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DAlE: CITY OF ZEPlIYRBILLS - BUILDING DEPARTMENT RIGHT-OF-WAY USE PERMIT PERMIT# 3&;;<3- 7F'pAOAe . No .....Iruction under IJ'OIIIld or above gruuad of my fiu:IJIly abaII"e _pJllbed on my City R1gb11 of Way w1lhoat writtea approval from the City BalIding Departmeot Any appllcatloa for approval of .....lnIctlon operatioDa on UJY CIty.....- RigbtI of Way abaII fIm1Iab a detailed drawlog Ihowlog the ...mplete ....p. of the propooed work In tripUcate to the ollke of the BuDding 0IIk:IaI for approval prior to the ...mmencemeot of UJY work. A ...py of this permit Is to ... kept readily avaUable at th. .Ite of the work at all 11m... PARCEL LD. 1# CITY ROAD DATE LOCATlON(LegalD..crIptlon): /l/..;-.h -<+ /:2+-h:5-1- all d'k+..fIrl/ ~1t.L'#;V ~nd ~ t4h'/o.(. R~ LInd ~ ~1' ... j / ;:r~=:....~,:relly.:::'':::'~~Af'1~%~Ofw,~~r;f}i,... 'rc//h/7P7u / r?~y--e, 4!!Z_!::: 70/7/_ lu"ject to the ~ owing condltlonl: 1. Th. ......tructloo and m_ of .uch uOOty aballlIOt _rfere with the property and right. of a prior ec:eupant 2. AIIwork.ba11 b. dODeIn keepiD& wltb the .tandardI of the City S_ Department and under the IUpervlsiou of the City BuUding 0IIIda1, who will b. notified at leut 00. day prior to _eot of CODIlnlctlon. 3. All materiala and equipment .ba11 be .ubject to hupectlon by the City BuDding OIIIeiaL 4. During ......1n1.tlon aII..rety reguIatioua of the Dep_ ofTl'IIIIIportatlon abaII be ob.erved and the City tbaII be rcJieved of all re.pooalbWty from damage .f any IJIIIure arilIlng from this permit Subject to the same Ie...... and .....d1_. the permit bolder may take ...... .afety _ure., Including pladng md dbplay of caution .1gIII, .. It may deem _1&1")' In c:oada<:t of CODIlnIl:tion md maln_ work hereunder. It Is th. ....poaaIbWty of the permittee 10 place, maintain, and IUpervia. aD tra1ftc: .....trol and. devi.... s. All private and all City properly tbaII be ....tored to III origlnal.....dItlon .. far.. pnetlc:alln the opinion .f the City BuDding OftIcIeL 6. AU underground .rolllng hutaUatloDl tbaII be laid at ...... depth .. may he .pedOed by the CIty BuIldIng 0IIiclaL 7. The .ketch eoverlng the delalls of this hutaUation abaII b. mad. a part of this permit ThIs permit Is granted with the undenlllnding thai the applieant bas IIOlifted all other uOOIy wen in the area covered by the permit md taIw tun ....JIODII..Wty for UJY damage Ineurrod "y prior hutaUatlons .. a remit ofhls operations in order that they may .afe guard their inte....... 8. It ia up......1y .tlpulated that this permit II allceDle for permlulve w. oniy and that the placing of f""WIIe. upon pu"lIe property punlWlllo tbls permit abaII not operate to creat. or to v..t UJY property right In laid bolder. 9. Whenever the City decldel to farther exploit the City RigbtI of Way. UJY or all laid poIeI. _, p!pel, eable.. or other flOdllllea and appurteaaDeeo mtborized hereund.r. abaII...lmmedlately removed from laid RJ&hts of Way, .r.....t.r reJoeated thereon.. required by the City Building Oftielal at the exp....e of the bolder of this permit 10. The bolder abaIIlave and keep the Cily IlarmIeiI from UJY and aD ........., eIaInu. or InjurIea that may """ur by ......011 of the CODIlnlctlOD. mainlenanee. and operation of laid flOdllty. 11. The bolder abaII...mplete the req....ted work wIIhin days or this permit abaII beeeme nnII and void. In the event the work req....ted Is Dot ...mpleted upoo the explratloo date of this permit, the City abaIIllave the right to ...mplete .uch work and to charge the holder of the permit for alI....11 Incurred in ...mpleting .aid work. . 12. The holder abaII poIt a ClUh or .urety bend with the CIty Manager In.the IUDI ots_ dollan to _tee performance of the O"UgatloDl herem, and to _tee maintenance of the rlgbHf-way delcrlbed herain for a period of ODe (1) year followlog eompletlon of the req....ted hutaUatlon. In the event a lurety bond Is pOlled, tho ......ty bend abaII"e ~ payable to the CIty and abaII 0..1igate the Illrety 10 hold die City Ilarmiea. In the event the holder of this permit should faD to meel UJY of Its 0..1IptionI hereunder. The bend abaII aiIo indemnify the CIty for all eourt ....11 and reuona"le attorney', fee. In the event legal ""lion Is required 10 ...Heet on laid bend. 13. The permittee abaIIllave a 24 hour emel'Jell"Y .....tacl name and lllllllber lilted below. SUBMl'ITED BY: (pormlttee) VE~J -:t1?r.o'A/ / ,- d,;.o-o1 SIanature&TitIe , ~. f. "AJE~jJ ~"tHhJ'O:;f ~.Y''''~1'7 F'l'r,o Addrea. "'i?Pd/!.MaJdM LY. ~I TP/fb:!>;? 7Anp~rL. 3"3//19 Phone ~?- 7'/t"'J-/.:/ ~ / . APPROVED BY: CITY 011 ZEPHYRHILLS BuIlding Ofliclal Date: UOOtleI Supervbor Date: Publle Works Date: City Manager Date: