HomeMy WebLinkAboutGN - Richards approved Right of Wayl
CITY OF CARMEL RIGHT-OF-WAY PERMIT "Ik
PERMIT NUMBER: 7M
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TODAY'S DATE: 06/20/2018 ESTIMATED DATE OF WORK:
APPLICANT (Person doing the work) Matt Huffman
COMPANY:
Old Town Design Group
ADDRES&
1132 S, Ran!geline Road, Suite 2�00, Carmel, IN 46032
PHONE:
(317) 605-8796 EMAIL PERMIT TO� kristi@oldtowndesigngroup,com
CUSTOMER:
Thomas and Carol Richards
ADDRESS:
12472 Breakfines Street Apt #209, Carmel, IN 46032
PHONE:
317-374-0392
ADDRESS OF PROJECT: 410 2nd Avenue NE, Carmel, IN 46032
DESCRIPTION! OF WORK (check all that apply)
ROAD BORE 0 DRIVEWAY REPLACEMENT
CONSTRUCTION ENTRANCE IZI LANE CLOSURE
STREET CUT F-1 ROAD CLOSURE
OTHER
DESCRIPTION:
TYPE OF SURFACE CUT (if applicable):
*NOTE: OPEN CUTS IN PAVEMENT REQUIRE BOARD OF PUBLIC WORKS (8PW) APPROVAL*
�USE OF HEAVY EQUIPMENT YES f NO
I
l�DRAWING ATTACHED YES L/ NO
NOTE: ON REVERSE SIDE OF THIS PERMIT, PROVIDE NAMES AND CONTACTS OF ALL SUB -CONTRACTORS INVOLVED,
SURETY BOND. Please see Item #1 of the Right -of -Way Conditions.
BONDING COMPANY: Liberty Mutual
BONDING NUMBER: 601110935
EXPIRATION DATE: 09/30/2018
this Right -of -Way Permit, I understand and agree to all of the specifications and
conditions listed on the attached sheet,
A
Matt Huffman
(7p"PlIcant's Signatbre) (Print Name)
PERMIT GRANTED BY: 14—C111 DATE ISSUED:
(City Official)
COMMENTS:
L
REPAIR WORK INSPECTED AND APPROVED
I have inspected the repair of the above right-of-way and find it to be completely satisfactory.
(City inspector) (Date Released)