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<br />J <br />'.( / <br /> <br />. I <br /> <br />lo i'f" ,. 1 <br /> <br />I <br /> <br />/ ) <br /> <br />.)ATE:) <br /> <br />'I <br />,( <br /> <br />I,ll <br /> <br />CITV OF ZF.IJIIYIUIJLLS - IJlJILUlNG J)F.IJARTMENT <br />JUGU'l'-Olt-WA Y USE IJERMI'I' <br /> <br />PERMITI# <br /> <br />~'1Jjc/ <br /> <br />No C.llultucllon ullder .round or IIbo\'e .nlUnd or IIn.\' rllcllll" ~blllllle IIccomJlII~"ed on IIny CUy RIRlII' or Way "Uhou' "rlllen .pproyal from .he <br />CUy Dulldln."I'Jlnrlmenl. Any IIJ1plll'ltllon for Itllproul or 1'0'''11'111'11011 opl'rltllon~ on IIny CUy o"ned Rlgh'. ofW"y....1I Ibml~h a de!alled 1I..."In. .ho",". <br />'he I'omllle'e 'l'fJpe of Ihe proposed work In 'r"lllu'e 10 'he fJmce or Ihe DulldlnR omclnl ffJr Itppro"ltl prior '0 'he I'ommen.,..menl of any "ork. A eopy of fhlt <br />Jlermlll, 10 be kepI relldlly 1t\'III1I1b1e Itl Ihe .Ue of 'he work III 1111 Ihlle,. <br /> <br />rARCEL I."." <br /> <br />CITY ROA" ( <br /> <br />.' . . . <br />',. , j, 'I j <br />/ I, " , ! I ,/ /\. 1_' , <br /> <br />"ATE <br /> <br />'I) ( 'Y <br /> <br />LOCATION (Lellltl Deserlpllon) I <br /> <br />,I / <br />f,;::/lC~ ~--~ ( \ ' J <br />( -- "- <br /> <br />" -/ <br />,,~ ~ '- <br />j , <br /> <br />, I <br />'( f .' <br /> <br />.-:- .-) <br />) ',' //(r' <br /> <br />"r/ <br /> <br />{'/ .. <br /> <br />=- <br />= <br /> <br />rum""on I, hneby .l'lIn'ed to <br />ror fhe con~t",ellon IInd mllln'ellllnee or <br />~ <br />subJed 10 the folloft'h.. condUlonsl <br /> <br />or <br /> <br />2. All wo,'k dl~1I lie d"ne In keellln. "UII Ihe slllndnrd~ or Ihe Clly S'reels "epllthhenlllnd under 'he .upenl,lon of Ihe Clly Dulldln. Omelal, "ho <br />1\'11I be no lined allus! one dllY prIor '0 eommenl'emenl or I'ons!ruellon. <br /> <br />1. The I'onslrudlon IInd malnlenNll'e of sUl'h ullll.y shllll nollllterfne nUh the proper'y and rll"" of a prior oeeupllll'. <br /> <br />3. All mlllerlltl, .nd e'lulpnlen' .lIltll III' lubJed'o Insprcllon "y 'he elly DulldlnR Omel.l. <br /> <br />'\. 'k <br /> <br />4. I>urlng condructlon .1I1"fe.y reRUI.tlons of Ihe "el'lIr'men' ofTrllnsl'orllltlon Ihllll be oblened ...d .he CI.y ....11 be rellend or.1I <br />rrsl'on'lblllly fmlll dlllllllRe or IIny nlllure .rlllnll frolll .hll I'erml'. SUIIJed '0 'he 'IIme 'erml IIIId condltlonl, 'he permit holder m.y take .UC:h ..re.y mf.lllure'I <br />Includl~ plllclnR IInd dlsl'llIY of ClIutlon IIIP", II. I. mllY dum nrceuny In conduct of cons'ructlon .nd mllln'enllMe "ork hereunder. It h 'he rnpOII.lblUty or <br />Ihr permittee '0 plllce, mllln'"ln, IInd lupenl" 1I11'l'lImc ron'rol IInd devlcel. <br /> <br />S. All prh'lIle IInd all Clly (troperly .hllll be n"ored 10 lis orlglhl.1 condlllon liS fill' as prllclle.11n 'he opinion of 'he Clly Bulldln. Omrld <br /> <br />6. All undn.tound uo"lnfllns'"l1ll1on" Nhllll he IlIld lit ~lIeh deplh II. nlllY be Nllecmed by Ihe Clly Dulldlnl OmclaL <br /> <br />7. Tile ~kelch rO"erlnlllhe dellllls or thIs Instllllllllon slllllll,e mildI'll PAt' of Ihls permll. Thl. permll I. lranted "lth 'he under.....dln. ..... the <br />"l'pll(,ll1t hilS nolmed Itll o'her IItl/l'y unn In the llrea rovered by Ihe permll IInd 'lIkes filII relponslblll'y for IIIIY d.m..e _urred .y prfor 1nt..u..1otu .. II <br />result of hIs opnllllon~ In order thltl 'he,. mllY Slife RUlltd fhelr In'nests. <br /> <br />8. If Is ul'reu'y Nllpulll'ed Ihll' 'hls Ilermlf Is · linn. I' for perml..l"e use Oil'" .nd Ihll' 'he pllleln, of f.elll.lel upon pub III' proper'y punWIII' to Chit <br />perml. .hllll no' operll'e 10 rrell'e Of '0 n.. IIny I'foperty rllll"ln ,.Id holder. <br /> <br />9. Whenever Ihe City decldel '0 Ibrlher UII'ol. Ihe Clly R'~'"s of WilY, IIny or lilll.llI I'olee, "'re., 1'11'1", cable., or o'her f.cIUUe. IIIId <br />"l'purtenltnee, lIulllomed hereunder, ,hllll be Immedlllle'y renlon,1 from sll'd Rlllhts of WilY, or rele' or reloe..ed 'hereon.. re'lulred by .Ite City Dulld.... <br />omc'ltl II' Ihe e.pense of 'he holder of 'hl. permit. <br /> <br />10. The ho'der Ihllll'lI"e IInd keep 'he Clly hlltmles. ftom IIny 1101'1111 dllmllRes, cl.lm" or InJurle. t"'t may oeeur.y rea.on of lhe eoIU'rue'lon, <br />mllintenllnce, IIIId opetllllon of uld f.clllly. <br /> <br />II. The holder shllll eoml'lete Ihe rellue.led work ",llhln tlllYs or thIs (termll .h,,1I .ecome nulllllld Yold. In 'he nen. 'Ite "ork reqve.ted <br />Is nol compleletl upon 'he e~'llrlltlon tllI'e of 'hIs I'ermll, the Clfy shnll hll\'e Ihe rl~hl 10 Comp'e'e luch "ork...d to ch....e .Ite holder of 'he permit for...1 eo... <br />Incurred In eomple'lnll 1.ld work. <br /> <br />12. The Ilolder .hllllllos' II cllsh or .un.y lIl1nd ,;I.h Ihe City Mllnllller In Ihe AUln of S doll.n '0 RWIran'ee performllllC!e or'he obU........ <br />herein, lI..d '" gUlIrlln'ee mllln'enllnce of the rlllh....f.".y descrl"ed herein fill' IIl'ulod of line (I) year foll."lnl rompletlon of 'he re'lUl'..ed 1n......1Ion. In ,.. <br />e\'ehl · .urety bond I. pON'ed, the ~ure'y hond shllll "e m.de p.J'lIh'e '0 Ihe City IInd .h.1I ollllRII'e the .ure.y '0 hold ,he City h.rmle.. In .he nent .he holder of <br />.hl. IIunll. shnuld rllll '0 IIIeet IIny of I" ollllll""on. hereunder. The IIond shnlllllso 'ndemnlfy 'he City for.1I eourt rOI" .nd re..on.II" .ttomey'. fHlIn the <br />evenl 'elllllllcClon Is re'lulred 10 collect on IlIld "ond. ., I <br /> <br />13, The IIerlUlt'ee .hllll'III\'I' " 24 hour elllergeney c"ntnct nltnle IIl1d nUhlller IIs'ed below. <br /> <br />(rerml"e.) <br /> <br />_),dIIIC'J <br />'-k 1...__1) ( <br />I <br /> <br />SUDMn'I'EI) BYI <br />t I ( "'(I i, <br /> <br />VI It,.,::,',) <br /> <br />I ,: <br /> <br />-~, ,.\ r~' l,'.l <br /> <br />P'IOIIt! <br /> <br />tl 'I.,. ,'11 r( <br /> <br />i. , ) <br />{,U ..L , <br />"'it <br />L,d~,"I,., \\ <br /> <br />Cl"~"" 'L'< t <br /> <br />S'pa'ure It '1'11'1' <br />, i <br />Addreu I )1.' I <br /> <br />,; \ <br /> <br />II <br /> <br />; '") ?~',~: r ' I <br /> <br /> <br />LC(','~) <br /> <br />(' r - ~ <br />(,. '-' <br /> <br />I "l / " <br /> <br />~- <br /> <br />4) \ <br /> <br />Ulllltlr. Supe",I."r <br />D.'el <br /> <br />....", cr. ,/ <br />....,' ....It....t~G''','_,-'. <br />/'1 'I -'0 '., <br /> <br />'~~~~?'~ <br /> <br />- 1 ~ f.J <br />--,,'e;. 1 /~ " / \ , <br />. Ii ;,j II I fA/ <br /> <br />= <br /> <br />Pub III' Wo~ks <br />".Ie: <br /> <br />CI.y M.nllller <br />I)a'el ~ <br /> <br />.. <br />