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<br />DATE: LD - L - (()D
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<br />CI'IY 011 ZEPIIYIUlIU.s - UlJILUlNG UF.ltAltTMENT
<br />IUGIlT-Olr-WAY USE ItERMIT
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<br />PERMITN r5)~
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<br />No ~on.lrudlnn under Rrouncl or IIhO\"e Rmuncl or IIny rll~IIIIJ .111111 he 1I~~,"plllhed on .ny Clly Rlpls or WilY "llhoul "rlllen approval lrom 11M
<br />Clly BulldlnR Drpllrlmenl. Any IIpplkllllnn lor III.pro"lIl 01 ~on"ru~lIon operll.lonl on IIny Clly o"ned Rlpl. 01 Way.halllUml.h a delalled dn"....ho"In,
<br />Ihe complrle .cope 01 IlIe proposed "ork In 'rlpllcllle 10 Ihe office ollhe BulldlnR Officl.1 lor IIppro""1 prior 10 lhe commencement 01 any "ork. A copy 01 Ihla
<br />perm II I. 10 he kepi relldlly II\'11l1l1hle IIllhe .lIe 01 Ihe ",ork III 1111 11m c..
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<br />PARCEL I.U, II
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<br />CITV ROAD
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<br />IZtb ST
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<br />~ Nocr~ AVE
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<br />DATE W-Z~bo
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<br />Perml.slon I. hneby Rfllnled '0 'KoNol Me ~L I t\l.'"'ICl tJ 01 lO"i'E...
<br />rOf.lleronllrurllonllndmlll'!len.neeol ~U1Z.\~o C.~~,~~ ~ONOU\T B~TWE.E..f\l IA'kb i l\lo~T\o\ ~~ ~~~'" ~~-e.. ~E.~I
<br />~\t>E. !l~ 1'2.-\!o~,. 'BuR..\ce..n C.A..BL"'~'_I_LL.A1..,Dr..lJS ~IJ\"" ~IDE. Dr:- No~~ _ E. _~ _ ~. __' ULL
<br />.uhJerllo lhe 101l0"lnR ~ondlllon.: Bo,^- A.. .~E E. \.10) ''13 . F~t.A ThE.. I Al.Ts:.J::S. E.c."I' oIJ,
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<br />I. The ronllrudlon IInd malnlenanre ol.orh ullllly .hllll nolllllerlrre ",lIh Ihe properly _d rlpl. 01 a prior orcupanl.
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<br />2. All work .hllll be done In keepln. wllh lhe IllIndllrdl 01 Ihe Clly Slreeb Dep.,h\lenl and under lhe .upervl.lon 01 lhe Clly Bulldln, Ornelal, "ho
<br />",11I be nollOtd allclIlC one dlly prior to commencemenl 01 conalrudlon.
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<br />3. All nUllerl.ls .nd equlpmenl Ihllll be subject 10 InspnUon bylhe Clly Oulldlnlll OrnelaL
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<br />.c. DurIng condrudlon .1I1.re.y rellUlallons ollhe Depllrlmenl oll'rlln.porlllllon Ihllll be oblerved and .he Clly .hall be relieved orall
<br />relpon.lblllly rmm dllmllRe or any nature Ilrllln. lrom .hl. permit. SubJed 10 Ihe IIIme lerml and conditions, .he permit holder may take lorh I.Iety melllUrel,
<br />Inrlullln. plllrlnR IInd dl.plllY or caullon slpI, II' It mllY deem nreell.ry In eonduct 01 ronllrurllon and malntenanee "ork hereunder. II II .he retp_lbUlty 0'
<br />Ihe permlUee '0 plllce, malnlllln, IInd lupenlle alllnffic conlrolllnd dnlce,.
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<br />~. ^" prlnle IInd .11 City properly .hall be restored 10 lis orlglnlll condlllon II. IlIr a. pncflralln 'he opinion orthe CICy Bulldln, orne....
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<br />6. All undefAround rml.lnllln.IIIIIIIUon. .hilll be IlIld III .ur" depUI .. mllY he .I,erlned by Ihe City Bulldln, OrnelaL
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<br />7. . The .kelrh eonrlnR lhe delall. 01 Ihl. In'llIlIlIllon '''1111 be mllde II pili" 01 Ihl. permit Thl, permit .. '......e.. "lth lhe undentandln,.... the
<br />IIppllrllnl hll' noUned ..II olher ullllly u.en In lhe area covered by Ihe I,ermll .nd IlIke. lull re.pon.lblll'y lor any da.aae lneurred by prior .........11atu III ..
<br />re.ull olhl. operllllons In order Ihll' 'hey mllY .ale pllrd Ihelr In'eres.,.
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<br />8. I. I. ellprellly Iflpulllled lhallhl. permit L. a Iken.e for permllllve u.e onl". and Ihll' Ihe placln, or Iac:1ll11e1 upon public proper'y punuant '0 fhla
<br />perm II ....11 no' opel'll Ie 10 crellle or 10 nil any property rlKl" In .ald holder.
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<br />9. Whene"er 1"1.' City deeldes '0 fUrlher elll,lo" lhe Clly RIRhl. 01 Wlly,lIny or lill.ald polel, "Irel, plpn, e.ble., or olher laelDlle. an"
<br />IIppurlen.nee. IIulhomed hereunder, .hallbe Immedllllely remond Imm IlIld RIKlIIl 01 WilY, or re.e' or reloc:a.ed 'hereon III required by'he CI.; Balld....
<br />Offirllll .llhe ellpen'e 01 lhe holder or thla perm Ie.
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<br />10. The holder .hllll 111"1.' IInd keep I"e elly h.rmle.. Irom IIny IInd 1111 dllmllRe., rlalm., or InJurlel lha. m.y oeeur by realon 01 11M -'ndlon,
<br />m.in'enllnce, _d operllUon ol..ld laclllly.
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<br />II. The holder .h.1I comple'e Ihe requeale" "lIrk wllhln 10 D dllY' or 1"1, permit .hall become nuD and void. In lhe event the "ork requelfed
<br />I. nol eompleled upon IlIe elplntlon da'e 0' 1..11 perm II, the City .hllll hne I"e rlRht to complele .orh "ork and '0 eharp the holder 01 lhe perml' rer aI. coati
<br />lneurred In ~ompleUnR .lIld "ork.
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<br />12. ,.he holder sh.1I PO" a ellsh or lurely bond wllh lhe Clly MII""Rer In Ihe IUIII 0' S dollan '0 pann'ee pertormanee or the 0......_
<br />hereIn, IInd '0 gUllnnlee mlllntenllnce or lhe rIRh....r'''IIY de.nlbed hereIn rllr II period or one (I) year rollo"lnl comple'lon 0' the reqllel'ed ............ In ...
<br />e"enlll .urely bond I. poded, Ihe surely hond Ihall be made p.Yllble '0 lhe CIlYllnd .hllll ohllRllle the lare.y to hold .he City harmlell In lhe even. .he holder 0'
<br />Ihl. permll .IHluld filII 10 nlert IIny 0' II. ohllllllllon. hereunder. T"e bond .hlllllll.o Indemnlly lhe Clly lor all court COlIII and rea.onllble .UorneY'1 rea In the
<br />ennllrglllllrllon I. required 10 coiled on IlIld bond. "
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<br />13. The l.erll"Uee .Illlllhne a 24 hour emergeney ronllld nllnle IInd numl.rr IIlled belo".
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<br />(PermIUu)
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<br />SUOMI'I'rED BV:
<br />1<..0 #J I t\.A. ~ C-L I J..l'T C Jj
<br />~~J. WJ1(?(~
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<br />ELI "^ €.. ~,.-. L;Q,KE L At'" D. FL
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<br />.3=> 804
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<br />SI....ture & Title
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<br />Addrell
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<br />/20
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<br />Pholle
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<br />Bu?J. uB2- BIIZ
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<br />Publk Work.
<br />Dale:
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<br />
<br />Clly ManllRer
<br />DII'e,
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