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� 3b23 3p,�.V
<br /> � � ?' ��i� ClTY OF'LEPHYRHlLLS�BliILDlNG DEPARTMENT � �
<br /> DATE. ItIGHT-OF-V1 r�Y USE PERMIT PERMIT# � � �
<br /> \o constructinn upder zrnund or aboa•c&round of pn�•facilih�ada11 hc accpmplishcd an an}�CiQ�RiQhtc of��'a�•w•ithaut N•rittcn approvai frnm tdc
<br /> Cih�Buildiny;Dcprrtmcnt.:�ar spplicwtioa for appraval of cc+astructipa ope�ationx on aa�•Cih•uw�ncd Ri�ht+of\Var•whali[uraixh a detailed drAw�ia�
<br /> shuNia�t6c complctc scupr uf thc propoacd work in triptic�tc to t6c officc of thc Buildia�O�cw!for approvat pcior to t6c commcnccmeut of aay Nork:�
<br /> copy of tdis permit is to be kept rcAdih availubk at the ute of Ihe�•ork�t all timex.
<br /> PARCEL I.11.tt CTPI'ROAI)�6+�� r'1?Ci.�-�C�, i '�K;' t�(t.�:1,,'�
<br /> t),1TF: R�ttl :i� _`rit
<br /> �r I+L�
<br /> LOC:ATIO\(Le�al Description):
<br /> CA�' �n-r r.%LG �r= F!'�:^°� I'M�= C`4 v;� !�N��! �� 'j} t� �y 1! �vc5° Tt�",[��
<br /> ,'" SK� (1 l.�' LiL ,t� c til =' V ,'tn - y ` � •.
<br /> c � ;�._ t.� ,=nc �l� fLr c�,° , -fu,. �� rn:=� r-,�L� .�zC.
<br /> ��v �r,�i r�J E .4�;= t=�^<v.�•, �lc 3Y3 /lr^ �%�M,=. ����'' i c; �st�- c fa •� S,�y' ,�ic -
<br /> Pecmi�zsioo is hercDy�rxolcd to Yr-F��2r.,ti' �L,:�.tt�•� �-C��:- of �1C�/ US ili.�,r ,3�1 i�, i�;:+�<'i . r L »G-!�'i
<br /> for t6e construetioa aw!maicienaace af- l .'
<br /> 3_N"1Z' ar ,e�«� ?�-lN �,.LT.7�A.'��vz_ �"�� �,LS �1�f9" t�:�F"o^ A2 7 �uJ17"k a;'' �`;-}/-'�-�f.;�t�:i
<br /> Ah(,� Z) X 3' N-oNl�./•C�S
<br /> _sub�eet to t4e fallow��cond�0oa.c "—"-----
<br /> i. The coastrnetion sad maiateoance oisneD utiliiy sbap aot interfere wit6 the property and ri�his of a prior occupaot.
<br /> 2. AU xork slwli bt done in keepia�wit6 tht staadards of t6c Cih•Strcets Dcpsrtaunt aod aoder the supervisioa af the l'ity RuiWioR(Mciai,w�ho
<br /> w ill hc aoaficd at icast oae ds�•prior u�rnmmrncemcai af ronxtrnction.
<br /> 3. :1i1 m�terialx and equipmeat shap De subjeM to inzpection by t6e Ciq�Buiiding OtTicwl.
<br /> 4. puri��coastructiva ali srfeth rc�nlatioac af the Ucpartment of'1'rans�rtAtiaa sfisll bc oDaen•M and ihe Cin•sbAll be rclicvcd of all
<br /> respaaxibilih f�om dam�Re af an}�nature ari.+inR from tRic permiG Subject to thc axmc tcrms And ronditions,tdc permit 6oldcr may tskc sneb xafeq
<br /> mtn►umc,iueledin�ptatia�aud duplxr nf eaadon si�ns,u it may dcem nccessan•in conduct of canstrueKan and mainienance work hereundrr. It is t�c
<br /> rtsponsibilih• of t6c permittee ta°."?
<br /> 5. ,�)1 pri�•ate gnd NU Cih•properlp s4aU bc restorecl to its ori�ipal condiUon u Far u praciicai in the opiqion of tbe Cih•Buildiag Official.
<br /> 6. A!1 undcr�round cra�ssio�iasUtladons shall bc laid at such dcptd as m9}•he specified b}�iht rih•Buildin�OtTiciat.
<br /> 7. 'l'he sketeh eoxerinR the details otiAic io<tallatioa sh�ll 6e made a part of this permi�This permit i��raatcd e•it6 thc nndcrstandia�that thc
<br /> appliawi lu�s notified all otficr ulilit�uscrs in tdr arta cm�rrM by thc permit aad takts tnp recponsiAiliq•fo�aay dama�e incurred by prior insts►Ilatioox rs x
<br /> resalt of his ope�tioas in arder that tber•may ssle�uard thcir iatcrests.
<br /> R. It is expressly siipuiated Ihat tfiis permit is a license!or perm'rssive use oak ynd t6at t6e ptacia�of facilirics npon public property pursurnl to
<br /> tAis permit shall not operate to crcxte or to vcxt sm•propertr ri�hi ia�aid 6older.
<br /> 9. ��'Aeneti•er the City deeidrs to tun6er esplat t6e City Righu o(��'xr,any or rll said polcs,wires,pipes,cublec,or ntder faeilitiex and
<br /> appnrtcaanccs antdorizcd 6enender,shaU Ae immedistch remm�ed from said Rights ott�'�,or rcse!or relorateJ eherron�a nquired bc thc Cih•Bnildin�
<br /> Qflrcisl�t tqe e:pense of the holder of tbis permit
<br /> 10. The holder absll save and keep tbt('ity harmle�a irom am and all damaRes,clsims,or inju�irs tdal ranr occur by renx�a uf the construction.
<br /> maiwteaance,aad oprration of aaid fyc9lih�,
<br /> 11. Thc hoWer a0A11 complete t4e requt�ted work M�ithia days or Ihis permii shall bccome null and void.In the event the Ho�k
<br /> reqnested is aot complMed'poa tfit expiration date of this permit,ide City s6n0 hai e ihe rq;6t to eomplctc sueb work aad to cbar�;e the hqldtr of the permit
<br /> for g!{coats iocarrcd in completis►�said work
<br /> 12. The holder aAall�ost a cach or surety bond with the Cih•4lsaxger in i6e snm ufS dollars to�urrwntee performance of the
<br /> oWig�tions bereia,aad to�aaraatee maintcaaace o(ILe ri��t-of-way descrihcd hcnin I'or s peria!of one(1)ye�r fdlowiag coropkfion of Ihe rcquesteci
<br /> iasaNarioa la thc rvcat a sarM•boad ie posted,thc snrcN boad sha0 bc qwdc paywble to thr Ciq•aad s6atl obli�atc t6c snrch�to hold Ihc Cih•hxrmles�in
<br /> tbe cvtat ibe holdcr ot this permit sAoutd tail ta mtet any ot its qbligations hertuader.Thr boad ahall alsn indemnify tdr�iq•for all coun costs and
<br /> nnonsWe sttorne�x feea in ihe e�•ent le}Z9i actioo is reqoired to collect on ssid bond.
<br /> SI�Br�UTTE;D Bl':
<br /> tP��,,,��� ���-�_ - ���,` ,�_�,,� CS�.�.:on
<br /> Signaton&'Pitlr � ` ' ��ha��
<br /> �,dd�.�_15'vg u� � � � .�a� N . �C3�d�, �p
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<br /> l3uiWinA tM�ciat
<br /> Da�e• -
<br /> Uqlitiea 5rpm' r
<br /> Da1e:
<br /> Public\�'urks
<br /> �NO D�/V�drS f�
<br /> Drte•
<br /> City Na�ager
<br /> Datc:
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