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.. _ .: �� Z��-�1 ��-�:� �.I� . - CITY OF ZEPHYRHILL -BUILDING DEPARTMENT �� DATE: RIGHT-OF- AY USE PERMIT PERMIT# i No construction under ground or above ground of any facility sh 11 be accomplished on any City Rights of Way without written approval from the City Building Department.Any application for approval of construction op rations on any City owned Rights of Way shall furnish a detailed drawing showing the complete scope of the proposed work in triplicate to the office f the Building Official for approval prior to the commencement of any work A copy of this permit is to be kept readily available at the site of the�vork at 1 times. PARCEL I.D.# CITY ROAD �+� 1�� DAT LOCATION(Lega1 Description): - � i � �.�.� �— s�� O--F � -1 �L' � �e b�2�4...e��,� �'LS`f`�� . �. � � r ��. Permission is hereby granted to e.�f �F-- "� of �I �Y' � �C'�, � 1�^ � for the construction and maintenance of- �CQ.I-�r��r—� l7 ' � C'+er��'-�� S .vG _subject to the following condit�ons: 1. The construction and maintenance of such utility shall not i terfere with the property and rights of a prior occupant. 2. All work shall bc done in keeping with the standards of the ity Streets Department and under thc supervision of the City Building Official,who will be notitied at least one day prior to commencement of construction. ' 3. All materials and equipment shall be subject to inspection b the City Building Official. 4. During construction all safety regulations of the Departmen of Transportation shall be observed and the City shall be relieved of all responsibility from damage of any nature arising from this permit.Subjec to the same terms and canditions,the permit holder may take such safety measures,including placing and display of caution signs,as it may deem ecessary in conduct of construction and maintenance work hereunder. It is the , responsibility of the permittee to???? 5. All private and all City properly shall be restored to its orig nal condition as far as practical in the opinion of the City Building Official. 6. All underground crossing installations shall be laid at such epth as may be specified by the City Building O�cial. 7. The sketch covering the details of this installation shall be ade a part of this permit.This permit is granted with the understanding that the applicant has notified all other utility users in the area covered by the per it and takes full responsibility for any damage incurred by prior installations as a result of his operations in order that they may safe guard their interests. 8. It is espressly stipulated that this permit is a licensc for per issive use only and that the placing of facilities upon public property pursuant to this permit shall not operatc to create or to vest any property right in sai holder. 9. Whenever the City decides to further exploit the City Righ s of Way,any or all said poles,wires,pipes,cables,or other facilities and � appurtenances authorized hereunder,shall be immediately removed fro said Rights of Way,orreset or relocated thereon as required by the City Building Of'ficial at the expense ot the holder ot'this permit. 10. The holder shall save and kcep the City harmless from an�and all damages,claims,ar injuries that may occur by reason of the construction, � maintenance,and operation of said facility. 11. The holder shall complete the requested work within � days or this permit shall become null and void.In the event the work requested is not completed upon thc expiration date of this permit,the Ci y shall have the right to complete such work and to charge the holder of the permit for all costs incurred in completing said work 12. The holder shall post a cash or surety bond wit the City Manager in the sum of$ dollars to guarantee performance of the obligations herein,and to guarantec maintenance of the right-of-way des ribed herein for a period of one(1)year following completion of the requested installation.In the event a surety bond is posted,the surety bond shall be madc payable to the City and shall obligate the surety to hold the City harmless in the event the holder of this permit should fail to meet any of its obligatio s hereunder.The bond shall also indemnify the City for all court costs and reasonable attorneys fees in thc event legal action is required to collect o said bond. S E3MITTED BY: (Permittec) �( � Z�� I�`�`�� Signature&Title ��.0 tY�-�-Q�/' U Address ��1� �,- t 1e _�� \'�kw�.,- TeY•,P�2.��f��,Ce ��3��-7 ---��-�� 3-_�-3 �-_��-�� - A PROVED BY: CITY F ZEPHYRHILLS � -Building OfTicial � Date• Utilities Supervi or Datc: —� Public Works ��/ Date: City Manager '�— Date• e