HomeMy WebLinkAbout0188.86 Right-of-way�
m
�.
� �'�..
(S 4j.
C �j
.: z -.
� 7
o; .f:' —
.:! � �
t `'
r �
:i ' �, ,; j
( � if '
J
m
-i
.. i � '� t��
�
u
, , <
" c
0
'N
�
'Gt
r.
�
, �
:,
...,-�>. �.�r.,.�:. , ,
, APPLICATIO� 9'0 WORK WTTHIN COUNTY IiIG}IWAY R'CGHT OP LJAY •
,NAM� OF APPLICANT ��'/.1ji/.-_'I.L�r <��J C^Il/.JSj.j'/.�c_".%/C�i-= fC/)
BUSINESS: ADDRESS /%r-S /%I/- `����'�l'•)}-' �.�/� _____
—�%��i�l-'rcJ f.� /i ---- '�i �-�
CITY STATG ZIY C011G % '/�•i %
APPLICANT IS INDIVIDUAL PARTNERSHIP COkPI+I;A'PION '�
CONTACT PERSON �-l���(-h /%��:"s� PHONE ���.3 /C_ ._
The above named applicant lieceby requests permission of the Board of Comui!:,s:ioners �f the
County of Hamilton, State of Indlana, to install uCility lines, cable, pipe or cunduit withzn
the RIGH'P OF WAY of Che fol7.owing designated county highway (s). �:—�, ;�.;.�• ____ /),,',,.:.:
(If g�.vir.b ttddress include disLrince from nearest intersection) InstallaLion t:�!! be done on che
followin daCe or dates 1'0 ; n ;/C� 19 Co 19
b � — - -
for the purpose of �.,',�.7�/ .,'„�. /'•—v�.,.,,.,�.��. .T 1./ —
(Attach plan,incl�ding North Arro�a, Scale, Section, Township,Range, Intersec�i.��n of nearest
street with distance to 3.ntersecCion and ].ocation of installation within thc ::lCil9' OL� ;dAY.)
The undersigned appli.canL- has provided a Surety Bond, payable to Hamillon County, in the
penal sum as designated by the !'oard of Commissioners, which bond will be conc'i�.i.oned upon
• compleYe restoration of affecLed liighway or highways lo their original condi.clun co inden!nify
and hold Hamilton County harmJ.ess Irom any and all loss or damage caused by cin��!i.cant, its
agents or employees, during the cime said highway or highways.are obstructed �:r ns tlic resu'_t
tnereof.
�;.,
- Subdivision plans must be suUmitted to the County Highway Department and e'�e :)rainage
� Board one week prior to the Couuuissioners meet_ng.
Road cuts plans must be sub�ni.tted Co th�e County Highway Department threc a:or:cing days
prior to the Commissioners meeCing. Commissioners meet the first (lst) and cl��rd (3rd)
Monday of � /month.
`IJ /�!
7 // / /
.. _%:�/�'� // , / ���� ��, / /�, /' � .
nY DAT� __..._
�___J�_����__�_����_�__,..�____________��____________�________��____�_�___________.___________________
j REGULATBD DRAIN
�This project does not affecC
, a regulated drain
� This p:oject affects chc 1`o11oti-ing
regulated drain (s)
Application must be made �o che Hami?ton County Drainage Board for conscr�.�:ei�n w�t'i_.n
the drainage easement.
DATE Surveyor, Hamilton Couney
Pr2�fIT
�
Permission is hereby granCeci Co the above named applicant to install liner, crib�e, pine or
conduiL• within the designated hi}�,�iway or higaways on the date(s) indicaCed.
(A1J. pursant to Indiana Code 8-2tr-1-1, in corpor.ated herein by reference.)
• APPROV�D 13Y THL EOAItD OF C� ! f S;IO�!i:t�;
SUR�TY BOND NUMBER OF THE COUnTY OF HAI�tIL'PON
A.�:OUNT DAT�
... . res�c'.e�1C .
ATTEST:
Auditor, Hamilton CounCy
DAT�
�_u!heC
��in'�� r
DATE
APPROVED BY COUNTY HICIiI":\1' S!'�'�iRVrg02 r�ig
IIOARD OP COMMISSION131:S
; i
i� (� (:�., .'J ii�: �
Hamilton County liigl�wa ��pervisor
DATE
.:/_ , /r�i