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<br />DATE:
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<br />CITY Oil' ZEI'IIYIUIILI.,s - UUII.1>1NG DEI'AItTMEN'l'
<br />JUGIl'l'-OIf-WAY USE l'ERMl'l'
<br />
<br />PERM1l'##
<br />
<br />tfJ 3~q_
<br />
<br />No conllnaell_ under ar_d or .bove Itruunll DC _,. roellUy .h.llloe aC<:amplbhcd .... .ny Oly RlPI. .fWay ",1Cboa, ",rlUea .pPllOYaI rnm the
<br />City Dulldllllt DrpRrI_enL Any .ppllClllloa Cor .pproval DC e_lnae.l_ .per.l...... .... .ny eIIy ."ned RIal". .rW.ydlallllaralda. oIclalled 11_'" ..."...
<br />ihe complele .eape.r lhe p....pooed work In .ripllcale '0 the .lIIee .f Che Dulldlnlt Offici,,' Car ..ppro.... prior.. the ___I.r -y ",.rk. A capy.rc.....
<br />pennlt I. '0 he kepi ft.dll'.'..I....1c .llbe .11.. of lhe "ark .C all CImn.
<br />
<br />PARCEL I.D./I
<br />
<br />!3~:2(.,.~ ~i- 0070-09/00-0cJIO
<br />
<br />cl"rv ROAr)
<br />
<br />G /cEE1J /fll E-l~ bo (...0
<br />
<br />J / .
<br />DATE 9NJo?r
<br />
<br />LOCATION (LeIRI DelCdpllon) I
<br />
<br />. UPI-fYx.HiLL-5 ,--'jLO~JY C~' Lf!JJbS,
<br />pf2. pc:,::..5 1'" H FT '"IRS q I 4- 1O;;L
<br /><:;r (.l. A S caY'/l N E co ,-2, C> ~ .,.. R. c.r i
<br />FOR. f-JO f3 TH SDc) De: 6 0' I./-{)" P
<br />
<br />Penalulon I. beftburanteollo :r II fyj € $ HeEl bE R or 1//::: R t z..2) ^-i
<br />Cor Ih. eGnolnacll_ and ....Int_ce oC
<br />
<br />P If-';F R
<br />
<br />OJ-J I I c..
<br />
<br />CfI f.l., I ,t::::
<br />
<br />oullJec:llo the r.IIo,,1n1 eaR'IlI......:
<br />
<br />1. Tho earulnacll... .nd malnlcaanc:e or .veh ulIlIC'....1I RollnlerCeft "llh .he properly_d riel". of. prior ac:cup....
<br />
<br />2. All "'ark .I,~II he d_ In kccplDl!. "llh lhe .lanolanl..r the Clly SCrceCl Deparb'ICD' and lIAIIer tho aupe"101on or lhe aly SuBdlae ORlclaI,,,,'"
<br />...'W be nollOcd .11....1 aM "'y prior I. eammenccmCllt .f cODIlnlellolL '
<br />
<br />.I
<br />
<br />......
<br />
<br />3. A II nloleri.I.lllld equlpDlCIIC .haD be .1I1/Jed Co ....pecllon II, Che Clly UullJllo& OmclaL
<br />
<br />\ -t. During conslnadlon .lIurcl, ft~llona .r Iho Deparlmcol.r.r.....'ort.lI..n .hoU'" 0....".. amI"'o 011 ahaU ... ...u.v" .r aU
<br />....'_Ibllll' rrom damoll..r .ny nature .rl.IoK 110m..... pennlf.l!IubJeclto1he .ame jerm.1IIId ClllldII_,lhe pel'lllllbtllder...., lake.uch we'" ......IU'CI,
<br />IocllldlnJII plaelnKand dl.play Dr CJlullDn .!&no. a. It m., dccm _.0.,.1D canduel Dr CDlUlrucllon and ......ea- ",.rk bareuDder. ilia 1be rap..JbUlty.r
<br />lbe I'ermlllce t.. pi...... m.lnl..... .nd .upcnbe .1I1...m.. conlrol ..... oIeylces.
<br />
<br />:5. ,All priy"le an" .11 CII, propcrly.1I IIc w:c.IOftd loll. ori&l-l condlllan .. r.r.. praellcallR.... oplnlea 0'.... City BuIItIIaa OftJcIaL
<br />
<br />6. All untle..ra..." c........S ....1.Uallons .hidl be laid .1 .vell ""p'" .. m.y be .pcclOe. bl Ihe CII)' BuIIdla& OfIIcIaL
<br />
<br />7. ' The .kclch cot'crlnllhc delall. of !hI. III.C.llallon ....11 be lIIadll a part Df .&11 permlc. nil pcrml,t IolJ'llllled ",Ith Ihe UDdenlaadlae au., ....
<br />.pplk_1 baa nollllc4 all oCh.... ulWl, ulen In Che .r.... avcre. bl Che pennll ami lake. rllll ft.panolbUlll r~~ any .aIIIOCc InCurred "1 pn.r r..1alJa11aaa ...
<br />reoull afl,l. operollon. In or....r Ihollhey m.y..re pard Chelr IDlcreab. .'
<br />
<br />L III. npftllllll1pulaled lhal Chi. pennll .. . Ik_ rar perm...I... lIIe Dnl1 anol !halO.. placlnC of facllllla ..... puhlle pnporty ,.nWIIII '0 tbla
<br />penall .1..11 nol "perale 10 cftllCe .r 10 yeal _, propert, rllill In ..Id haldar.
<br />
<br />9. Whenllver I"e CII, oIceld... 10 IUrI""r esplalll'" Clly RI~I. .r W." any or .01 .ald polea. ",Ino. .1..... ........, or .....r r.cIJIdea 11II4
<br />.ppurlcn._ .ulhorbetl hereundllr. .ball "'I",..edlolel, RIIIoyed Crom ..101 RI&h11 olW.y, or re.cl.r reloc.led Ihcrcaa.. reqund by" alf BaIIcIIna:
<br />01lle1.1.11hc e..pe,"1I or the holder.r Ihb penall.
<br />
<br />. 10. The hololer .holl ..n ami keep Che Clly harm...... rrom .ny.nd .11 dama,,,.. elalm.. or laJurlca Cbat ...,occur by reuan .rCba _II'IICIIaD,
<br />malnCeaance. and aper.llon ar ..Id r.dUl,.
<br />
<br />11. The ....Ider .hoU complel.. 'he re'lUC~led "ark "lIh'" q D "ay. or IIIIs penall ahaII.._IIIII1... TOld. I. lhe CYaat Ihe ".rk "'I_led
<br />II nal ClImplcleol upon dll! e"I.lrallllU dalll or Ihlo .ermh.llae OIJ allan 1..,...lhe rlRlIC 10 complete .uch ",ork IInd .. cbarp the ....der.r Ihe pc..... iiiI' all_to
<br />Inl:urnd In camp1ellnl..ld "ark.
<br />
<br />12. T..c lIolder .IUIlI.....1 a cuh or lurel,. bond ;;lIb II.e CII,. MlIIIIIgllr In Ihe .um .r S doBan t. panmtce perfonaauce.I the allDa.CIeat
<br />herein, IIIId 10 guaranlCll molnleRIIIICC or lhe rIRht..r.".y dacrlbcd herein for. period of _ (1) yur roUowlna a.plallon.r the ......W.......lIaa. In ..
<br />evenl a .unl, bOlld II .....Ied. !h. .urel, "nd .haU III' ...... paJable to the Clly_d ....n obU&.lelhe .lII'eIy 10 hoW the CII,............. ... Che OYaIt tho bololer 01
<br />!hI. pennll .houlol fall Co nlccl any of II. abUI!.Clone heftllRoIcr. TI.e boad lhall.ho indemnify !hll ClIy for all court colt. ..... ........bIe allomey'. r-In ....
<br />ev..... lelal adlva II ft'llllftd 10 called CII\ .ald "and. ., I
<br />
<br />13. l"he pen"llI"" ......I...n a14 11011I" eIllCl'&CIIC1 canlllCl nORle ....1 nUnlber lIaled below.
<br />
<br />SUDMI'n"Eb BY:
<br />(Pennlllce> .:fA MES f..h~.lbE...R-.
<br />SlpullUft & TlIle Dz;:;:"s t c;, .,..1 C-N 6,) .J
<br />
<br />
<br />/$4
<br />
<br />~;'y
<br />
<br />Addreao
<br />
<br />Iq7)q
<br />q'/3, -
<br />
<br />~.~, t-t16,HwAV
<br />(P;2I-g3~q
<br />
<br />301
<br />
<br />NoRTl-1 Tfltr'iPAJ 1="L
<br />./
<br />
<br />3 ~l,! q
<br />
<br />Phone
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<br />APPROVED BY:
<br />CITY OF ZEPllYRlIILLS
<br />
<br />Bullolln& Official
<br />D.lel
<br />
<br />..:r ~'
<br />'7'/16/11-1
<br />,
<br />
<br />~~
<br />f'{&~O(
<br />
<br />~~
<br />CJ I/fp (r:t
<br />
<br />---.
<br />
<br />UlUlllel Supenlaar
<br />Dale:
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