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<br />DATE: /2- 2-Ci' q
<br />
<br />~ '2:~ C\P 32 q Gr<.. -0 \ '3
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<br />CITY Oil ZErIlVIUlIU,S - IUIIUJlNG UEI)ARTMENT
<br />JUGUT-Olr-WAY USE I)ERMlT
<br />
<br />PERMITI# 9/ tJ /
<br />
<br />No con.frudlon under Ilround or .hon around.f .n,' f.cllll)' ....11 be .ccompll.hed on .n" CII" Rlpl. .fW.,. "I~. "rlflen .pp...".1 fro......
<br />CII,. Bulldlnll Depnrtmenl. Any IIpplkllllon for .I'pro\'lll of condrucllon oper.flon. l,n IIny Clly owned Rlpf. of Wa,. ....11 ftlml.h . .faW ...."... ...."...
<br />I"e complele .cope of Ihe propond work In Irlpllcllle '0 lhe oflke of Ihe Bulldlna Official for IIpprovIII prior .. lhe cemmeneemen. of llIIJ' "ork. A copy.f fhb
<br />perm I. I. 10 be kepf relldlly aVllllllble IIf Ihe .lle of I"e work .f 1IIIIbne..
<br />
<br />PARCEL I.D. "
<br />
<br />CITY ROAI) bAI(LY I2-J
<br />
<br />DATE /L-2--Q'l'
<br />
<br />
<br />ON TJ-JE {AJf:..SI 5//J~
<br />
<br />Perml..lon I. hereby ar.nled fo (,7t FtOIt/IJA
<br />for fhe cOlllllrudlon .nd m.ln'en.nce of 300 f of
<br />
<br />Sl>- ::L '-l
<br />
<br />of
<br />r.oJ...[>
<br />
<br />/20
<br />
<br />t', LImE s/1ZEEr A'le. IU..i:.IJ
<br />
<br />~t)/Y ~'~P/.
<br />3390/
<br />
<br />.ubJed fo lhe followlnll condlflon.:
<br />
<br />I. The con.fnacllon IInd m.In'enMce of .ueh ullllly .hllll nof hlledere "lIh fhe properfy Md rich" .f a prior _PMf.
<br />
<br />2. All work ."~II he done In kceplnll wlfh fhe .fandard. of Ihe Clly Slreets Dep.rh\lenf and under fhe .upen""n of fhe Clfy BaUd... Oflkllll. "ho
<br />"III be nolllled a' le..f one d.y prior I. commencemenl of eOllllrudlon.
<br />
<br />'~ "
<br />
<br />J. All mlllerllll. Md equlpnlenl .hlllll,e .ubJed fo In.pedlon by fhe Clly Dulldlng Official
<br />
<br />... I)urlng con.lnacflon all .Afefy rellUl.llon. of Ihe Dep.rlmenf of'l'r.n.porfllllon .hllll be ob.ened Md .he Clly .haI It. reUn" of all
<br />re.pon.lblllly from dllm.Re of .ny nllture nl.lnll from Ihl. penn If. SubJed 10 lhe .lIme fenn. Md eondll...... .he permlt holder ...,. ..ke .1ICh ..relf meaau....,
<br />Includlnll plllclnl{ IInd IIl.plllY of cllutlon .Igo., .. II m.y deem ntee..ar,. In cendud of con.lnacllon Md m.ln.en_ ".rk h.reunder. If II the rnpGIIIIlbUlfy .f
<br />fhe permllfee fo plllce, mlllnl.ln, .nd .u,en'l.e .11 fraffic conlrolllnd device..
<br />
<br />S. All prlv.fe .nd .11 Clly properly .hllll be re.lored 10 II. orlglnlll condlllon II' f.,.. pradle.11n the oplnJoa of.he CII)' BuDdin. OIllclaL
<br />
<br />6. All underaround erolllnlln...II.flon. .h.11 he ....d .1 .uc:h dep'h .. m.y be 'I,celned by .he CII)' Build.... ORkIllL
<br />
<br />7. ' The .kelch conrlnR fl,e def.ll. of Ihl. bl...II.llon .bllll be mllde . pllrt of Ihl. permll. Thl. perml' .. '1'lIII." "lth the _d.nfandln. fha. ....
<br />IIppllc.nl h.. noflned 1111 of her uflllly u.en In 'he .re. covered by 'he I,ermlf .nd IlIke. full re.pon.lblll'y for MY damap_urred b,. prior ...faII....... .. a
<br />re.ull of hi. oper.tlon. In order fhaf fhe)' 0111)' .are IUllrd 'helr Infere....
<br />
<br />8. If I. nprellly .tlpulaled fh.. Ihl. permit Is a l!een.e for perml..lve u.e onl)' and Ih.. Ihe pla.1 of laelllfle. u,on ,ublle ,roperI)' ptlnUllD' .0 flail
<br />perm If ....11 no' open'e '0 creafe or 10 ve.. MY property rlghl In ..Id holder.
<br />
<br />9. Whenever I"e Clfy d<<lde. fo furlher tlll,llIlf Ihe CII)' RI"'I. of Way. any or all.ald ,ole.. "Iree, ,I,e., able., or o'her faelDfle1 ....
<br />appurtenance'lIulhorlzed hereunder, .hllll b.lmmedlllfely removed Irom .lIld Rlghf. 01 Way, or re.e' or reloca'ed thereon III required by.he CI.; ....Id....
<br />Official al lhe n,en.e 01 lhe holder of fhl. permit.
<br />
<br />IU. The holder .hllll..v. _d keep f"e Clfy h.rmles. Irom any .nd all d.maRe.. el.lm., or InJurle. .ha. m.y occur by rea_ 01 the COIU'ruetlon,
<br />mllinten.nce. MId opera lion .1 .ald faclllt)..
<br />
<br />II. Tile holder .hall comple'e Ihe reque.fed work wlfhln day. or fhl. permit .haD becoDl. nuD and \'oId. In the ev... .he "ork nque."d
<br />I. not complefed upon '''e uplra"on d.le of Ihl. perm I.. lhe Clfy .h.1I hne Ihe rlR"1 10 com,lele IUch work Md .0 _.... .he holder or.he permll r.r all _It
<br />Incurred In complellnR.ald work.
<br />
<br />12. The holder .h.11 po.f a ell.h or .ure.y bond wlfh lhe CII,. Manllger In Ihe .um of S dolllln .. ....nn." perr.......... .r the ............
<br />herein, and fo parllnlee mllln.enllnce .f lhe r.....-of-w.,. described herein for a period of _ (I) ye.r rollo"lnl cemplellon of the teque............1Ian. In ...
<br />even' · .urefy bond I. po,'ed. .h. .ure.y bond .hall be m.de p.Yllble '0 fhe CI.y .nd .h.1I obllR.fe .he .ure.y f. hoI. the CIt,. harmle.. In the .nll' .... hoNer.r
<br />.hl. pennlt .hauld f.1I to mect an,. 01 If. .bIIKallon. hereunder. The bond ....lIal.o indemnify .he City ror all court eo.', and re.._ble .lfomey'. f_ In ....
<br />even'leg.llleflon I. nqulred fo coiled on .lIld .ond. "
<br />
<br />13. The permittee .hllll"ue a 24 hour emergency conhtef nllme IInd nunlber 1I,'ed belo".
<br />
<br />SUBMI'ITED BY:
<br />(Permlffee) OlE h"L'-/f)fl J N C
<br />Slpafun&Tllle --#1;k ffittl' ~ /l!tC5.S f)Z;SJ6IVEk!...
<br />
<br />Addre.. /2.0 e. LimE srrL-EET LA-K:eu't-N!h FL.~3Bol Me!- SOl,/-
<br />
<br />Pholle 8" 3- (p f3 2-- 807)
<br />
<br />APPROVED BY:
<br />CITY OF ZEPIIYRIIM
<br />
<br />=-V~~ - j5~
<br />
<br />U'lIIl1e. Supen-I'lIr ~ ..!1.....e.-~
<br />Dale: ~f t /9 ~
<br />
<br />
<br />;:: 1i~F~
<br />
<br />'4 a~ {]iih1tf2~ .
<br />.:5~ J...- /77i7j..uI3,~~1 ~t~5
<br />a~R-D ~7
<br />b-J~. f/3-1f:2-1/91 --
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