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/, 7275223573 COMeo ~ O'(Vl CJ) 'J Y\S~~ t"\R'U"'O om OF:ZEPHVRHltl:S-;;. 'BtJltDING'OePARTMENT' ~. , ~ ~ SV~. ,RIGHT-OF-WAY USE PERMIT' "JhI'- ~j~~ PERMrr#: "18 (b ~ 04/09/2008 13:59 ._--------_.........~.. DATE:~-O~.. No construction under ground, or ab0V9 ground of any facility shall be accomplished on any'CIty Rights of WrIy without wr.ttten approval from #Ie CIty Building Department. Any application for approvel of construction 'opera1Ions on any City owned Rlshts df Way s;t,e/' fumlsh e detailed drawing showing the complete scope of the proposed work In triplicate to1he office of the Building Official for. approval prtor to the commencement of any WOI1t. A copy of this permit Is to be kePt readNy available at the site of 1he work at all times. , ' PARCEL 10:#:02 - Zb -'2. I -'02fo - OtJfP() -oo70CITY ROAD tn~&l c;fc.... l/lflj,J LII-I/IE- ; LOCATION.(LegaI.Descrl~lon): ,.11. C i'l' i!~ ~1c/H.! ~!v (/T'NC- ~'1 OJ rJ bolA; T tkJ A,QL /l.A ~ fb , b 0/37 r'hE.J/C*- /A ~w ~ if Permission is hereby granted to For the construction and maintenance of: ' ~ee of ~LJ' Subject to the followtng conditions: ' 1. The construction and malntenlnce of such utility shsJl not 1nterf8re with the p~ end rights of acprlor occupanl 2, All work shall be done'ln keeping with 1he standards of the Qty Str'eBts DePartment and under the supervision of the CIty Building OfIlclal, who will be notified at least one day prior to commencsment of construction. All materials and equlpn\8rIt shall be subject to Inspection by thEi CIty Building OfRclal. During construction a1138fety ragUlatlons of the 08pmtment of Transportation shall be observed end the CIty shan be relieved of all rnpanslbDIty from damage of any nature mtsIng from this permit. Subject to the same terms and conditions. the psnnlt holder may take such safety measl:Ife$. It:ldudlng placing and display of caution signs, as It may deem necessalY In conduct of alnStructlon and maintenance work hereuncler. It Is the responslbl~ of the permltt8e to Tn? ' All private.end all CIty property shall be restored to Its; ortgInal condition as far as prac1Icalln the opinion of the CIty Bulcllng Official. All underground cro8SIng lnsIaII8tions shall be laid at such depth as may be specified by the City BuDding OfIIcIaI. The slairtch covenng the detals of this InstaUatlon $hall be made a part of this ptnnlt. ThIs pennlt Is granted with !he understanding that the applicant has nottfled all other utility users, In the area covered by the permit and tEl_ full. responBlblllty for any damage inCUlTed. by prtor Installations as a ...u1t of his operatlons In order that they may safe guard their IntBnIStS, It Is expressly stipulated that this permit Is a license for permlsslw use only and that the pIacIrJg of facllUss upon public property pursuant ID this permIt shall not operate to C1'eRle or to vest any properly I1ght In salcl holder. Whenever the CIty cIecIr:IIIs to further exploit the CIty RIghts of WaY. any or ell salel poles, w1I'11S, pipes, cables, or other facllitles and appurtenances authorIzeCI hereUnder, shall be Immedlat8ly removed from said Rights of Way, or reset or relocated 1hereon 11$ required by the CIty Building OfficIal at the expense of the holder of this permit. The holcler shall S8VIl and .." the Clty harmle9s from any and an damages, claims, Dr Injuries that may occur by reason of the construction, maintenance. and opemfIon of said fadlIty. " ' , The hDIdllrshall cornpl.the requested work within _ days or this permit shell become nuD and",vold. In the l!IVent the work requested Is not completed upon the' expIndlon date of 1h1s permit the CIty shell have the light to complete such work. end to charge the holder of the pennlt for ell cos1s Jnamed In complBted said work. The holder shall.post a cash or sUl'8ty'bond v.1th the CIIy Manager In the.sum of $~ dollar!! to guarantee p8l'formance of the ,obligations herein. and to 9U8r.a-e maintenance of the l'lghkIfooway described herein for a period of one (1) year 1'o1lowlng completion of the l'8CIUIIstsd Installation. In the event e $UA!ty bond Is posted. the surety bond shall be made payable to 1he CIty and 91'811 obligate the surety to hold the CIty harmless In the event the holder of this pennlt should fall to meet any of lis obIlgat1ans hereunder. The bond shall 81so indemnify the ClW for all coun costs and reasonable.attameys fees in the event legal sellon Is required 10 collect on said bond, sUBMITTED BY: 13 Ci t1.~ 1A- RlES:'~ 3. '4, 5. 6. 7. 8, 9. 10, 11. 12. (PERMITTEE)~N :;; Signature&Ti,We4~ Address s~/ 5~ ~< -~4 rV' '71:. . fI' APPRoVED BY: CITY OF ZEPHVRHILLS ~lrtg OfIlclal :~:::-~7 'fu~ ~ MaNger Date Date -y/ /lJ/i;" ~/L?/Dr Date Date