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431 #00125 Guilford Site Plan and Right of Way permit
; � � ■ � e�, CARMEL ENG�NEER�NG �EPT, �r��+T-o�-wa� PERMrT PERMIT NU{viBER: .�vJ -ZeZ,cs -�- ����'`i iTOQAY'S DAFE: Z ZCsLC� ESTIM�7TED DATE OF �NaR�C: 7� ffG �, �PpLECA�tlT (Person doing the workj Olil1PANY: — v ^�-- ��DRE55: �J/ �� � -S �% --�V �I' � HONE: � ° �j'�% �MAIL PERMITi0:�21. KS'C�yy1/-�,e�E.� �C�,/L . U5TOMER: � �- p�- %�,a L /�,�-�/V DDRE55: �� � tS, C-� l.�1 C�O,c.�u � H�N�: � �Z ' f J�' � AD�RE55 DF PR�JECT: / �( 1� r'��. QESCRlPT10N QF WC]RK {check aI! that app{y) RDAD BORE ` QRIVEb1iAY REPLACEME�IT CONSTRUCFlON EIVTRANCE ✓� !ANE CLOSURE � STR�ET CL1T � ROAQ CL�SUR� OT�iER — fDE5C�41PTfOfV: TYPE OF SiJP,FACE CLlT (if ap��icable}: *IVOTE: OPEN [UT511V PAVEMEIVF R�QUIRE BpARp OF PU6LIC WORKS (BaWj APPRUEJ,4L * USE OF MEAVY EQUfPME�lT YES %^ M1fp � ��(.�, '���J� V� �� DRAWfNG ATT�iCHED YES % Np j � � *1VpTE: �N REIIERSE Sfi7E Qf THlS PERM€7, PROVfDE IYAMES RtVD COlVTACfS �F ALE S1}$-COfVTRACTORS INVOI,y SURETY 80iVD. please see item #1 of ihe Right-of-Way Conditions. BONpIN6 COM€'ANY: C BO�V�ING NUMBER: EXPIRATI(7N DATE: � � As applicar�t far this Rrght-ef tn/ay Perrrzrt ! ur�derstand �nd ogree ta QI! of the specrficatrans vnd n cartd�itig�s f�s�e d a�r he a�t ff�hed sheet. -T 4.� �,�.��,� nr vr— !/ / f / � licant's 5ignat�re) PERiVt1T GRAfVTED �Y: fl/� ENT5: (City Offiefaf Prlt4t Na DATE!SSLlEa: SI1.��24: I REPAlR WORK Ii1E5PECTE� ANi} APPROVED i have inspected t1�e repair of t�e above right-of-way and find it ta �e corr3piete�y satisfaetory_ (City inspeetor) (Date r�eieased) �� �� � �� " J �� ____ . _ _ w� �� a �� � � 717 _..._^... __ � _.__. �.._._. rt. _:,� .._...:� .... �,�,.. _�.�..�_ . _�_..,.--..._�..-__.___._._Y_��._._.__.�_..__ �ao� � � �' � ��: _ - ,�,, � �, � G � �<� A� G � � c M" � � � � x� ; i � � � � � � � � � �a.. -����r`L o � y � � S �� � �� F L � , � � � � �� /� � � �^( I �c� i p i�. � � h L� � � f� _ - ��.. �_.� � , , � F -:a . . � j � F. �� Vi �. � •� _S � � .r.--_---�, — � ���` !r. : � � i E 1 � � . � _ . . � � � .` � 3: 1 � , � � � `. ; ; :,�. �. � � � � � � �� � , o � � �� ~�'�� Wt f ._. --' � -__ .J .. . � . . ..- � �_ - . . . . _ � -__�"�._ ,. . iii �� ,. .. � ' � � t1a _ � _ � � - i •� S� � ;� � i� i� :� :� �� :�