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<br />PERMITN ,2. tJ.:v(
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<br />UA'J'E: (p /Z.4/o ~
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<br />CITY Oli' ZEI-IIYIUIILI,S - IJlIILlJlNG UEI-AltTMENT
<br />IUGIlT-Olr.WAY USE l-ERMIT
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<br />No ~on~'ruttlon under Iltoundor AI,O\'e Ilnlundof Any fll~III1)' Nhllll he 1I~~oJnpll~hed on IIny Clly RI"lI~ of Way wllhout wrlUen .pprov.1 from ,he
<br />elly Bulldln. Dt'pntlmen!. Any IIpplltllllon for III'pto"lIlof ~"n~lnl~llon operAllon~ IIn IIny Clly owned Rllhll of WilY ~"'lll\ImINh a detailed drawlnllhowlnl
<br />Ihe ~"mplele N~tll'e of Ihe propoNed "ork In Itlpllcllle 10 Ihe tlmce "f Ihe Bulldln. Omclnl for IIpprovlIl prior 10 Ihe commeneemenl of any work. A eoPI of Ihb
<br />permlllN 10 be kcpl rudlly 1I\'lIl1l1ble IIllhe IlIe of Ihe Tfork Al All limeN.
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<br />I'ARCEL I.D."
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<br />Cl'1'V ROAD
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<br />DATE
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<br />LOCATIU,... Il.ellAI De~erlpllon) I , A
<br />_~S~e:;;'T Or~ 404 z.. ,3 A /j.l:..n.....(c AVe.
<br />~cE'
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<br />. -r;:.)
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<br />LN 71Z-A....J <-E
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<br />Or;:
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<br />4(,)4. 2...:3 A JR.-TIMe
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<br />PumlNdon IN huehy .r""led 10
<br />for Ihe eon~lruell,," ..lid ..lnlenAnn of A F'P e.o;{./ M/J 71::..'- 'i
<br />0- ,.€-n. 'E-
<br />NubJett 10 Ihe follo,,11I1l eondlllon~1
<br />
<br />of
<br />2;;'0' 0 r ALP 2.$ . 2.,;1(- u....; 111-; IIV T]..I€, 1V'~.e-77-1 RlcL)
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<br />I. The eon~lruellon And malnlelllUl~e of Nueh ullllly ~h..1I nolllllnfne "lIh Ihe properly IlI1d rlllatl of a prior OC!cupanl.
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<br />2. All "ork Nh~1I he done In keel'lnll "llh Ihe NI..ndArdN of Ihe Clly Slreeh Depllrllhenl And under Ihe .upenlNlon of lhe Clly BuDdin. 01lka.1, who
<br />".11I be nollned alleAII one dllY prior 10 ~ommennmenl of con.lruellon.
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<br />3. AIIIII"'ert..l~ .nd equlpnlenl IhAII be NubJett III In~peellon by Ihe Clly Building Omel.L
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<br />4. Uurlnll eondrucUlln all.dety reRUIAllonN of Ihe DepArtlllenl IIf TrAnNportAllon IhAII be ob.ened III1d the Clly....1I be relieved of.1I
<br />rc~pon.lblllly from dAmAllc of IIny nAture .rlllnll from thll perm II. Subject to Ihe .lIlne Icrml III1d c""dltlonl, the permit holder may take Iuc:h .afe'" meaure.,
<br />In~ludlnll plulnllllnd III. plAY of CAution IIR"~, a. It mAY deem nfee~.ary In condud of con.tructlon and malnlenanee work hereunder. It h lhe rapon.lbm.,. 0'
<br />the permlllee tll plllee, mAlnhlln, and .upen'llt allll'1ll11e contrlllllnd de\'lefl.
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<br />!I. All prlule IInd all City properly ~hllll be teNlored Itlll~ originAl tondlllolllll flit a~ ptActlcal1n the opinion of the City Dulldln. OllklaL
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<br />'l. .....
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<br />6. All underllround eroulnlln~I..IIAllon~ .hioll be 1..ld ..I Nu"h dl'plh "N lII"y be .lleelned by Ihe City Bulldlnl Omc:laL
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<br />7. ' The .kel"h "onrlnR Ihe detllll, of thl~ ""tllll..llon Ihllll be mllde .. p..rl of IhlN permit. Thll permit l'lranted "lth Ihe undentandln, that the
<br />"ppll".nl h.~ nollned All olher ullllly ulen In Ihe llrell ('overed by the I,ermlt IInd tllkcN full rClponllblllly for III1Y dama,e ,""urred by prior Imtallal_ III a
<br />teNUit of hi I oper..lIonN In order IhAt 'hey mAY IlIfe plltd Ihclr In'ereNb.
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<br />8. III. npreuly .lIpuIA'ed IhAt Ihl~ I'ermlt I. . IItcn,c for rernll..l"e UNe onl)' .nd thllllhe placln, of f.tllllle. upon publlt properly punuant to"'lt
<br />permit .hall not oper..te to ('re..te or 10 nit IIOY property rlaltt In ~ald holder.
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<br />,. Wllenever Ihc City detldc~ to further UIIIII't lI,e City RIIlhlN of WilY, IIny or Iilllllld rolel, "Ire~, pipet, eable., or olher ratlOtle. III1d
<br />Appurtcnllneel lIuthorllcd hereunder, ~hllll be ImmediAtely remond from 'Ald RIRhtN of Way, or re~et or reloc:.led thereon a. required by the Clti Dull.....
<br />Om"I..lllt 'he tJIpfn~e of lhe holder of Ihl. permit.
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<br />. 10. Thc hohler .hAII.Ave IInd kcep 'he Clly harmte~. from ..ny IInd ..II d..mAgcN, ,,'almN, or InJurle. t"'t may OC!t!Ur by re.lon or the CONtmellon,
<br />nlAlnlell..nl'(" IU1d operAII,," of .ald facility.
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<br />11. The bolder Nh..1I "omple'e Ihe reque.led work "llhln I'AYI or 1111. permit ~h.1I be('ome null and void. In the event the work reque.ted
<br />II not ('omple'cII upon Ihe ul'lnthlll date of 'hl~ permit, 'be Clly .hllll h..n the rlllht to tomplete luth work III1d to eharae the holder of.he permit r.r all eo.l.
<br />III"urred In ('ompletlllll IlIld ,,"rk.
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<br />12, The holder ~hllllllo~1 A CIl~h or ~utety bond ,;Ith 'he Clly MAnllller In the ~uln of S dollan to paranlee perfol'llllll1Ce of lhe obU.allona
<br />hfteln, IInd to lluArAnlee mlllntennnee or the tlllht-of-wAY de.crlbed hcreln fllr II period of one (I) ycllt follo"lnl rompletlon 0' lhe hquetted 1n......1Ion. In ....
<br />evcnl a lurety bond I. pONted, the ~urely bond ~hllll be mllde PAYllblc to the Clly IInd IhAII obllllA'e lhe .urely to hold lhe City harmle" In the event the holder of
<br />Ihlll,ermlt Nhouhl f..lllo nltelllny of II~ IIbllRatlon~ hereunder. The bond ~hlllllll~o Indcmnlfy the City for all tourt tOlt. and halOnable aUomey'. 'eet In....
<br />eVfnt IfRlllllellon IN required to collect on 'Ald bond. .;
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<br />13. The Ilttll1ll1ce Ihllll ha\'e A 24 IIIIur cmergell"y c"ntnct nllnu! IIl1d number IIded below.
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<br />SUDMn"I'E() BV,
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<br />(Permltlt(') J E. /2../ ZC..JAI FLu~-IDt>... I:....'c.
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<br />SIPature&'I'ltle'-'-7~~Z~!l~. r;;.I'/'-:v d,'L...N6IAJ4:=-e.._/J/cnuol?/c L~q;,
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<br />AddreNN IZOC, L..11~E.,;)i. J}tc. ,:x...'I"':\- LI\.~E..LAJ',Jr~. h~. 's ::"j[..yC)/
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<br />Phone B~:.)- ~ B 8 Cj fso 3.
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<br />APPROVED BVI
<br />CITY OF ZEPnVR
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<br />UtIIltle~ Supcnl."r '- ~
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<br />;;WOdu i:t{{j
<br />CI.y ManAIlt'f U (~' Cn~~
<br />Dlllel ~/tT4J l/r--
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