HomeMy WebLinkAboutObstruct 106th/Haverstick-Gray APPLICATION
OBSTRUCT,COUNTY HIGI-!W,,~.> {TEMPORARILY)
NAME OF APPLICANT City of Carmel, Indiana
ADDRESS 40 East Main Street PHONE
CITY Carmei ' STATE Indiana ZIP CODE 4~032.
APPLICANT IS: INDIVIDUAL PARTNERSHIP
NATURE OF OCCUPATION OR BUSINESS Municipality
PLACE OF BUSINESS City Hall
CORPORATION X
The above named applicant thereby requests permission of tine Board
of Commissioners of the County of Hamilton, State of Indiana, to
obstruct, tempor~ri.ly, the following designated county highway or
higways: the north edge of 106th Street between ~rive East and
Gray Road . %1e ~ ~ ~ek--
on the following date or datDs Approx. December 1982 · to__A?ril
for 'the pu~p0se of c0hstructing a'12" water'main
19 83
(mpving a'h0use, cutting trees, to ].ay wzre, cable, pip, conduit, etc.
The undersigned applicant hereby promises and agrees, in
consideration of the grant of this requested permit, to post
'surety bond, payable tO Hami. lton County, in the penal sum to
be designated by the Board of Commissioners in its permit, which i,,
bond ~will be Donditioned upon complete restoration of affected
highwa~ or highways to their original condition and to indemnify and ho[!.'_'{
Hamilton County harmless from any and all loss or damage caused
by applicant, its ·agents or employees~ during the time said
highway or highways are obstructed or as the result thereof.
CITY OF CA_R}{__EL, INDIANA
(name of applicant)
DATE
PERMIT
Permission is hereby granted/rejected the above named applicant
{o obstruct the designated higlnway.(s) te.~orarily on the dated indicated
for the purposes set out, subject to applicant posting surety
bond in the penal smm fi×ed below. (All pursuant to Burns Ind.
Statutes 36-717-720 - ~cts 1947, ,Ch. 120, Sec. 3 and 5, P. ~73, in-
corporated herein by reference
AMOUNT of BOND
$
ATTEST:
APPROVED BY THB BOARD' OF
CQF~'ISSIO, N~,qS OF HAMILTCRq COUNTY
APPROVED BY COUNTY [-]IGHWAY SUPER/!?' ~
FOR BOARD O,P CONPIlSSIONhiRS
BY:
HAMILTON COUNTY HIGIIWAY SUPERVISOR
DATE: