .. s CITY •OF WATERLOO.- IOWA . _ • PROPERTY ADDRESS , :3 i G E. tralian Ave- • . _ . . . • . PARCEL CODE CONTROL NUMBER - CERT. NUMBER LEGEND -0- l' -*- . . . AREA NEEDING REPAIR W/77/ZZIZA L - length of repair needed • — Type of defect (See reverse side for Defect Codes A-F) (See below for Defect Code G) . . • I DDREss. 31 cf,, IX As- WATER SHUTOFF — I ID . 13KIKEN CI . . : . . • . MISSING 0 .. Property Lin‘.2:CL el>---) 7 ,..,..•.1('--k , C.-',3.,t.,,..:.'ic,..e.,''_., 0 -VI er Ve. . . ti,G.e . • E. Muiran Ave.. LOCATION OF SIDEWALK El FRONT YARD 0 SIDE YARD 0 OTHER NUM OF SIDEWALK El 4 FEET 0 5 FEET - , -1 5.3 r- tr El 'OTHER ____.------DEPTH OF OF SIDEWALK --r.' - C3 4 INCA, 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED / 11rot 4 ia. _101 5 in- ,.... .....___3(4.n. 6 in. CODE F - PATCHES - YES 0 NO NI . NO. OF SOU ARES WITH PATCHES NOTE. Areas marked with an -r may be repaired by patching. All other areas shall be repaired by reconstruction of full squares. 5-LI.-/O RS . . First Inspection and Form Made By: f)Rs CV" . Date: 3-Zq 7/6 . r Pork Deportment Review Required Ft YES 0 NO I - PERIA1T ISSUED NO. - DATE: r INSPECTION DATE: . IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. • CONTRACT COMPLETION DATE: 4 . CODE G - Other r ! _ . 1 . • • . • . . . \\ \ \ o „,,\'' . . \ • • . • • , . R7Qe) - E • / .. SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO. IOWA . _ PROPERTY ADDRESS. . /,9I<• kl&k-66GL ST-- gyi3 ---4`( _Ie3 —nQi2 ✓ 039 PARCEL CODE CONTROL NUMBER CERT. NUMBER ' LEGEND 1' -4"I AREA NEEDING REPAIR WIL/z'L7A L .. length of repair needed A Type of defect (See reverse side for Defect Codes A-F) (See below for Defect Code C) •. I ADDRESS. I - -4E- k\f - .r}.'.n/ WATER SHUTOFF• e1' VISIBLE ❑ Lite . kk BROKEN ❑ . Sli. ` MISSING 0 i LO s l�. / __ Properly Una A jaCATIQB OF SIDEWALK Etli FRONT YARD 0 SIDE YARD 0 OTHER —, — j -. yam OF SIDEWALK 0 4 FEET El FEET • 0 5,3 FEET OTHER ' / DEPTH OF SIDEWALK - 0 4 INCHES 0 5 INCHES 6 INCHES� —/ -- AREA TO BE REPAIRED sq-ft. 4 in. ■q.fL �n- "�sq.fl. n. • CODE F — PATCHES • YES 0 NO VI NO. Of SQUARES--WITH PATCHES NOTE. Areas marked with an -r may be repaired by patching. All other areas — • shall be repaired by reconstruction of it squares. First Inspection and Form Made By: ,t UC/ - Date: 3'a3 —/0 • Park Department Review Required 0 YES / NO ! PERMIT ISSUED NO. DATE: INSPECTION DATE: . i If UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO' CONTRACT COMPLETION DATE: , CODE G — Other. 1 f 1 --- • / — V SIDEWALK REPAIR SURVEY FORM - CITY OF WATERLOO. IOWA — PROPERTY ADDRESS. f Newel I - gq 13—2.1—I ®. —®®Z. . 2.y® PARCEL CODE CONTROL NUMBER CERT. NUMBER • LEGEND f L' AREA NEEDING REPAIR WII/Ill/IA L .• length of repair needed A Type of defect Z See reverse side for Defect Codes A-F) Z. (See below for Defect Cods C) • ADDRESS. /1 14 I ' WATER SHUTOFF ` OiCEN D ___________t____ \ . .r..6e �, � _ MISSING 0 ek \ _ i t ` k\ Property One 1 PIA / \ . . Ne uo di ,5f. LOCATION OF SIDEWALK la FRONT YARD 0 SIDE YARD 0 OTHER - �. r l OF SIDEWALK 0 4 FEET D 5 FEET D 5.3 FEET OTHER "a' 6 DEEM OF SIDEWALK Gi 4 INCHES ❑ 5 INCHES 0 6 INCHES i 17 � AREA TO BE REPAIRED 41, tT• in. ■q•tt 5 in. ■q.it. 6 in. CODE F - PATCHES YES ❑ No 't NU. OF SQUARES WITH PATCHES r NOTE. Areas marked with an "F. may be repaired by patching. All other areas shall be reaairsd by reconstruction of full squares r First` Inspection and Form Made By:,___TE LC Date: 3-23-s • Park Department Review Required 0 YES (]NO i PERMIT ISSUED NO. _ DATE:. INSPECTION DATE: T IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. CONTRACT COMPLETION DATE: CODE G - Other I r• .r1 . i 0 . SIDEWALK REPAIR SURVEY FORM / i CITY OF WATERLOO, IOWA - • PROPERTY ADDRESS 301 OPo4 Avg, — • PARCEL CODE CONTROL. NUMBER CERT. NUMBER - — •LEGEND t"� L' _ AREA.NEEDING REPAIR V////z7/I/A L = length of repair needed A _. • . Type of defect (See reverse side for Defect Codes A—F) (See below for Defect Code G) 'tol< ADDRESS: 30/ t ' �" ,� rya • , �'�• roperty Line { _P Y _ j of,� l/� WATER SHUTOFF — \ Jsc Imo/ VISIBLE ❑ bk,- .S,D CAP • BROKEN CI MISSING ❑ . La-Pavel--- e 6 4-. LOCATION OF SIDEWALK ❑ FRONT YARD r.. SIDE YARD ❑ OTHER WIDTH Or SIDEWALK El 4 FEET F • 5 I-LEI - ❑ 5.3 FEET ❑ OTHER—_ DEPTH OF SIDEWALK tg 4 INCHES ❑ 5 INCHES ❑ 6 INCHES AREA TO BE 'REPAIRED 2.5'�q.ft. 4 in. Gq.ft. 5 in. sq.ft. 6 in. CODE F — PATCHES YES ❑ NO ►0 NO. OF SQUARES WITH PATCHES NOTE: Areas marked with an "F" may:be repaired by patching. All other areas shall b-e repaired by reconstruction of full squares. R-S444_170 • • First Inspection and Form Made By: Rs DC Date: 3-.2 U io - Park Department Review Required El YES ; . NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: - — IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: - CONTRACT COMPLETION DATE: - CODE G — Other • 1 . • , .. — .. .. . . . —•----- . . •,/ ... • r SIDEWALK REPAIR SURVEY FORM . . CITY OF WATERLOO. IOWA . . . PROPERTY ADDRESS. 3Z 1 Q.cLY- P,vc, - • PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND -a- L' --.1 AREA NEEDING REPAIR V7/77/ZIIZA L - length of repair needed A • 1- Type of defect / (See reverse side for Defect Codes A-F) (See below for Defect Code G) • , 4 1, T . . ADDRESS. 2- ,. . n i C.,\C.,- l,•:.. ` ", WATER.SHUTOFF VisistE :21 ! • 1,2f \ . . faie . i• • 6••• • BROKEN 0 . i MISSING 0 i CO C\1.3724 . Pro 44•1 -/ T- • e 9 c.(, A v e 4, • • • . • Immo OF SIDEWALK (EL.FRONT YARD 0 SIDE YARD El OTHER T , - .._, . OF SIDEWALK A. 4 FEET' _ 0_ 5 FEET - El 5.3 FEET 0 OTHER --- , • DEnif OF SIDEWALK •(5( 4 INCHES-/ g 5 INCHES 0 6 INCHES T AREA TO BE REPAIRED /( i -eq.it. 4 ;n. ,c2,8 ati.ti 5 in. ____....___sq.ft. 6 in. T CODE F - PATCHES - YES. 0 NO la NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an "F" may be repaired by patching. All other areas • shall be repaired by reconstruction of full squares. i ' . • First Inspection and Farm Made ay: gs D C, . Date: -zq—10 . T Park Department Review Required 0 YES XN0 ,i T ,• • PERMIT ISSUED NO. • DATE: INSPECTION DATE: • _ . IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE; CODE G - Other 4 . . T voie.s.N,., rtpka..c.e....,.„4 4, 5 W. . .;C Free.. rcg+s ct'e-- • , f reserA as de..,+-,a-r.,,i,24 .1=7 C_74-7 •,-,/"Ine-42-r. - I ' I . • • - . ..;• •, .- • • • ,_:\_\ .-•-, • \ (.--, it )._ c -co, \ \\\\\ v- \s„ . - . , . . I \\\ . . i •.,_ ..._ _ - - _ . • SIDEWALK REPAIR SURVEY FORM v ._ _ CITY OF WATERLOO, IOWA _ . . - . PROPERTY ADDRESS 1121 6,3.4 Ave. . ' - ..... i4 7 PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND I-0— L' --.-1 - AREA NEEDING REPAIR L = length of repair needed _ Type of defect A C 1 - (See reverse side for Defect Codes A—F) (See below for Defect Code G) _ • . •. ADDRESS: .. — ti2jk i V J ( - --itftif Property Line dAq SI VI' .. ' .. ,111111111011111111.11111•11,1111W WATER SHUTOFF ' VISIBLE Er] D CAP BROKEN D — MISSING 0 Al vihe_x-ri . . . _ LOCATION OF SIDEWALK El FRONT YARD ®. SIDE YARD 0 OTHER ----- WIDTH OF.SIDEWALK t. 4 FEET- 0 5 I-EH 0 5.3 FEET Ell OTHER __ _------ _ DEPTH OF SIDEWALK [3( 4 INCHES 0 5 INCHES El 6 INCHES , — AREA TO BE REPAIRED - r7rinq.ft. 4 in. q.ft. 5 in. sq.ft. 6 in. CODE F — PATCHES YES 111 NO IX NO. OF SQUARES WITH PATCHES — NOTE: Areas marked with an "F'' may be repaired by patching. All other areas - shall be repaired- by reconstruction of full squares. First Inspection and Form Made By: P--S D C._ Date: 3-z y—ID — Park Department Review Required [III YES a NO PERMIT ISSUED NO: DATE: INSPECTION DATE: — IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: _ CODE G — Other • . ,\U A 2S ,,,-,. , c)i .. - . ..... Ns \ , n .3' •,` \\--' _ SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO, IOWA PROPERTY ADDRESS S 4).7 OAK Ave. • • 89 ►3 -Z3_28.7- ooy G PARCEL CODE CONTROL,NUMBER CERT. NUMBER LEGEND L' -i-{ • j AREA.NEEDING REPAIR I77//777//ZI r — L = length of repair needed �J' s Type of defect C) A 7)D-� (See reverse side for Defect Codes A-F) 7 - ° — (0 (See below for DefectJ07de G) ' N I J — Zs ‘'NK O — \i-----, T/ I :: Property Line/WI %i/ WATER SHUTOFF r____ VISIBLE ❑CAP 4. BROKEN El — MISSING ❑ F ANKL1t.J ST LOCATION OF SIDEWALK ig. FRONT YARD ❑ SIDE YARD RI OTHER RgAR WIDTH OF-SIDEWALK K 4 FEET ❑ 5 FEET • El5.3 FEET ❑ OTHER , DEPTH OF SIDEWALK 4 INCHES ❑ 5 INCHES ❑ 6 INCHES AREA TO BE REPAIRED ft. n.q. -2 sq.ft. 5 in. sq.ft. 6 in. CODE F - PATCHES YES[] NO •S NO. OF SQUARES WITH PATCHES — NOTE: Areas marked with an "F" may be repaired by patching. All other areas . shall be repaired by reconstruction of full squares. y-22-,O es . ; First Inspection and Form Made By: 01 a es Date: 3-ZS-10 — •Park Department Review Required [] YES [ NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: - — IF UNCOMPLETED: - SPECIAL ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: - CODE G - Other \O Rj',41�# rid — "`i ;o - - "c ?e - — SIDEWALK REPAIR SURVEY FORM _ CITY OF WATERLOO, IOWA _ . • _ PROPERTY ADDRESS Z7_9 E. Pa rle— AAA _ PARCEL CODE CONTROL,NUMBER CERT. NUMBER LEGEND [-*-- L' —0-1 --i- AREA NEEDING REPAIR. V7/////77M k ,. .....••• Al 7 --;•)0-__ V-, c•-------° 3 L = length of repair needed / 2,0 V'i• ' _ Type of defect A 1 - (See reverse side for Defect Codes A—F) _ - (See below for Defect Code G) - . 17 X • ADDRESS: — .--.. ------- ..0 . / '' 7 Ave . - C) - ‘ 51 05 - -tk-- k \ 3Pg ...... / v / i Property Line Vti A L..., c•k-/sG/ N . I I _ \o ,.t ,,,,,i:cm ri ,,,- ,--,, — \,- WATER SHUTOFF 't•,,_\. ,---,-, •,.4.. la VISIBLE Ej - p CAP BROKEN Ell (s- - MISSING El • rck.--V. Ave . — LOCATION OF SIDEWALK CA FRONT YARD 111 SIDE YARD 11 OTHER _ WIDTH OF.SIDEWALK El 4 FEET El 5 FEET El 5.3 FEET CI OTHER DEPTH OF SIDEWALK `"R 4 INCHES 0 5 INCHES E] 6 INCHES — AREA TO BE REPAIRED 2-52,5- sq.ft. 4 in. sq.ft. 5 in. sq.ft. 6 in. CODE F — PATCHES YES 0 NO El NO. OF SQUARES WITH PATCHES • — NOTE: Areas marked with an "r may.be repaired by patching. All other areas shall be repaired by reconstruction of full squares. • First Inspection and Form Made By: CI-Z-5 D G° Date: 3 —a 5 - ta — Park Department Review Required 511 YES Ei NO PERMIT ISSUED No: DATE: INSPECTION DATE: • IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO:. CONTRACT COMPLETION DATE: (_. — CODE G — Other , 0,:k -'•\ --/) \ \.c.> • - - ,- v,-.. ,- ,t° ;\,--) , ,,b-•'. \.. • . . . . SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO, IOWA PROPERTY ADDRESS 4-07 Et: PA.(K_ 4-,f-e_ • gcl_I a -211- 35Ll- -002i ,z • PARCEL CODE CONTROL NUMBER CERT. NUMBER _ --, LEGEND 1+-- L —0.-1 AREA NEEDING REPAIR V///77/7/7/1 — L = length of repair needed "‘ • Type of defect 11 _ (See reverse side for Defect Codes A—F) : _ — • (See below far Defect Code G) V _ a/ X • ADDRESS: -- CitA / —1 — '( \ • \ k _"'-> • C4, Property Line 6.----,-) 444- WATER SHUTOFF - ?eg", VISIBLE 0 • t-reer lip,, CAP . . „..,/ BROKEN 0 — MISSING Ell ifil t) I? r-xi i LOCATION OF SIDEWALK 4.15.11 FRONT YARD 4 SIDE YARD 111 OTHER — WIDTH OF.SIDEWALK D 4 FEET D 5 I-ELI El 5.3 FM 0 \--L______I DEPTH OF SIDEWALK P 4 INCHES 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED 1Z./ 1 sq.ft. 4 in. sq.ft. 5 in. sq.ft. 6 in. CODE F — PATCHES YES El NO 11 NO. OF SQUARES WITH PATCHES . _ NOTE: Areas marked with an 'F' may be repaired by patching. All other areas shall be repaired by reconstruction of full squares. First Inspection and Form Made By: R--5 D CT Date: 3-2-3 -I o — Park Department Review Required 0 YES 0 NO :PERMIT ISSUED NO: DATE: INSPECTION DATE: _ IF UNCOMPLETED: • SPECIAL ASSESSMENT CONTRACT NO: • CONTRACT COMPLETION DATE: • CODE G — Other . , . . ;) A° • \C) , _ SIDEWALK REPAIR SURVEY FORM 2 CITY OF WATERLOO, IOWA - 2 - PROPERTY ADDRESS L/07 E Pa(k Aj ga la -a, ' 3524_ ot2,30 I Z5_ • PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND t"-- L' • AREA.NEEDING REPAIR V7///7//7/Ai L = length of repair needed A Type of defect (See reverse side for Defect Codes A—F) — (See below for Defect Code G) XADDRESS: r \ -0 ------_,,,.. ,..1 V- (/ -...„9 O T v _ Property Line `� 'Cli i '/ cp \CL WATER SHUTOFF ,, i_ °gip' VISIBLE ' CAP \.' BROKEN ❑ {`� i MISSING Elf_ _ f+� y 3 R'D 5 .� ; .`�-/ / r{ �:y� .ls br.- /. 1.J, ,i. L',YLz ., LOCATION OF SIDEWALK ❑ FRONT YARD ❑ SIDE YARD ❑ OTHER — WIDTH OF•SIDEWALK ❑ 4 FEET n 5 FEET IN 5.3�'EET ❑ OTHER_ DEPTH OF SIDEWALK 1 <i 4 INCHES ❑ 5 INCHES 6 INCHES AREA TO BE 'REPAIRED S. cq.ft. 4 in. sq.ft. 5 in. 2-6`S sq.ft. 6 in. CODE F — PATCHES YES ❑ NO [21, NO. OF SQUARES WITH PATCHES — NOTE: Areas marked with an "F" may be repaired by patching. All -other areas shall be repaired by reconstruction of full spuares. (� ' First Inspection and Form Made By: KS D G Date: 3 - Z 3 -10 Park Department Review Required ❑ YES VI NO PERMIT ISSUED NO: DATE: ' INSPECTION DATE: — IF UNCOMPLETED: . SPECIAL ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: - - CODE G — Other ��'~')Z �`O 1 , i\0 '7 `0 3- i (� ' - . - SIDEWALK REPAIR SURVEY FORM CRY -OF WATERLOO, IOWA _ ,,/ - PROPERTY ADDRESS Zoo LI Tm< ,Cp. — • PARCEL CODE CONTROL NUMBER CERT. NUMBER - LEGEND L' --0.4 AREA.NEEDING REPAIR t/l%f//////it — L = length of repair needed . Type of defect • See reverse side for Defect Codes A-F) — See below for Defect Code G) XADDRESS: e \ VA-c. Lor s. f _ - 4° Property Lane , — — — — r�f WATER SHUTOFF — �� VISIBLE [] A CAP ___J BROKEN ❑ - \ - MISSING ❑ 5T-. 4JS LOCATION OF SIDEWALK FRONT YARD ❑ SIDE YARD ❑ OTHER WIDTH OF-SIDEWALK El 4 FEET ❑ 5 FEU ,I S3`FEt"r M O ER��C s — DEPTH OF SIDEWALK ❑ 4 INCHES/ EX 5 INCHES) El INCHES . �� �„ AREA TO BE REPAIRED sq.ft. 4 in. - i q.ft. 5 in. sq.ft. 6 in. • CODE F - PATCHES YES ❑ NO P] NO. OF SQUARES WITH PATCHES — NOTE: Areas marked with an "F' may be repaired by patching. All other areas - shall be repaired by reconstruction of full squares. . First Inspection and Form Made By: 106 5.45 Date: 5-Z..5 112 — •Park Department Review Required ❑ YES [ ] NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: - IF UNCOMPLETED: . SPECIAL ASSESSMENT CONTRACT NO: - . CONTRACT COMPLETION DATE: - CODE G - Other \O ��. . . - n SIDEWALK REPAIR SURVEY FORM CRY OF WATERLOO, IOWA PROPERTY ADDRESS 2a0 !K; Pckr-K - let , • S 9 13 - 23-2E6- o ► 0 Z51(, — PARCEL CODE - CONTROL NUMBER CERT. NUMBER LEGEND U , l` • — AREA.NEEDING REPAIR rl/////7///i1 r.,,. L = length of repair needed (7it _. Type of defect ' _ See reverse side for Defect Codes A—F) y' N • (See below for Defect Code G) 1,, "riD „ _ j 5:J i d ADDRESS: y J ?5k• v + C) 1/4: \ , I I Property Line -- / �.Vii WATER SHUTOFF Y!!il VISIBLE ❑ _ - JCAP BROKEND MISSING ❑ U f;co._ S 4-, . LOCATION OF SIDEWALK FRONT YARD P1 SIDE YARD ❑ OTHER — WIDTH OF SIDEWALK -- 4 FEET El 5 FEET • a 5.3 FEET ❑ OTHER—_ DEPTH OF SIDEWALK % .0 4 INCHES 0 5 INCHES ❑ 6 INCHES — \ f 0�,� - • AREA TO BE REPAIRED sq.ft. 4 in. sq.ft. 5 in. sq.ft. 6 in. CODE F — PATCHES YES ❑ NO 4 NO. OF SQUARES WITH PATCHES • NOTE: Areas marked with an "F' may .be repaired by patching. All other areas • shall be repaired by reconstruction of full squares. ,y 21_JD Rs • • First Inspection and Form Made By: m1S gam. Date: 3-OS-JO •Park Department Review Required J YES ❑ NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: — IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: • — CODE G — Other - . �,, v0 �. — • L- 3 cO� - - . �G' ,z - - SIDEWALK . REPAIR SURVEY FORM . CITY OF WATERLOO. IOWA PROPERTY ADDRESS. L/00 B Iacl, Pa r X kc(. - g 9 13 -Z3-z,�z-© i 3 . . 258 0 PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND E' AREA NEEDING REPAIR V444,41/Z/Z4el L - length of repair needed Type of defect M I See reverse side for Defect Codes A-F) (Sea below for Defect Code C) ---)t- ADDRESS. I I P G 1 I WATER SHUTOFF - \ VISIBLE ❑ BROKEN 0 MISSING ❑ • a C1 C 9 7.5 I Property tine _ - .2_ , r7/7 Km 0-1 6n LOCATION OF SIDEWALK I FRONT YARD ❑ SIDE YARD 0 OTHER Mani Or SIDEWALK ❑ 4 FEET 0 5 FEET � 0 OTHER DEPTH OF SIDEWALK ❑ 4 INCHES 0 5 INCHES ,11 6 INCH' T AREA TO BE REPAIRED - ■q.tt. 4 ;n. eq•tt. in_5664sq.ft. in. CODE F - PATCHES YES 0 NO...0 NO. OF SQUARE. PATCHES 1-- NOTE- Amos marked with an "F" may be repaired by patching. All other areas shall be repaired by reconstruction of full squares. Lj 21-/D kS • first Inspection and Form Made By: (n.e> BS - Date; 3- 5-/o Pork Department Review Required 0 YES NO PERMIT ISSUED NO. DATE:. INSPECTION DATE: • T IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: , CODE G - Other' 11 1 ,..... . ,. r r\l1Q \v - SIDEWALK REPAIR SURVEY FORM • CITY OF WATERLOO. IOWA PROPERTY ADDRESS. 5 i .� Pi LT y1`L ; - . • • PARCEL CODE CONTROL NUMBER CERT. NUMBER L. . AREA NEEDING REPAIR V Z/M `j S L length of repair needed 1 Type of defect (See reverse side for Defect Codes A—F) `ii :. r (See below for Defect.Code C) ADDRESS. f ..... --*-- WATER SHUTOFF \ VISIBLE ❑ \` See . BROKEN ❑ r MISSING ❑ Property Line _f,4 v// • LOCATION OF SIDEWALK 1g FRONT YARD 0 SIDE YARD 0 OTHER ___ I. � WIDTH OF SIDEWALK ❑ 4 FEET 0 5 FEET 0 5.3 FEET OTHER t� j OF SIDEWALK ;ti 4 INCH 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED ___q 4 in. ■q.fL 5 In. sq.ft- 6 in. CODE F — PATCHES YES is NO NI NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an _F.. may bn repaired by patching. All other areas shall be repaired by reconstruction of full squoros. ,) First Inspection and Form Made By: i I—, ....__ Date: -- (k.i j/0 Pork Department Review Required ❑ YES (511 NO it PERMIT ISSUED NO. DATE: INSPECTION DATE: ' IF UNCOMPLETED. SPECIAL ASSESSMENT"CONTRACT NO- ...4 ' CONTRACT COMPLETION DATE: 1 CODE C — Other ii ---1 F_ 7 tr --- SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO. IOWA PROPERTY ADDRESS. . ( i o o Q I oc,,K.) Q u;A cy S f. - ?3 ) 3 —'-i _ r 05_00(2 ✓ - 061 / PARCEL CODE CONTROL NUMBER CERT. NUMBER • LEGEND U - AREA NEEDING REPAIR 1/I7l1f/L1Z4 L e length of repair needed \0 _ Type of defect { � • (See reverie side for Defect Codes A—F) �� -- r 5 (See below for Defect Code C) �\P. (,t t \ "6" t-\ / -* ADDRESS. ) I V ! i L'A i`I T I WATER SHUTOFF VISIBLE ❑ 45 . \ . L.- fr see �It. BROKEN 0 MISSING ❑ .off { > •® l NINI3' ..._ Property tine __l C\\°-41'' C.LEAN) L!tl-L( I 5i ` . LOCATION OF SIDEWALK FRONT YARD 0 SIDE YARD ❑ OTHER AM OF SIDEWALK ❑ 4 FEET 1 5 FEET ❑ 5.3 FEET 0 OTHER DEPTH OF SIDEWALK g 4 INCHES 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED ■q.1t. 4 in. . ■q:ft. 5 In. sq.ft. 6 in. CODE F — PATCHES. YES 0 NO V21 NO. OF SQUARES WITH PATCHES 1 NOTE. Areas marked with an "F" may be repaired by patching. All other areas shall be repaired by reconstruction of full squares. r First Inspection and Form Made Ely:___ t''C` y Date: 3'"7 Li —I(� Park Department Review Required 0 YES 'NO r PERMIT ISSUED NO. _ DATE:, INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: I i 4 CODE G — Other. i i ...--.\ - 0_ 4- r• i 4., isi, .;\ ,____________ _ . -' c~ 0: _ . .. _ ., _ SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO. IOWA , . — PROPERTY ADDRESS ., t N- aus:i y.1 ...._91—. 1 . --- PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND I-4— L' - -I — AREA NEEDING REPAIR PYVAW/WA • I — length of repair needed Type of defect (See reverse side for Defect Codes A—F) _ (See below for Defect Code C) ADDRESS. i C--) — + WATER SHUTOFF VISIBLE - 0 • — .'''-' ,e"-7 \ . mie ,_, BROKEN L-I MISSING 0 • ..z.- (.- \,' —. ,-- <7 6_ Property Line rC`P --,---- ...... 0\'°\' / 5.'k/ IC\ (0.1 es'. _ (_ \..\,i,v•tij — 3 LOCATION OF SIDEWALK 14 FRONT YARD 0 SIDE YARD 0 OTHER 19 yfianj OF SIDEWALK 0 4 FEET In 5 FEET El 5.3 FEET . 0 OTHER DEM OF SIDEWALK 0 4 INCHES / TES 0 6 INCHES I ........ ( ?. :(- 4,ft„' AREA TO BE REPAIRED —_sq.N. 4 *.o __ . 5 In. ________sq.fl. 6 in. CODE F - PATCHES YES El NO ta NO. OF SOUARES WITH PATCHES NOTE. Areas marked with an -F- may be repaired by patching. All other areas shall be repaired by reconstruction of full squares. i 1-E First Inspection•and Form. Made Ry:— Lc/ Dale: --.... Park Department Review Required 0 YES 1:23 NO . 1 PERMIT ISSUED NO. DATE: . INSPECTION DATE: — IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: CODE G - Other I — , 1 , I 0 • 0 ' , • • , \ , --- I --.) 4 C.1-,2...c‘4' ,)s •" , I (...< . SIDEWALK REPAIR SURVEY FORM fi — CITY OF WATERLOO, IOWA • PROPERTY ADDRESS 331 S ck x o n St: — g d 1 3 - ?'i _ 152- a 0 l 2 6 Li rR — ' PARCEL CODE CONTROL NUMBER��� `IC CERT. NUMBER . ® J ©} LEGEND L' -4.-1 4} _ — AREA.NEEDING REPAIR rll/Il/////Ai " O 4`, ;� Type length o defect repair needed �I� qy�'j U' , r � V - — See reverse side for Defect Codes A—F) (See below for Defect Code G) >< ADDRESS: 3 3 vi \� � _ U , ,,k • U r 'q 4 r C} 'k Property Line WATER SHUTOFF VISIBLE ❑ CAP — ‘r ril• BROKEN 0 MISSING ❑ LOCATION OF SIDEWALK ❑ FRONT YARD N. SIDE YARD ❑ OTHER WIDTH OF SIDEWALK ❑ 4 FEET ���S 0 5.3 FEET C OTHER `'` DEPTH OF SIDEWALK 4 INCHES ❑ 5 INCHES ❑ 6 INCHES AREA TO BE REPAIRED ‘-8.Q sq.ft. 4 in. •sq.ft. 5 In. sq.ft. 6 in. CODE F — PATCHES YES .El NO Ig NO. OF SQUARES WITH PATCHES NOTE: Areas marked with an "F" may be repaired by patching. All other areas • shall lie repaired by reconstruction of full squares. , • First Inspection and Form Made By: TE LC. Date: — • J Park Department Review Required g YS ❑ NO — -PERMIT ISSUED NO: DATE: INSPECTION DATE: IF UNCOMPLETED: . SPECIAL ASSESSMENT CONTRACT NO: _ CONTRACT COMPLETION DATE: • ;— CODE G — Other Po-}"en+yak repVQc2'.�eX,•}- 0 c sid ewo.ilC I c -I-ree_ roo-- a1-e- pf-'Ls tr.+ Q"� -e.X-•rip nect { y Ci--y C.13Zrleerr ti'r� \. .i, v _ _ v_ I SIDEWALK -REPAIR SURVEY FORM . CITY OF WATERLOO. IOWA PROPERTY ADDRESS. . .4 og . S.dx`( S+. . 39 t- -Le _°a Z&.5 PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND L' AREA NEEDING REPAIR W1/17/11./A — L w. length of repair needed Type of defect (See reverse side for Defect Codes A-F) (See below for Defect Code G) • Cn *- �`' 0 -)liE ADDRESS.• I 4 WATER SHUTOFF �, I-r f`J1_ VISIBLE 0 � Lam. BROKEN 0�-� } v f MISSING 0 qC Y t9 j Property tine l D`i9 c_LEA o WALK i()CATION OF SIDEWALK lia FRONT YARD 0 SIDE YARD ❑ OTHER , jtj OF SIDEWALK 0 4 FEET. 5 FEETs ❑ 5.3 FEET 0 OTHER DEATH OF SIDEWALK 4 INCHES 0 5 INCHES 0 G INCHES 1 AREA TO BE REPAIRED �J 3JD.U q.ft. 4 in. ■q.11 5 in. sq.ft. 6 in. CODE f— PATCHES YES ❑- NOOs_ NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an "F" may be repoired by patching. All other areas shall be repaired by reconstruction of• l v s cares• J First Inspection and Form Made B -- Date: 3 9' J Y= Pork Department Review Required 0 YES KNO II PERMIT ISSUED NO. DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: CODE G - Other• i j i i -r . l • . - - - • SIDEWALK REPAIR SURVEY FORM CI-TY OF WATrRLOO; IOWA ._ r• PROPERTY ADDRESS Li 33 • 5,44.bt,,/ _SF; 1- • . PARCEL CODE CONTROL NUMBER, •;--------- CERT. NUMBER • --,- 1 i 1-- L. 05 41"4-LEEND AREA NEEDING REPAIR G7777Z77A `- , . 6, L = length of repair needed •-•, . _ 40 ,,-' be Type of defect - See reverse side for Defect Codes A—F) : . ,• 11 V -- ‘ -- ( Seelow far Defect Code G) < tA • ,._ -,. ..,./3 s . . ii ,.. >f‹ . ADDRESS: 7 :3 7-= • 1 ------\ , , , .,,,,.... 5, : ._ . . - . Property line I . . WATER SHUTOFF' r VISIBLE 0 CAP• 4, } BROKEN D r- • • MISSING El • __SAV4V . . . • : • / .LOCATION OF SIDEWALK El FRONT YARD N SIDE YARD El OTHER WIDTH OF-SIDEWALK El 4 FEET g 5 FEET • D 5.3 FEET. D OTHER DEPTH OF.SIDEWAIJC g. 4 INCHES El 5 INCHES 1:3 6 INCHES • 5° • . AREA TO BE REPAIRED sq.ft 4 in. _____sq.ft. 5 in. sq.ft. 6 in. CODE F — PATCHES YES CI NO .14 NO. OF SQUARES WITH PATCHES •. — NOTE: Areas marked with an "r may.be repaired by patching. AU other areas shall be repaired- by reconstruction of full squares. . . First Inspection and Form Made By: r (..f _,L, Date: ,..)-15---/C), . .— Park Department Review Required sgi YES 0 NO PERMIT ISSUED NO: DATE: INSPECTION DATE: • _ IF UNCOMPLETED: . SPECIAL ASSESSMENT CONTRACT NO; • CONTRACT COMPLETION DATE: • CODE G — Other . . — . • . . . . I ,\‘,.., _ \U''' • • . _ • . . • . ..) — . • . . . / ''''"' • SIDEWALK REPAIR SURVEY FORM ... _ CITY OF- WATERL00;-• _IOWA . PROPERTY ADDRESS . /50 SIT- . 444/34/41.5 • . - — . . PARCEL CODE CONTROL NUMBER CERT. NUMBER ......, • AREA NEEDING REPAIR 17.444,44AWA _,, L 1... length of repair needed Type of defect . (See reverse side for Defect Codes A—F) (Sea below .for Defect Code C) . — lN.4:1:9 ADDRESS. /3t9 _. WATERS HUTOFF gICK ef Gor- VISIBLE 0 . \ • SAE • . -..: - . . • BROKEN El . MISSING 0 . 5-nrA-PA (;) Propirfy Linn • • • . -,.., • :I .--------- ) - M-----. . - . \ .• . ....1 • 6177 e4 15.7"- .... . . LOCATIQ.N OF SIDEWALK _----- - I YARD 0 SIDE YARD 0OTHER —. -----. • .-- - • It= Of SIDEWALK -.' ..- 0 5 FEET - 0 5-3 FEET 0 OTHER • ' - \ f---1)DEPTH OF SIDEWALK •.--eq 4 INCHE.5 , L.) 5 INCHES 0 6 INCHES . 1 AREA TO BE REPAIRED i-017.5- .t)x- ig a(in. —s .ft. 5 in. ...._:_.—sq.ft. 6 --. CODE F - PATCHES • YES 0-- NO act NO. Of SQUARES WITH PATCHES • . ; NOTE. Argos marked with an "f" may bn repaired by patching. All other areas shall be repaired by reconstruction of full squares. . first Inspection and Farm Made By:_ktie 5..5 . Dale; 5-Z5-/t) . 1 -/D . • ' Pork Department Review Required ql YES .• , 0 NO /75 4.46 ....i . i - PERMIT ISSUED NO. - DATE: . INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- . CONTRACT COMPLETION DATE: CODE G - Other. i ! 1 . — I \\ . . - - . . . I . ` •0 . . . i AN . • . --* ii-.--- --- -'*--(--)(i ' - \ • . . - . . ,0 . • • :.• cp° SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO. IOWA. PROPERTY ADDRESS. . 2 I 5t f-c c< -- e�f 0 r-e ,z - - c 0 13.—z-3— li`Sj-0/o ✓ - Z77 PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND L' AREA NEEDING REPAIR V//Il//I.61 L — length of repair needed Type of defect (See reverse side for Defect Codes A—F) (See below for Defect Code C)--1(-- ADDRESS. E3 WATER SHUTOFF [.1% VISIBLE ❑ . \ . LSE . BROKEN 0 MISSING 0 ( I' I ) Properly tine — „-i \ . 7, \ ..... LOCATION OF SIDEWALK 0 FRONT YARD 0 SIDE YARD 0 OTHER Mali OF SIDEWALK 0 4 FEET ❑ 5 FEET ( D 5.3____KET ❑ OTHER DEPTH OF SIDEWALK ❑ 4 INCHES 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED •q.lt. 4 in. ■q.ft. 5 In.' ' 7`' ■q.ft-. 6 in. CODE F — PATCHES YES ❑ NO [ ; NO. OF SQUARES WITH PATCHES NOTE. Arens marked with an "F" may be repaired by patching. All other areas • shall be repaired by reconstruction of{{full squares. inspection and Form Made 8 �``S G Date: — 7`1 — l u First ins P Y�--- Park Department Review Required 0 YES - 52'NQ ;i PERMIT ISSUED NO. • DATE: INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. _ CONTRACT COMPLETION DATE: + CODE G — Other — i I I 11 i -__ .._ SIDEWALK REPAIR SURVEY FORM - CITY OF WATERLOO, IOWA - - (iob 8 oc,K) • PROPERTY ADDRESS. S CQ/Yto re -S-I-. : 540) — 23- 471— bE0 7,73 PARCEL CODE CONTROL NUMBER CERT. NUMBER ' LEGEND L' -0-1 V`i N\� AREA NEEDING REPAIR Vll/ll!/If/ C`(\ L length of repair needed -" ' Type of defect (See reverse side for Defect Codes A-F) (Sea below for Defect Code C) 'Ii.S*-- I ADDRESS. I I ( WATER SHUTOFF L/ , _,_C,�=14t i\ ' A VISIBLE r '� `r MISSING 0 • // BROKEN El �. \ O r k, o,-jc [ �y ij f J,L,� - .�i; 15r5 _jCi i, \!\l� i\i° Prop y tine 5.I r S.C% 1 Ai.6.'' 1/1 1'!/i 11/t 1141 r)1 t \.JJ. 1f SICnN/N-C� St-,. OF SIDEWALK -E FRONT YARD 0 SIDE YARD 0 OTHER OF SIDEWALK ❑ 4 FEET 0 5 FEET : t 5.3 FEET [] OTHER — OF SIDEWALK - C` 4 INCHES 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED --' sq.tt. 4 in. sq. CODE F — PATCHES YES 0 NO ❑ NO. Of / \j : ; _ . i x NOTE. Areas marked with an "F may be repaired by path \\ " I /\ 1 Jtt 7\C, • shall be repaired by reconstruction of full squares. `4.. \ First Inspection and Form Mode By:___K,5 D G.- —r� ��i\ ` Park Deportment Review Required r YES ❑ �`� °��. 51 ` t , ,�, 1p `,\ \ r` , �, h , \ ?' PERMIT ISSUED NO. DATE:, IN: '- v.....,• 1 \-4• \ n � If UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. \ \` , •; -v�' \� i v'; q�k' CONTRACT COMPLETION DATE: j\y7� . CODE G Other .\\''' 1 \ . �' J ..Y' ^ f \ ., w ` �V/ i ./N ,-)•. .:;A£/ \U • ^ \ , r .\'% ', v �,RJ . �� a,S'�� \\� ` `/ ...t''. j`� 0J r_ _z -� . V . ,V . - . _... ,. . _ . . . ,. .. . _ . r SIDEWALK REPAIR SURVEY _ FORM CITY OF WATERLOO.- IOWA (lea 81.c.4) PROPERTY ADDRESS. . . • Sy.can/to rc S-I-. - PARCEL CODE CONTROL NUMBER CERT. NUMBER �eti[ ,s` j 7 LEGEND �. �� • } AREA NEEDING REPAIR. W//7Z6'J/A C�(. v I t�1ry74 ��"y� L i length of repair needed �` Type of defect See reverse side for Defect Codes A—F) (See below for Defect Code C) • i i T r 1 ADDRESS. 1 I WATER SHUTOFF � r� i10 vlstatE ❑ \\I' \. Lo-I- see . v`` \ , `\_'� BROKEN ❑ L' v ' " MISSING 0 S' V\/ 1 ` _ Property Line _1 f' 1 1 . a; • • . LOCATION OF SIDEWALK '1;4 FRONT YARD 0 SIDE YARD ❑ OTHER 1 NUM OF SIDEWALK 0 4 FEET 0 5 FEET • Lt 5.3 FEET 0 OTHER DEEM OF SIDEWALK 4 INCHES 0 5 INCHES 0 6 INCHES I 227.9 q. q.ft. 6 in. AREA TO BE REPAIRED q.tl. 4 ;n. ■ ft, 5 in. ■ • CODE F — PATCHES - YES ❑ NO ❑ NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an "F" may be repaired by patching. All other areas shall be repaired by reconstruction of full squares. r • First Inspection and Form Made By:____ 5 J C3 Date: 3`—Z5—i D I • Pork Department Review Required 151 YES ❑NO i PERMIT ISSUED NO. DATE: INSPECTION DATE: IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. CONTRACT COMPLETION DATE: , CODE G — Other• _ . I. 1- - - r i . . i ---. • SIDEWALK REPAIR SURVEY FORM . 1 CITY OF WATERLOO, IOWA . _ PROPERTY ADDRESS 02 00-2-11-S y ca o.e S± . ' PARCEL CODE CONTROL NUMBER ids '�p CERT. NUMBER LEGEND p- L' -e-I - AREA.NEEDING REPAIR V/7/7/-7WT/A - • L = length or repair needed A - . • Type of defect (See reverse side for Defect Codes A-F) (See below for Defect Code G) , ADDRESS: C-. .lc• ' P\`'� 1\' ��� IQ—... \\ // \ Property-Line ->'� — 5 ' WATER SHUTOFF VISIBLE ❑ iy i / . . CAP . \ ' 17).) BROKEN ❑ MISSING ❑ ki C(1:"c-t_ Si-. — LOCATION OF SIDEWALK ❑ FRONT YARD ❑ SIDE YARD ❑ OTHER WIDTH OF.SIDEWALK ❑ 4 FEET cgi, 5 FEET • a 5.3 FEET ❑. OTHER_ • DEPTH OF SIDEWALK • El 4 INCHES ❑ 5 INCHES 6 INCHES AREA TO BE REPAIRED sq.ft. 4- in. sq.ft. 5 in. ioC 7 sq.ft. 6 in. CODE F - PATCHES YES El . NO R NO. OF SQUARES WITH PATCHES — NOTE: Areas marked with an aF„ may .be repaired by patching. All other areas shall be repaired by reconstruction of full squares. • First Inspection and Form Mode By: K S . ,i) C. Date: 1 `2 q'-10 Park Department Review Required ❑ YES -R. NO :PERMIT ISSUED NO: DATE: INSPECTION DATE: - IF UNCOMPLETED: . SPECIAL:ASSESSMENT CONTRACT NO: - CONTRACT COMPLETION DATE: - CODE G - Other 1 r -5''7 ,�,� n r \� SIDEWALK REPAIR SURVEY FORM ...... CITY OF WATERLOO, IOWA ----C ? 1 0 PROPERTY ADDRESS 300 LS.(itca m o re_ S--F, z ct 1 2.3 J-1 g O 2 / i7 7 PARCEL CODE CONTROL NUMBER CERT. NUMBER v•.i *4 ____------1-- c._.LEGEND km— L' AREA.NEEDING REPAIR V1/1717///,4 V) ck L = length of repair needed A Type of defect 1.4 c__, 1 , ,---(S( s--,E reverse side for Defect Codes A—F) ee below fcir Defect Code G) — ADDRESS: ' 0 4 -,-,- ---, C(/ \ 1 Fos* of.k_-ice_ ... -). " , / - Property Line 6-•$3-1-- . — te-t-a,a:tie WATER SHUTOFF I ...in • VISIBLE 0 /6,, \ CAP . ' y BROKEN 0 _ MISSING El E 3rd LOCATION OF SIDEWALK •9, FRONT YARD SIDE YARD 0 OTHER WIDTH OF SIDEWALK 0 4 FEET El 5 FEET' El 5.3 FEET r24-...0THER — DEPTH OF SIDEWALK. V 4 INCHES LI 5 INCHES W 6 INCHES ‘, AREA TO BE REPAIRED ,',U_ 3_.sq.ft. 4 in. ng.ft. 5 in. ghcr---.--- --sq.ft. 6 in. CODE F — PATCHES YES 0 NO rA NO. OF SQUARES WITH PATCHES • — . NOTE: Areas marked with an "F. may be repaired by patching. All other areas shall be repaired by reconstruction of full squares. First Inspection and Form Made By: e\- ' --DC- Date: 3-2 Li- i 0 — Park Department Review Required DI YES 0 NO PERMIT ISSUED NO: DATE: INSPECTION DATE: — IF UNCOMPLETED: • SPECIAL ASSESSMENT CONTRACT NO: • CONTRACT COMPLETION DATE: D - CODE G — Other .,3 s \''ll-kL.' -Y•'"'Pl 1 \rA \, \\' - ; t c) /\ • • • — SIDEWALK REPAIR SURVEY FORM "2 D'E 4; CITY OF WATERLOO, IOWA PROPERTY ADDRESS . 3OD ScdCa lvli care_ 5+i__ PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND t"` L' —"1 — AREA NEEDING REPAIR I//I1//U/jA L length of repair needed Type of defect A ‘- (See reverse side for Defect Codes A—F) j (See below for Defect Code G) ADDRESS. U `/ i*----,� E,..-- Odic'& ( WATER SHUTOFF _ ( � VISIBLE ❑ BROKEN ID ,,Q. \ . . •-r ).' '')/ MISSING 0 l0 1 n` 1 ' -WP �0 -.�1t� Property Line — A Yet'li — LOCATION OF SIDEWALK 0 FRONT YARDrY ❑ SIDE YARD 0 OTHER DTH WI OF SIDEWALK 0 4 FEET l.g 5 FEET 0 5.3 FEET OTHER -- - DEPTH OF SIDEWALK lA 4 INCHES ❑ 5 INCHES 0 6 INCHES AREA TO BE REPAIRED 1,4- sq.ft. 4 in. ■q.ft. 5 in. eq.ft. 6 in. CODE F — PATCHES YES ❑ NO It NO. OF SQUARES WITH PATCHES_ NOTE. Areas marked with an "F" may bn repaired by patching. All other areas — shall be repaired by reconstruction of full squares. First Inspection and Form Made By: , R S C.3-- Data: 3 -21—1 0 Park Department Review Required [0 YES 9 NO PERMIT ISSUED NO._ — DATE: INSPECTION DATE: '. IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- "— CONTRACT.COMPLETION DATE: , CODE G — Other ..— 0 .\`,+` Si ,z `ti 5�, z2, _ � 7 SIDEWALK REPAIR SURVEY FORM or CITY OF WATERLOO, IOWA PROPERTY ADDRESS 300 —Cc_Cc,' INFO Ce ---Si— I • f — 2yi- -za- - 002_-i _y1 277 - - PARCEL CODE CONTROL NUMBER CERT.•NUMBER LEGEND L' "'-1 AREA NEEDING REPAIR r!//III77Z/A L = length of repair needed Type of defect A _ See reverse side for Defect Codes A—F) See below for.Defect Code G) / V I ADDRESS.--)11 I P. `-1-- 0 ft WATER SHUTOFF Os VISIBLE 0 r) ') ,. \ - ] ..C.A.e ` o • BROKEN 0 . — 1 t a} U a °.f_ ,�j MISSING ❑ lq ,i Ij'. 'Cl- 1, y ,i- Iko X'Le S7 . / — './Property Line U — — 111 t • --i. t I'1/4.\. ' Ffor,,9 ,,, ,.,,,, c. :\::: :-:.4-1-#I \� t LOCATION OF SIDEOtALK l;` \, ❑ FRONT YARD ❑ SIDE YARD 0 OTHER N WIDTH OF SIDEWALK D 4 FEET 0 5 FEET 0 5.3 FEET "-XI OTHER ,e,.__ -- DEPTH OF SIDEWALK I 4 INCHES ❑ 5 INCHES D3 6 INCHES 433. 4, ✓ 7 %� AREA TO BE REPAIRED =.q.ft. 4 in. sot, 5 in. 3 ,3, sq,ft. 6 in. � Va- I-I— CODE F — PATCHES YES ❑ NO [i NO. OF SQUARES WIN PATCHES NOTE. Areas marked with an -F. may be repaired by patching. All other areas — shall be repaired by reconstruction of full squares. First Inspection and Form Made By:___._R S Daie: 3S -2`I.(0 _ Pork Department Review Required V] YES ❑NO PERMIT ISSUED NO. _ DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: , CODE G — Other 1Co ,.. t 4 `' \CV LJ ,Lv • _ . . - . . . . . _. .__ . __. ... •SIDEWALK REPAIR SURVEY FORM — CITY OF WATERLOO, IOWA - _. -- - _ PROPERTY ADDRESS 4o o .hik iyeAmt4,9",-,--- :5-I-. • . - 6.q i-. . -?-.-.Y-a6a- OP.3 tv ilie. _ PARCEL CODE NTROL NUMBER CERT. NUMBER _ LEGEND .. • AREA NEEDING REPAIR t4, :.,,...- v•I , . __ L = length of repair needed A, Type of defect (See reverse side for Defect Codes A—F) ._ (See below for Defect Code G) • • ADDRESS: — -----._ Q:-,-- - \ p,r _., • .... Property Line WATER SHUTOFF — VISIBLE 0 CAP , r) BROKEN 0 . . — --- MISSING 0 —C-r_a wtor e__ _ LOCATION OF SIDEWALK 0 FRONT YARD El SIDE YARD 0 OTHER WIDTH OF SIDEWALK 0 4 FEET 0 5 FEET El 5.3 FEET ,Kr OTHER _ — . DEPTH OF SIDEWALK 21. 4 INCHES 0 5 INCHES 1:1 6. INCHES 61,7 t / ' AREA TO BE REPAIRED 'yt---.' I Sq.ft. 4- in. sq.ft. 5 in. sq.ft. 6 in. CODE F — PATCHES YES El NO Ca'. NO. OF SQUARES WITH PATCHES — - NOTE: Areas marked with an "F" may be repaired by patching. All other areas -. shall be repaired by reconstruction of full squares. . , First Inspection and Form Made By: Ps .b6— Date: .3 — ZS-- /0 .... Park Department Review Required El YES jiZr NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: • IF UNCOMPLETED: SPECIAL:ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: • CODE G — Other - ts" \\ ,P . . 5VA ,A-) _,, \\ SIDEWALK REPAIR SURVEY FORM j'i — CITY OF WATERLOO, IOWA - PROPERTY ADDRESS )3 STc cccft,o ;S—F-� '39 i-3 -zti - 35g Doi' ✓, '' PARCEL CODE CONTROL NUMBER - CERT. NUMBER LEGEND L' AREA-NEEDING REPAIR t////T/////A _ L = length of-repair needed - . Type of defect A i G — (See reverse side for Defect Codes A—F) (See below for Defect Code G)• ADDRESS: v — l Je t. ,J as av 2(c �'° �' , �1; �� i � ���`: -et, vat: .t t} O • 4s.‘7: ':if-4' \1( ',0,--V(2,w.‘ 1. ".5&Y‘'‘ \\->`, ,,,I , .ff, 4, Pr4e Line A _ A WATER SHUTOFF VISIBLE ❑ i - CAP ` G. 1,�j 1k '� T-1BROKEN CIr�� MISSING ❑ f_` ��`-' i LOCATION OF SIDEWALK ❑ FRONT YARD ❑ SIDE YARD ❑ OTHER WIDTH OF SIDEWALK ❑ 4 FEET ❑ 5 f ELI " ❑ 5.3 FEET i OTHER DEPTH OF SIDEWALK 4 INCHES El5 INCHES ❑ 6 INCHES © i(f`ULT AREA TO BE -REPAIRED iLsq.ft. 4 in. sq.ft. 5 in. sq,ft. 6 in. 7-'Li Vacau'T CODE -F — PATCHES YES ❑ NO ❑ NO. OF SQUARES WITH PATCHES — NOTE: Areas marked with an "F" may -be repaired by patching. All other areas " 7• v. shall be repaired- by reconstruction of full squares. f L"`f First Inspection and Form Made By: I-5 - Date: " Z C� 15,Yb'.7--- •;t.c v/z Park Department Review Required ❑ YES TA NO '' ` ' v 'tt,cot PERMIT ISSUED NO: DATE: INSPECTION DATE: /a,8, IF UNCOMPLETED: . SPECIAL ASSESSMENT CONTRACT NO: - - CONTRACT COMPLETION DATE: • CODE G — Other 3 01 n� 5 e c,.‘ eve v,. u Zuk if ��,;� s vi-: 11— cF (D -- �r - 1 a i ll-`{�a yp f'cl�i ,—r 5 1 SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO. IOWA PROPERTY ADDRESS . bik 5y0, /95- ' iF g1 13 —Z.s_.Lc t — 003 V PARCEL CODE CONTROL NUMBER CEFTT. NUMBER �, LEGEND }`' L. —4A V AREA NEEDING REPAIR vI/17/17//A4 -- n \0 L — length of repair needed A tJ � h,= o Type of defect ' �' -.ti \G See reverse side for Defect Codes A-F) �v�'� ti� �, "-� (See below for Defect Code C) l ��e2rIN J -- `) ,{ `i _}�"~ !',� ( ADDRESS. I WATER SHUTOFF \ . kec\--,e,,s_ 13,-k-AT, VISIBLE 0 i- BROKEN `❑ MISSING,IJ Property lane __. ; . P. . - 1OCATION OF SIDEWALK (t FRONT YARD 0 SIDE YARD 0 OTHER jfj OF SIDEWALK ❑ 4 FEET 0 5 FEET 0 5.3 FEET kg OTHER —, H OF SIDEWALK 4 INCHES 0 5 INCHES 0 6 INCHES i AREA TO BE REPAIRED 32. 0 ■q.ft. 4 in. sq.ft. 5 In_ ■q.fl. 6 in. • CODE F - PATCHES YES 0 NO 6 ND. OF SQUARES WITH PATCHES NOTE. Antos marked with an - may be repaired by patching. All other areas shall be repaired by reconstruction of full squares. JJ ,first Inspection and Farm Made By: K5 ID G Date: 2 -2 -f 0 JPork Department Review Required 0 YES NO PERMIT ISSUED NO. DATE: INSPECTION DATE: • i 1, IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO' CONTRACT COMPLETION DATE: , CODE C - Other i ji . a . : _ • .... _ _ . . . .,,, r SIDEWALK REPAIR SURVEY FORM . CITY OF WATERLOO. IO.WA 1 PROPERTY ADDRESS. , -j , J`(< Spc.4illaeb-- 5T:- I '8ci I 3--23---i O I _009 ,,/ . Af31 PARCEL CODE CONTROL NUMBER CERT. NUMBER r' LEGEND I-*— L' AREA NEEDING REPAIR • Vf/IftzW A I = length of repair needed Type of defect (See reverse side for Defect Codes A—F) (Sea below for Defect Code. C) F •, ,_, , . t �' - I ADDRESS. -...*kc `,I:,j I I WATER SHUTOFF i { ` L NJ , _ VISIBLE 0 Vse GBRQKEN 0 r . _, I � 5 l,i 0 _.Ili MISSING 0 . ,,,Lsq, 0- p{ ,,_ j b Property Ling I ri7/4 r { • {A:ce`lf 5. cr4+v o re. -Sf LOCATION OF SIDEWALK ❑ FRONT YARD 0 SIDE YARD 0 OTHER r Ilni OF SIDEWALK ❑ 4 FEET 0 5 FEET • 0 5.3 FEET OTHER DEPTH OF SIDEWALK 4 INCHES 0 5 INCHES 0 6 INCHES AREA TO BE REPAIRED `'L0 sq.ft. 4 in. ■q.lt. 5 in. sq.tt. 6 in. i { CODE F — PATCHES • YES El NO El NO. OF SQUARES WITH PATCHES { NOTE. Areas marked with on -F may bn repaired by patching. All other areas shall be repaired by reconstruction of full squares. r first Inspection and Form Mode By: rt.S ..— Date: 3- 2 3-- 10 Park Department Review Required ❑ YES NO " r i PERMIT ISSUED NO. DATE: INSPECTION DATE: ' IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: , CODE G — Other. Ia .I _ I • . .i - • SIDEWALK REPAIR SURVEY FORM / CITY OF WATERLOO, IOWA • - - , / PROPERTY ADDRESS 5-00 Sc cck,,oc; S--I— , - • • .$ .L3 -Z = ll2 (- cad V Z PARCEL CODE CONTROL NUMBER CERT. NUMBER - LEGEND t'"- 12 AREA.NEEDING REPAIR T/T/I7 .7.A - - L = length of repair needed A e -- . Type of defect See reverse side for Defect Codes A—F) _ (See below for Defect Code G) a ADDRESS: S©0 / ,j \ A— \ li S kLi �� O y �� �� C I );_` Property Une _ . � ' WATER SHUTOFF Ca"j` �9ti;�_gy� VISIBLE ❑ \ � • `,N. ,; CAP %C-,'-\ • ' y BROKEN ❑ ` MISSING ❑ — LOCATION OF SIDEWALK ❑ FRONT YARD 0 SIDE YARD ❑ OTHER WIDTH OF'SIDEWALK ❑ 4 FEET ❑ 5 I-LEI - ❑ 5.3 FEET ga OTHER— DEPTH OF SIDEWALK 121, 4 INCHES ❑ 5 INCHES ❑ 6 INCHES AREA TO BE REPAIRED 11Z.0 sq.ft. 4- in. sq.ft. 5 in. sq.ft. 6 in. CODE F — PATCHES YES ❑ NO 54 NO. OF SQUARES WITH PATCHES . — NOTE: Areas marked with an "F" may .be repaired by patching. All other areas shall be repaired by reconstruction of full squares. • • • First Inspection and Form Made By: �5 D Date: j- Z3'" ID. r -Park Department Review Required El YES ® NO PERMIT ISSUED NO: DATE: INSPECTION DATE: — IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: - S CONTRACT COMPLETION DATE: - CODE G — Other SIDEWALK REPAIR SURVEY FORM GETY OF WATERLOO, IOWA PROPERTY ADDRESS Sb I S vvw PARCEL CODE CONTROL NUMBER - CERT. NUMBER - LEGEND - L' -'- - • • AREA.NEEDING REPAIR V//ITII///,f • L = length of repair needed G Type of defect (See reverse side for Defect Codes A-F) • (See below for Defect Code G) ‘til< ADDRESS: -SO I tom^ I � P tcic_ds Chid • -- 1 , �- '�� vf'' _ p y .� Pro ert Line WATER SHUTOFF — s{ VISIBLE 0 `��A, '.} �E 1• CAP f 1--) BROKEN El L� k MISSING ElrctGr S . LOCATION OF SIDEWALK ❑ FRONT YARD ❑ SIDE YARD El OTHER WIDTH OF.SIDEWALK ❑ 4 FEET ❑ 5 I-LLi El 5.3 FEET El OTHER_ DEPTH OF SIDEWALK ❑ 4 INCHES ❑ 5 INCHES ❑ 6 INCHES V c.I 4- +aP AREA TO BE REPAIRED • sq.ft. 4 in. sq.ft. 5 in. sq.ft. 6 in. 12-'O O Z-!- CODE F - PATCHES YES ❑ NO ❑ NO. OF SQUARES WITH PATCHES • — NOTE: Areas marked with an "F" may be repaired by patching. Ail other areas . shall be repaired by reconstruction of full squares. First Inspection and Form Made By: I~'. D Date: 3—2 3—/0 --- -Park Department Review Required ❑ YES NO -PERMIT ISSUED NO: DATE: INSPECTION DATE: -' IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: CONTRACT COMPLETION DATE: - CODE G - Other V Q`' `} �op - . — _ . - SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO. IOWA PROPERTY ADDRESS 151) I Se_-_,,,-t Co v1-3 6 re_ 5+ 71/ PARCEL CODE CONTROL NUMBER CERT. NUMBER — 'fr ri-1 '- V%i2:::ive.:441C.' LEGEND I-4- L' --0- cw:cv-c j:ii ' ) 49 AREA-NEEDING REPAIR ,Vk' 4 2 \ _ /V )."2 L. = length of•repair needed ..co,,1.P Type of defect GI A -- tC--- 1-/3See( reverse side for Defect Codes A-F) _ e -A. • See below for Defect Code G) •(01."-L'I `4-- . . r.. ADDRESS: 5 o I ' 0 —\.--\/4=z,",/,---. ,•/ \ V). (2- : . - --- --------' cl x vl 5:26: 0° (.1 ckl c` i,---e- i — , i--•,) Wa MA, 1--- WATER SHUTOFF \ — . ISIBLE E] iLi.-10 EN •y,-/-c?1-0!('('-'7;4;\ , - P. ETETizz---/JR, CAP I3ROK ttiN u 11\t,,-;•7'''' MISSING Eil ,.."--J-- - aPC1r IC Avc, 4-,01.5:‘, ‘ Li,- ,. _ sir,x‘•\1.:\ '1- • 5. 2,- 0 _ LOCATION OF SIDEWALK CI FRONT YARD El SIDE YARD El OTHER ,...d 01:41. WIDTH OF SIDEWALK El 4 FEET ILII 5 t•t_LI [11 5.3 FEET . OTHER — DEPTH OF SIDEWALK NI .4 INCHES E] 5 INCHES El 6 INCHES \G„t)if Tdr AREA TO BE REPAIRED 2112g-5 sg.ft. 4 in. sq.ft. 5 in. sq.ft. 6 in. ID i..D Vat_01+ CODE F - PATCHES YES CI NO El NO. OF SQUARES WITH PATCHES NOTE: Areas marked with an "F." may be repaired by patching. All other areas shall be repaired- by reconstruction of full squares. First Inspection and Form Made By: e S ,1")(---, Date: ..?) - "23- /0 — Park Department Review Required 0 YES R NO / -PERMIT ISSUED NO: DATE: INSPEC110N DATE: ' ,, A ,. ,.. _ IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: / i2\\ CONTRACT COMPLETION DATE: ' \ CODE G - Other \.! Ct v k 4 -rof ref olr V,/ . - • / SIDEWALK REPAIR SURVEY FORM / _ CITY OF WATERLOO, IOWA __..• PROPERTY ADDRESS Za9 61k -rl-kmPs.,cl 4v . • Icr 1 1 _ 23-- LI 3 LI- 0 IZ V 'f3.4- • PARCEL CODE CONTROL NUMBER CERT. NUMBER LEGEND I-0- U --a-I - — AREA NEEDING REPAIR 1271/7/Z/71A L = length of repair needed A _ Type of defect (See reverse side for Defect Codes A-F) -- (See below for Defect Code G) '••. • cp -I- '3 7) /," --- -/ ,' 0 -ADDRESS: a -(:'" II - , \fl::::..) 1 a t__•ctAlt-- a — \••'•-\ \ Loir a _, a V\ — 5-is 0 ,,so Property L-- — Yk WATER SHUTOFF f---- VISIBLE Ej CAP BROKEN Ell ---- MISSING Ell TV,sw..c5s cc-y,, POre.* .... ' . LOCATION OF SIDEWALK 0 FRONT YARD 0 SIDE YARD D OTHER i — WIDTH OF•SIDEWALK 0 4 FEET 0 5 FEET •Itgli-53-PEET DEPTH OF SIDEWALK a, 4 INCHES El 5 INCHES El 6 INCHES AREA TO BE REPAIRED Lt,--1- sq.ft. 4 in. sq.ft. 5 in. sq.ft. 6 in. CODE F - PATCHES YES Ell NO 15( NO. OF SQUARES WITH PATCHES NOTE: Areas marked with an "F" may be repaired by patching. All other areas shall be repaired by reconstruction of full squares. First Inspection and Form Made By: R.1-> D C_-..-- Date: 3 -.2 q -JO Park Department Review Required yi YES ID NO PERMIT ISSUED NO: DATE: INSPECTION DATE: IF UNCOMPLETED: V V SPECIAL ASSESSMENT CONTRACT NO: V V CONTRACT COMPLETION DATE: CODE G - Other rz. •‘-`\\\\ (.- :',- t) • \\ ' SIDEWALK REPAIR SURVEY FORM • _ CITY OF WATERLOO. IOWA . 300 .B f o cK. PROPERTY ADDRESS. . j h o Ay-can Aye; j` 13—23—y_35-12 i` ✓ Zg‘%' PARCEL CODE CONTROL NUMBER CERT. NUMBER ,K ~ LEGEND 1-*- L. —+1 L i,e-a r ee AREA NEEDING REPAIR illlllllll/A f i 0" L .• length of repair needed Type of defect . LI (See reverse side for Defect Codes A-F) (Sea below for Defect Code C) ii n' ; C 1 ADDRESS. \e C\' (0,C_Ct } WATER SHUTOFF V L\ . .�-1 VISIBLE 0 • T Si�' BROKEN 0 MISSING 0 Property tip6 49 — _ 1 . ihowT5t-ir Aye- -.- • 1=110 OF SIDEWALK I FRONT YARD 0 SIDE YARD 0 OTHER DEPTH OF SIDEWALK (�4 INCHES 0 j Of SIDEWALK CI FEET El FEET 5.3 FEET 0 OTHER i5 INCHES 0 6 INCHES AREA TO BE REPAIRED 1-'_ q tt. 4 in- . aq.it. 5 In_ ■q.ft. 6 in. CODE F - PATCHES YES 0 NO CI NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an "F" may bn repaired by patching. All other areas shall be repaired by reconstruction of full squares. First Inspection and Form Made 8 ¶-S 1) (-2- . Date: 3-2q-lb Park Deportment Review Required �.YES ❑NO JJ. PERMIT ISSUED NO. DATE:_ INSPECTION DATE: • — IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: CODE C - Other i -e 0 Wit-- -.., -\ C N: . L. / V SIDEWALK REPAIR SURVEY FORM . CITY QF WATERLOO. IOWA PROPERTY-ADDRESS. ^{7 E� f� .ry ✓ - - J ! �G.N.�jCl'� I'1 JLr 4 . 1 7Scl is-23- if.35-©I . V Z 37 PARCEL CODE CONTROL NUMBER CERT. NUMBER 4-- • LEGEND L' AREA NEEDING REPAIR . riwiwz/I7.t c.`eCiv\ I .. length of repair needed f re' r Type of defect tV See reverse side for Defect Codes A—F) 1 (See below for Defect.Code C) 1-4 A(--- ADDRESS. ►y '1t . i ,1) I \\t"' ` WATER SHUTOFF �t VISIBLE 0 \ - LAP BROKEN .❑ . . MISSING 0 o. _ 4 rty tine 3 r 1 5 i J1/ . '1- 1\Cr^y)56r five LOCATION OF SIDEWALK tZ FRONT YARD 0 SIDE YARD ❑ OTHER lani OF SIDEWALK 0 4 FEET 0 5 FEET 5.3 FEET ❑ OTHER _.. DEPTH OF SIDEWALK 14 INCHES 0 5 INCHES 0 6 INCHES AREA TO 6E REPAIRED __ .0 q.ft. 4 in. ■q.ft. 5 In- sq.ft. 6 in. CODE F — PATCHES YES 0 NO 0 NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an 'F" may be repaired by patching. All other areas ,_ '. shalt be repaired by reconstruction of full squares. First Inspection and Form Mods By:..__ • R._c I& Date: 3 21440 Pork Department Review Required YES 0 NO i PERMIT ISSUED NO._ DATE: INSPECTION DATE: • • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- — CONTRACT COMPLETION DATE: CODE G — Other 1 ;l • .. ,/ SIDEWALK REPAIR SURVEY FORM •_ CITY OF WATERLOO.- IOWA • PROPERTY ADDRESS. . vZ �- .EA,Ai/WL- - - /25 . C7 (` - j-- a- -0 . . . . Z - PARCEL CODE CONTROL NUMBER CERT. NUMBER 03C• LEGEND L' AREA NEEDING REPAIR 7/1W7/""A rL length of repair needed Type of defect 1: tt ,� rk. (See reverse side for Defect Codes A—F) (See below for Defect Code G) • ADDRESS. ; ✓•`) -- + {? WATER SHUTOFF F VISIBLE 0 t. L BROKEN 0 MISSING 0 • . Property Line} I ,w j J J , (ON OF SIDEWA K t FRONT YARD ❑ SIDE YARD 0 OTHER (f �� ' _J gj OF SIDEWALK 0 4 FEET 0 5 FEET • 0 5.3 FEET p OTHER DEPTH OF SIDEWALK • 1,1 4 INCHES 0 5 INCHES 0 6 INCHES . JAREA TO BE REPAIRED 7 ry`° sq-ti. 4 gin. sq.fi. 5 in. ■q.ti. 6 in. CODE F — PATCHES - YES ❑ NO NO. Of SQUARES WITH PATCHES c ttt NOTE. Areas marked with an "F" may be repaired by patching. All other areas shall be repaired by reconstruction of full uores. , /( First Inspection and Form Made By: �(i Date: i_ Park Department Review Required 0 YES N-NO . —.1! PERMIT ISSUED NO. - DATE:DATE: INSPECTION DATE: • IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. CONTRACT COMPLETION DATE: , • CODE G — Other. i Ji -- . ��l\tJ ,,, Jt \-\ .1 • ',_ su- . . . _ . . . . . — jt ._9- - . I C-J . — - '— . . _._ ... ._., .. / 1 L, SIDEWALK REPAIR SURVEY FORM CITY OF WATERLOO; IOWA ; PROPERTY ADDRESS. e_tivi :5+t - gq 13-1 —3 I a__0.0 ✓ 44:)‹ PARCEL CODE CONTROL NUMBER CERT. NUMBER 1 eds.t AREA NEEDING YZIZZIZJZZA 0'1 L. — length of repair needed AA r Type of defect I' 11 7, (�. (See reverse side for Defect Codes A—F) iL (See below for Defect Code C) 1..-\ . . r --)1(--1 ADDRESS. 3 1 % WATER SHUTOFF F VISIBLE ❑ BROKEN 0 F- i- \ . MISSING 0 i/ { Property tine _ • , r WA`Kk-uk— _ MI OF SIDEWALK V FRONT YARD 0 SIDE YARD 0 OTHER .1Q18 OF SIDEWALK ❑ 4 FEET----_---0 5 FEET 5.3 FE 0 OTHER DEEMOF SIDEWALK / '' 4 INCHES 0 5 INCHES 0 6 INCHES , AREA TO BE REPAIRED l _Irq.ft. 4 in. ■q.tt. 5 in. sq.f1. 6 in. CODE F — PATCHES ` YES ❑ NO j NO. OF SQUARES WITH PATCHES NOTE. Areas marked with an - may be repaired by patching. All other areas .— shall be repaired by reconstruction of full squares. First Inspection and Farm Made By: `� Date: Pork Department Review Required ❑ YES NO — PERMIT ISSUED NO. _ DATE: INSPECTION DATE: ' IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO' —' CONTRACT COMPLETION DATE: t CODE G — Other I ti f. II �.,C `(j rJ>. s -"n .a . d SIDEWALK REPAIR SURVEY FORM / _ CITY OF WATERLOO, IOWA -- . PROPERTY ADDRESS 1 S Wat Vlt t-t . : f 3 -? iJ Doi V _ •. Z 7 PARCEL CODE - CONTROL NUMBER CERT. NUMBER — LEGEND L' AREA.NEEDING REPAIR— rl/IITI/fI/�1 L = length of•repair needed 3 Type of defect - (See reverse side for Defect Codes A—F) (See below for Defect Code G) t I. r rI IC, ° ADDRESS: i ` I \\� Gs „-- tt, I . - ,sk - — . c _ / f }, _ , /Property/Un(� — T . ,tt /t111 t /l i i`/11 WATER SHUTOFF - , VISIBLE ❑ /1u \ 1 S , I� r)) CAP CSI y w,nE , BROKEN D . / MISSING ❑ — LOCATION OF SIDEWALK )} FRONT YARD ❑ SIDE YARD (P. OTHER X ek3, 1 W1DTH OF SIDEWALK ❑ 4 FEET ❑ 5 FELL r E1 S - OTHER — DEPTH OF SIDEWALK gi 4 INCHES ❑ 5 INCHES ❑ 6 INCHES — AREA TO BE REPAIRED q.ft. 4 in. sq.ft. 5 in. sq.ft. 6 in. • CODE F — PATCHES YES ❑ NO TA NO. OF SQUARES WITH PATCHES . _, NOTE: Areas marked with an "F" may.be repaired by patching. All other areas shall be repaired by reconstruction of fulls ua]res. First Inspection and Form Made By: � -_ l-- Date: 3 ~a•0 —1 o — Park Department Review Required ❑ YES 0 NO • PERMIT ISSUED NO: DATE: INSPECTION DATE: IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: V CONTRACT COMPLETION DATE: CODE G — Other — — , ,.i, °1'\ F Z\ , O ,('\ _ - SIDEWALK REPAIR SURVEY FORM - ci7Y OF WkT RLOO IOW , . PROPER fY ADDRESS: I I S Web>V-zf 54- PARCEL CODE CONTROL NUMBER CERT. NUMBER -. • LEGEND 1- - 1' -04 AREA NEEDING REPAIR 127111111r1A L - length of repair needed (,, Type of defect (See reverse side for Defect Codes A-F) (Sea below for Defect Cods G) '< * . f �j ADDRESS. 1 1 \`_ WATER SHUTOFF ;v a ,\U VISIBLE El \ . Me - nk BROKEN CI •4--\e�c , MISSING ❑ `iJkG /'; G Property Una • , 0.g. OF SIDEWALK V FRONT YARD 0 SIDE YARD 0 OTHER ,mgjb OF SIDEWALK ❑' 4 FEET ' 5 FEET 0 5.3 FEET 0 OTHER I.... DEPTH OF SIDEWALK yzi 4INCHES 0 5 INCHES 0 6 INCHES ')5,,D. /-- AREA TO BE REPAI ED Aq.tt. 4 in. eq•ft. 5 In. sq.fl. 6 in. CODE F — PATCHES YES ❑ NOeyi NO. OF SQUARES WITH PATCHES I NOTE. Antos marked with an "F moy be repaired by patching. All other areas shall be repaired by reconstruction of full squares. : • ___ 1r� Data: 3 '"v�`f 1 First Inspection and Farm Mods By: 0 r Pork Department Review Required ❑ YES 0 NO I- i PERMIT ISSUED NO. _ DATE:/` INSPECTION DATE: ' IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO- CONTRACT COMPLETION DATE: CODE G — Other 4 1, ... t;�> �fl i ,_ ,,,,,, \ :v a , i ._. �e SIDEWALK REPAIR SURVEY FORM k/ CITY OF WATERLOO, IOWA - PROPERTY 114ES - - T 13 _ -Y_ /o7_ ©o5 'J — • PARCEL CODE CONTROL NUMBER CERT. NUMBER _ LEGEND — L' • AREA NEEDINGREPAIR 17777777777A - L = length of repair needed -_ Type of defect (See reverse side for Defect Codes A—F) • (See below for Defect Code G) ADDRESS: /30 � l ` ,_I s-1 (----.) — (Go '-'\.' 'r\ • Property Line • I ,c." DWATER SHUTOFF C,— ,'x \ VISIBLE ❑ CAP C�i�k • BROKEN ❑ 'i c\ E. • Sf. MISSING D LOCATION OF SIDEWALK FRONT YARD ❑ SIDE YARD ❑ OTHER WIDTH OF-SIDEWALK ❑ 4 FEET 0 5.3 FEET OTH/ = — DEPTH OF.SIDEWALK 4 INCHES ❑ 5 INCHES D 6 INCHES 1,...%. ) AREA TO BE 'REPAIRE‘ sq.ft. 4 in. ______sq.ft. 5 in. sq.ft. 6 in. CODE F — PATCHES YES ❑ NOJ NO. OF SQUARES WITH PATCHES • NOTE: Areas marked with an "F' may -be repaired by patching. All other areas _, shall be repaired-by reconstruction of full squares. — og l First Inspection and Form Made By: le- u> Date: '�- °` Park Department Review Required J YES 0 NO — PERMIT ISSUED NO: DATE: INSPECTION DATE: • IF UNCOMPLETED: SPECIAL ASSESSMENT CONTRACT NO: • - CONTRACT COMPLETION DATE: • CODE G — Other \il O H y`, _\ V - — C c --)2 a . .._ _. e . _ . ____ .,___. . / SIDEWALK REPAIR SURVEY FORM , . CITY OF. WATERLOO.' IOWA r PROPERTY ADDRESS. 63 t\ ;ytt.Et t 1-+-. { PARCEL CODE CONTROL NUMBER CERT. NUMBER I • LEGEND - L' AREA NEEDING REPAIR .. V7fr717/3,A L length of repair needed A. '�,, Type of defect - 1:- s,,� .,,,,,_ (See reverse side for Defect Codes A—F) ��t gip`° s0 (Sea below for Defect Code C) J[ . • ter, {c G g- - �v 1 L5 �',T{fib� Lv�� I ADDRESS. s c r2 :�P ,S z , - ,' k> WATER sHLrr 12-6- 1 VISIBLE 0 c _\v S.� `, ()r\' . BROKEN 0 1- . r • , j MISSING ❑ ,- ` vim, ,}l y 'X� _ \__._ .._. Propert. ne _ - I- 0 _ ._ . /AO - U'J efilikt k C7 - • F LOCATION OF SIDEWALK in FRONT YARD 0 SIDE YARD 0 OTHER r ,..,,,,4,..------ OF SIDEWALK ❑ 4 FEET (. 5--FEET . 0 .5.3 FEET 0 OTHER DEM OF SIDEWALK IS. 4 INCHES ❑ 5 INCHES ❑ 6 INCHES I 3$ ® AREA TO BE REPAIRED q•ii. 4 in. ■q•ft. 5 In. ■q.f1. 6 in. CODE F — PATCHES YES 0 NO NO. OF SQUARES WITH PATCHES T NOTE. Areas marked with an -F" may bn repoksd by potchlnq. All other areas shall be repaired by reconstruction of full square.. First Inspection and: Form Made B Y: 1.v Oaf a: 3 i —#C T Pork Deportment Review Required YES • ❑NO P, •I• PERMIT ISSUED NO. DATE: INSPECTION DATE: • I I i IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. - CONTRACT COMPLETION DATE: I ' CODE G — Other 1 IC O j G�� , ck, - s z� V/ SIDEWALK REPAIR SURVEY FORM _ . - CITY OF WATERLOO. IOWA PROPERTY ADDRESS. 3O`1 J-EAL1-di c-fi. • t ► 3 —3-L— ' —0 01 ✓ 30/ PARCEL CODE CONTROL NUMBER CERT. NUMBER - ' LEGEND 1' . AREA NEEDING REPAIR WIllliil/A L = length of repair needed f�, 5\ • Type of defect J t t. See reverse side for Defect Codes A-F) oa•`� 'I (See below for Defect Code .G) ADDRESS. .�.) I *---*--- ,,e-'' e e• ( I •WATER SHUTOFF "> \ VISIBLE 0 ytio -CAE BROKEN 0 \c,� � _�v�Vt 2-• MISSING ❑ 1 t,\z �(0 Props riy Line /1,2.-tn -I'1 C-. - LOCATION OF SIDEWALK al FRONT YARD 0 SIDE YARD ❑ OTHER _W j OF SIDEWALK ❑ 4 FEET Zri 5 FEET • ❑ 5-3 FEET 0 OTHER—- - DEEni OF SIDEWALK j 1 4 INC ES 0 5 INCHES ❑ 6 INCHES AREA TO BE REPAIRED ( S_•C),••11. 4 in. —sail 5 in. ■q.ft. 6 in. - CODE F - PATCHES YES I11 NO ll. NU. OF SQUARES WITH PATCHES NOTE. Areas marked with an "F" may bn repaired by patching. All other areas shall be repaired by reconstruction of full squares. First Inspection and Form Mode By:_.,,. L Date: —)-y-1 d Pork Department Review Required "❑ YES ❑NO. PERMIT ISSUED NO... _ DATE: INSPECTION DATE: • i IF UNCOMPLETED. SPECIAL ASSESSMENT CONTRACT NO. CONTRACT COMPLETION DATE: , I CODE G - Other I i \0 `` o `�.\ Ono IMP Imo Was a.. imp r— tem