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<br />I)A'J'Ef21z"2 /0 G
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<br />CITV 01' ZEPUVIUII Ll,S .. nUlUJlNG DEI'AR'aMEN'I'
<br />IUGIl'l'-OI'.W A Y USE I'ERMI'I'
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<br />PERMI'1'H
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<br />~191R
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<br />No con,'ndlon under a~d .r .ho\'. anund .r .n1 r.eIlU,.h.11 be .eeompll.hed on ..y Clly RI~', .r W.Y '1'10-' wrle.. .PProYaI mID 'ho
<br />CUy Bulldlna Df'....meaL Any."IIeaI"" ror .".....1 or con"I'1IC!II... oper.llon. on .ny CII, owned Rip" .r W.,.haD l\ambh . ....W.,.w... .wlnl
<br />.he comple', .cope or.... p...,.... w.rk In 'rI,lle..e '0 lhe .m.. .r Ih. DulldlnR Omel.1 ror .1'1'.....1 prior .. the comm_mea' or IlIIJ' work. A CO" or..... ,
<br />p.rmll .. '0 b. kept re.dll,.".II.b" .. .... .I'e .r .h. w.rk .. .lIl1n...,
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<br />PARCEL I,D,If
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<br />CITY ROAn /i1J!!1)/C4L V fEW L.I1AJE. DATE
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<br />LOCATION (Lellll D..erlpll...) I ,
<br />\J,.J~.~ -=:-/LJE. ~F h1BL:J/CAL VI6W LAAJ~
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<br />I, ,.... con"l'1IC!lIon IlII4I m.In'_" .r .ueh ullllly .h.1I no'lnlerrere wllh 'he ,...,e...yllII4I rI..... .r. ,rIor _,anI.
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<br />2. All "ork .h~1I .. ..... III kee,lnl "llh .... ...nd.nI. .r 'he Clly Slree', Dep...."..n. an. ....er .ho .upen""" .r lho Clly BuD.1n1 OR1cIa!, who
<br />will .. nolllled .'Ie." .... d., prior .. commencement .r eon,'ndlon. .
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<br />,
<br />.I
<br />
<br />......
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<br />3. All m.lerl.l. .n. e.alpmea' ....11 be .ubJee. '0 wpullon .,.he CII, Dull!llnlOmclaL
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<br />... Durlnl CON'I'1IC!.1an .1I..re.y repla.lo... .r.he Dep.rlmea..rTnn.,.....lIon .h.II.. ....n.. an. .... Ch,........ nU.n..r.U
<br />re.,....lblllly r...m d.m.K' .r .n, n.lure .....InK r...m .hll p.rmll. 8ubJee. .. '......me 'erm. an. coadli....., lho penab holll.r ".,"ke .... ..r.., ..cuure.,
<br />lnelull"'. placlnK .nd lI"pl.1.r Cau''''' .lpI, .. I. m.1 litem ntc:e".'11n condud .r con.lndlon and m....enance work hereunll.r. 1111.... rapllllllbW" .r
<br />.... permllle. .. pl..., m.In...... .nll .upen", .11'nR1c conlrol.nd device..
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<br />S. .AII prlvale .n..1I Clly p...perl,.hallhe re'lore. '0 II. orllln.1 c....III011.. r.r.. pracllcal...... .plnloa .r.... CI., DaU.1n1 OR1claL
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<br />6. All underaroun. ......InI......I"'...... .hilll he 1"ld a' .ueh d.plh .. m"y .e'I'eelOe. .y.... CII)' BuIld'" OR1cIaL
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<br />7. . The .kelch nverlnl .he d...I.. .r Ihl. .....Ilallon .h.1I b. m.d. . 1'.... or 11.1. pennlt. Thl. p.nall .. lran.e. wleh .ho un..n........I..... ....
<br />appllcan' h.. ...IIOed .1I.lher .IIUly...n In .ho .re. covered by.... permll and ..k.. lUll re.,onlll.lll1ylbr.lIII1do".I.lnCurn. .y prior ........1.... .. .
<br />n.ulC .n... .peraCIon. In .rd.r .ha. .h'1 ..., ..... ....nI .h.lr In'ere.l.. " '
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<br />.. It I. upre..I, .tlp.I.'e. lha. Ihl. perml' .. . Ilcea.. ror perm...I"o u.. onl1 .nd .h.. .Ia. placlnl.r fadllllo. up... pu.1Io pro,er., pun...' .. .....
<br />,ormll .1..11.... opera', '0 ere... .r .. ytl' an1 p...pe"', rl&lll In ..Id holder. . .
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<br />9. When.ver'he CI., deeld.. .. IUrther ea,IoI..he Clly RlallI. or Wa" .",.r ..1I..ld polo., win., ,I,.., ........,.r ,'her r..WIIo. an.
<br />.ppu"'fn.nce. ..Ihorlled hereun.er, .hall.olmmedl...I, remove. r...m ..Id Rlpl. .r W.Y. or me' .r reloc.'ed ....reon .. ....ulretI .,'he a.; Bull.....
<br />OIlleI.I.. .ho ..pe.... .r.... holder .r .hll permll.
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<br />" 10. The holder ....11.... an. keep .ho Clly h.rmle.. r...m .n,.nd alld.maae.. el.lm., or InJllrlet 'ha'...yoccur.1 rea.... or.... COIU.ruct"",
<br />maln'enance.1lII4I o,.rallon .r ..Id ra.lllly.
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<br />II. ,.... holtlor .hall cotnple', .... re.....e. w.rk "lIhln ".,, .r I.... p.rmll .haU ....... _a ... ftld. I. .... "'... .... .... ...,......
<br />II no' completed .p,," .... espl,.,,,,, d... .r Ih.. perm I', I'" ClI,.h.1I hllYO 'lae rip' '0 com pl... ..... w... an. to cbarp tbe holder.r.... penall r.r all.....
<br />~~redln compl..InK ..Id work.
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<br />12. 11.. hold.r .hall ,.... c..h or ...re.,.on.. willa lhe CII, MlII1lIler In 'h, ...m .rs dollan.o paran... perr.l'lllaac..r.... ..11&.......
<br />herein, .n. .. ....nn." m.ln'enanco.r.he rlpl1r.w.,d"crlhe. herein ror" perlo..r.... (I) ,..r rollowlnlco..p...Ion.r.... .......... ...1aIIa...... In the
<br />nen' . .ure.y bond" ,....... .... ...re.'..... .hall .. m.de p.,.ltle '0 .he CII,.n. .h.llohllp.e .... ..re'," hol. .... CII'.......... .. .... OY_' .... bol..,.r
<br />Ch.. pennl' .hould roll .. n.... ..., .r II. .bll~.'Ion. "'reunder. nil hon. .h.II"I.o Indemnlr,lh. CII, ror .11 court co... aa. re..ORa." .U.me1'. rIU In dat
<br />nea' I'K.I.dlon I. re.ulre. '0 coiled oa ..Id bond. ., I
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<br />13. ''he "malIC.. .1..111..", . Z" hour emerlenc, con'.d n.me .nd nun.lter ",'ed below.
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<br />SUDMI'I"I'ED BYI
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<br />Public W.""
<br />D.lel
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<br />SC......... A TII~:A}:{;. ... -IJ, .~. j {-~f;J _
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<br />Addre.. 120 1.:. L/hJ&-.:!!!!!iT: LI'IJ<I?LAN.D F'L 3"380 J
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<br />P"olle_j)!i'~ C; ~3 -Q 8 ~ 2
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<br />U.IIIII" Supena.or
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<br />a.y M....Il.r
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