HomeMy WebLinkAbout060419-6RIGHT-OF-WAY PERMIT
PERMIT NUMBER: Cob CI I
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TODAY'S DATE: S13 e 1 j q ESTIMATED DATE OF WORK: � /3 ( I q
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APPLICANT (Person doing the work)
COMPANY: jM L 66 /45+i A00,1L
ADDRESS: 1'010 !Ta.vv-e caves C -F, /{I ,,)
PHONE: `71pS- 5-jq- I io`i EMAIL PERMIT TO: _ Sea./S C M sit
CUSTOMER: e' Gt,et, d J
ADDRESS: 3LS— (�rv(�•+�r,.e C�a✓ ✓�-� t{foy�Z
PHONE: 'j(7-
ADDRESS OF PROJECT: 3f 0y— /. l ULt d ;Q CT wlE C -T-v✓ qL, a)
OF WORK (check all that apply)
(ROAD BORE
CONSTRUCTION ENTRANCE _
STREET CUT
DRIVEWAY REPLACEMENT
LANE CLOSURE
ROAD CLOSURE
OTHER '. -S;�:
DESCRIPTION: Dr\Ve.w�
TYPE OF SURFACE CUT (if applicable):
*NOTE: OPEN CUTS 1N PAVEMENT REQUIRE BOARD OF PUBLIC WORKS (BPW) APPROVAL*
USE OF HEAVY EQUIPMENT YES NO _
DRAWING ATTACHED YES 'I NO
LNOTE: ON REVERSE SIDE OF THIS PERMIT, PROVIDE NAMES AND CONTACTS Of ALL SUB -CONTRACTORS INVOLVED
ISURETY BOND. Please see Item, #1 of the Right -of -Way Conditions.
BONDING COMPANY:
BONDING NUMBER:
EXPIRATION DATE:
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As applicant for this Right -of -Way Permit I understand and agree to all of the specifications and
conditions listed on t� attached sheet.
�r
(Applicant's Signature) (Print Name)
I PERMIT GRANTED BY:
(city
(COMMENTS:
DATE ISSUED: %,!C
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)
Fax:8495942
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I A N D S U, R-' V; El Y R
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!EPOED FOR
'H'E ESTRIDGE GROUP PLOT PLAN
ARMED, INDIANA
f.OUtE TYPE. -;62413, PART., 13SMT.
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Nov 3.'95 13:55 P.01/02
LOT 79
TRE P A RX @
WE8TON PLACE'
SECTION . , "
ONE
INST; (95 37316
P.C.- f. SUDE- #558
CARMEL, INDIANA
3805 RICHMOND COURT
S-1 CLUSTER/10` BT\&N HSES
20' REAR YARD
COT SIZE:,42, Ml .. Sq; Ft
PUBLIC 'WALK . X,XXXt Sq. Ft;
CONC: DRIVEWAY — XXkh Ft.
H*YORO' SEEDING - X,XX . ft, Sq. et,
Soo — X,XXX± Sq. Yd,
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ALL,UNDERCAOUND SEWERS AND UTILITIES RI-CHV-QN.
SI40^ ARE PLOT-TEO BY SCALE FRCW
'RECORD OR AA`I.NCS`, FURNISH ED 8Y,ENGINEER.
CGURT
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