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APPLICATION FOR ENCROACHMENT PERMIT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA:
Pursuant to the provisions ~f ~hapter 12.20 of the Baker~~eld Municipal ~ode, the undersigned applies for a permit
to place, erect, use and mamtam an encroachment on pubhc property or nght-of-way as therein defined.
1. Full name of applicant and complete address including phone number: 111 (J.. ~ k 13 ~ It'-4 1Zo hB-v'-t3
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2. Nature or description of the encroachment for which this application is made: rt1ove. fence.. , i/z.. -fe~-I-
-/v eAu~ ~ '-~/'1P~eJjc.., ~ CDv-,-",jA.J f'~ ~ i.Du.--LL. ~/~,JJ.. .
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3. Location of the proposed encroachment: A how.. owR~
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4. Period of time for which the encroachment is to be maintained: / t:H"~~~.
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Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless City, its
officers, agents and employees against any and all liability, claims, actions, causes of action or demands, whatsoever
against them, or any of them, before administrative, quasi-judicial, or judicial tribunals of any kind whatsoever, arising
out of, connected with, or caused by applicant's placement, erection, use (by applicant or any other person or entity)
or maintenance of said encroachment. The applicant further agrees to maintain the aforesaid encroachment during the
life of said encroachment or until such time that this permit is revoked.
Applicant further agrees that upon the expiration of the permit for which this application is made, if granted, or upon
the revocation thereofbv the Citv engineer, aoplicant will at his own cost and expense remove the same from the public
property or right of way where the same is located, and restore said public property or right of way to the condition
as nearly as that in which it was before the placing, erection, maintenance or existence of said encroachment.
Applicant further agrees to obtain and keep all liability insurance req~ired by t~e Ci~y Engineer in ~ll force ~nd effect
for however long the encroachment remams. Apphcant shall furnish the CIty Risk Manager WIth a Certificate of
Insurance evidencing sufficient coverage for bodily injury or property damage liability or both and required
endorsements evidencing the insurance required. The type(s) and amount(s) of insurance coverage is:
Applicant acknowledges the right of the City Engmeer, pursuant to Bakersfield Municipal Code Chapter 12.20 to
revoke the permit at any time.
Date: ()" '2:2.. --O~
PERt"iIT
I HEREBY CERTIFY THAT I HAVE MADE AN L~VESTIGATION OF THE FACTS STATED L~ THE
FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL
(NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE Pl.JBLIC PLACE WHERE THE SMIE IS TO
BE LOCATED A1~D (2) WILL (NOn~TI!~ HAZARD TO PERSONS USING SAID PUBLIC PLACE;
SAID APPLICATION IS THEREFO~~ENIED). SAID PERMIT SHALL EXPIRE
Date: {t;. IS - cftJ
No. D~ ,.(X)'2d:>
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Raul M. Rojas, Public Works Director
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
June 15, 2006
SUBJECT: Encroachment Permit Application for:
Name of Applicant:
Description of Encroachment:
9917 Laurel Park Ave.
Mark Bailey Roberts
Block wall built to edge of sidewalk
on side of house.
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
applicant to build a block wall on side of house at 9917 Laurel Park Ave.
The applicant has provided proof of appropriate insurance coverage to Risk Management, and
has provided signatures of all immediate neighbors stating that they have no objection to the
proposed construction.
Based on their review, staff recommends approval of the permit.
S:\PERMITS\ENCROACH\9917 Laurel Park Ave..doc
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Bi'\.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: June 9, 2006
SUBJECT: Encroachment Permit Application for: 9917 Laurel Park Ave.
Name of Applicant: Mark Bailey Roberts
Description of Encroachment: block wall built to edge of sidewalk on side
of house
Please review the attached encroachment permit and return to me at your earliest convenience.
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BALKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Luda Fishman, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: June 7,2006
SUBJECT: Encroachment Permit Application for: 9917 Laurel Park Ave.
Name of Applicant: Mark Bailey Roberts
Description of Encroachment: block wall built to edge of sidewalk on side
of house.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\PERMITS\ENCROACH\INSURANC\9917 Laurel Park Ave..doc
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~l7 CITY OF,. 'BAKERSFIELD
DEPARTMENT OF PUBLIC WORKS
TO WHOM IT MAY CONCERN:
We the undersigned I have no objection to the construction of a fence beside the
sidewalk within the public right of way.
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treet for puposed enc oachment)
By: yY\ o...,...k ~D b ed'ts
(Owners Name)
of q, ~ n L(;.v\,v-e..\ Pc.,..,\c. A ~
(Address of purposed encroachment)
Phone: C?t, ( - ~~~8 .-1 2-.Zt/
3) Name:
Address:
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SIGNED:
1) Name:
Address:
2) Name:
Address:
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HOMEOWNERS POLICY
ALLIED PROP AND CAS INS CO
1100 LOCUST ST POLICY NUMBER: HMC 0011456141-4
DES MOINES IA 50391-1100 ACCOUNT NUMBER: 878015209
(8oo) 282-1446
AGENCY STOCKDALE INSURANCE AGENCY Policy Period
BAKERSFIELD CA From: 12-24-05 To: 12-24-06
12:01 AM. Standard Time
CONTINUATION DECLARATIONS I Effective Date of Change I
NAME INSURED AND ADDRESS
ROBERTS,KAREN
ROBERTS,KAREN
9917 LAUREL PARK AVE
BAKERSFIELD, CA 93312-5394
The described residence premises covered hereunder is located at the PREVIOUS POLICY NUMBER HMC 0011456141-3
above address, unless otherwise stated herein. (No" Street, City, State. Zip Code) COUNTRYWIDE HOME LOANS
ISA/OA ATIMA INS DEPT SV-22
PO BOX 10212
VAN NUYS, CA 91410-0212
COVERAGE AND LIMITS OF LIABILITY
SECTION I SECTION II
A. DWELLING B.OTHER C.PERSONAL D. LOSS E. PERSONAL F. MEDICAL PAY
STRUCTURES PROPERTY OF USE LIABILITY EACH PERSON
ACTUAL lOSSES SUSTAINED
261,600 26,160 183.120 IN 12 MOS. 300,000 1,000
'OR LOSSES ARISING UNDER SECTION I, WE WILL PAY ONLY THAT PART OF THE LOSS IN EXCESS OF $500.
,COVERAGE DESCRIPTION PREMIUM COVERAGES DESCRIPTION PREMIUM
tlA::lIC cuvt:I-<AGE
H03 01/00 Soecial Form 758.00 11796 08/04 CA Res Prop Dis
438BFUN 05/42 Lenders Loss Pay 10940 07/89 CA Ins Guarantee
H0300cA 01/04 Spec Provisions IN2004 03/04 Consumer Info
INOOOO 01/05 Privacy Stmt IN2264 09/62 Merit Rating
12559 09/99 Per Prop Repl 12567P 05/03 Replacement Cost 16.00
H0216 01/00 Prem Alarm Prot 16.00cR H090 05/02 Calif Work Comp
12747 12/01 Fungi/Bacteria
TOTAL PREMIUM 758.00
Additional 17% NEW HOME CREDIT
Residence
Occupied RETENTION CREDIT 5%
By Insured
..can Number!
029003044
Mortaaae Loss Payee or Other Interest
0054777628
FIRST HORIZON HOME lOAN CORP
ISAOA
PO BOX 7481
SPRINGFIELD, OH
ALLIED PROP AND CAS INS CO
Authorized Representative
878015209 78
2ND
MORT
COUNTRYWIDE HOME LOANS
ISAIOA ATIMA INS DEPT SV-22
PO BOX 10212
VAN NUYS, CA
1ST
MORT
91410-0212
45501-7481
DIRECT BILL
0000 05313
INSURED COPY
5332
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Map Ol,ltput
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Prepared by the City of Bakersfield, CA GIS division of
Information Technology. The City of Bakersfield makes no
warranty, representation, or guarantee regarding the
accuracy of this map. This map is intended for display
purposes only and does not replace official recorded
documents.
Page 1 of 1
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http://geoweb.ci.bakersfield.ca.us/selVlet/com.esri.esrimap .Esrimap?SelViceName =ovmap... 5/22/2006