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HomeMy WebLinkAboutGreave RAWCITY OF CARMEL RIGHT-OF-WAY PERMIT PERMIT NUMBER: oszd) �-Z APPROVED Carmel Engineering Dept. TODAY'S DATE: - UIf ESTIMATED DATE OF WORK: uc•{o ixJ 2- `-t ` APPLICANT (Person doing the work) COMPANY: (�Py�Yt-C pev(,S ADDRESS: 524(5- A4o-)d 0 � /� �/ 7vt�� /az �O PHONE: 317-79?_-�q�6 EMAIL PERMIT TO: PHONE: 3 I l - (4d-1 - s -z 18 5. ADDRESS OF PROJECT: DESCRIPTION OF WORK (check all that apply) ROAD BORE DRIVEWAY REPLACEMENT CONSTRUCTION ENTRANCE LANE CLOSURE STREET CUT ROAD CLOSURE OTHER DESCRIPTION: n,-e5s ad !TYPE OF SURFACE CUT (if applicable): i *NOTE: OPEN CUTS IN PAVEMENT REQUIRE BOARD Of PUBLIC WORKS (BPW) APPROVAL' USE OF HEAVY EQUIPMENT YES NO DRAWING ATTACHED YES NO 8 *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: K6. -Z ��St, C4NGe BONDING NUMBER: LSi'H (D Q! ? -]3 EXPIRATION DATE: � I L-tge tD As applicant for this Right -of -Way Permit, I understand and agree to all o,.` the specifications and 2 conditions listed on the attached sheet. licant's Signature) (Print Name) PERMIT GRANTED BY: (City Orficial DATE ISSUED: C�/ ZIX/ COMMENTS: w•© - /831Z�9 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) SITE PLAN Address: 13847 Painter Court City, State, ZIP: Carmel W 46032 County: USA Scale 1 "'mac God e� IN 4`a�fi�S S 'oma cJC of Q� use } 3847 Property line