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Duplicate—re/tow paper—{Retained by Authority*-B* Hfe C AftA«»)Triplicate—Pink paper—(Retained by Applicant)REINSTATEMENT NOTICE* a n SB «ma& •Order No.V.3Appendix 2177)Fait ITo C.E.H. (H.K.)(Kin.)' ^-1 •)3.y( re?J«l;/ Atl/Sf^^®[^SiX§S]! ffi^^^fl^IilSSExcavation Permit No*Please reinstate trenches as follows: —TayfeKiSEft fILocationSizes0) in carriageway/footpath/side lane.*(2) in carriageway/footpath/side lane.*(3) in carriageway/footpath/side lane.*(4) IB carriageway/footpath/side lane.*(5) in carriageway/footpath/side lane.*Please note that the above trenches have been backfilled and temporary reinstatement carried out.*Please inform this office of the actual costs of the reinstatement in due course.of UtilityUndertaking* Delete whichever is not applicable. ^^^f^^T^l^SI -*)Fart IIOFFICIAL USEFOR HIGHWAYS DIVISION, F.W.D. USE ONLY.To Trench Contractor,3ft « *S « tt ffi:Please reinstate the trenches as shown in (1), (2), (3), (4) and (5) above and complete the work by,...., 19 .Highways Superintendentmmm^mme»: * **""I certify the above was completed on 19F.W.B. H.O. 24 (2/75)Inspector of WorksI I—*•» *tSc pi 3W> JIPl *W* R B

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