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APPLICATION FOR ENCROACHMENT PERMIT
PERMIT NO.EN-0134p
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD CALIFORNIA:
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Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies :for a p~,r.m.i:;!l~:
to place, erect, use and maintain an encroachment on public property or right of way as therein defined.
1. Full name of applicant and complete address including phone number:
GARCIA JOSE LUIS & CHRISTINE
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212 RITTER CT
BAKERSFIELD, CA
93309
Phone No. ,>sS" -ZS9f
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2. Nature or decription of the encroachment for which this application is made:
6 FT HIGH BLOCK WALL ALONG BACK OF SIDEWALK IN SIDE YARD SETBACK AREA.
3. Location of proposed encroachment is
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212 RITTER CT
ON SILVERTON SIDE OF PROPERTY.
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4. Period of time for which the encroachment is to be maintained:
INDEFINITE
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Applicant agrees that if this application is granted, applicant will idemnify, defend and hold harmless City, its:':
officers, agents, and employees against any and all liability, claims, actions, causes of action or demands, whats9.~yer
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against them, or any of them, before administrative, quasi-judicial or judicial tribunals of any kind Whatsoever,';''''''''''''''
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arising out of, connected with or caused by applicant's placement, erection, use (by applicant or any other 'person':::c;r'"
entity) or maintenance of said encroachment. The applicant further agrees to mantain the aforesaid encroachment dUTing
the life of the said encroachment or until such time that this permit is revoked.
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Applicant further agrees that upon the expiration of the permit for which this application is made, if grante~~~;,upon
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revocation thereof by the City Engineer, applicant will at his own cost and expense remove the same from, the, .P?li1~~;.."
property or right of way where the same is located, and restore said public property or right of way tq..the c:~, "';i, .
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effect for however long the encroachment remains. Applicant shall furnish the City Risk Manager with a certificate
of insuance evidencing sufficient coverage for bodily injury or property damage liability of both and required
endorsements evidencing the insurance required.
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The type(s) and amount(s) of insurance coverage
is:
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V.I.P.S. INSURANCELIABILITY
300000
Applicant acknowledges the right of the
the permit at any time.
o Bakersfield Municipal Code Chapter 12.,20 to, .{;~';~ec
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Date:OS/12/1997
(Owner/Agent)
PERMIT
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION AND FIND~HA~'THE
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MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE PUBLIC PLACE WHBRE,,~RE
SAME IS TO BE LOCATED AND
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(2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE;, SAID APPLI~~~,IS,
THEREFORE (GRANTED) 'fflo~n~. Said permit shall expire
Date:OS/12/1997
S.ignature
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APPLICATION FOR ENCROACHMENT PERMIT
TO THE CllY ENGINEER OF THE CITY OF BAKERSFIELD. CALIFORNIA:
Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a permit
to place. erect. use and maintain an encroachment on public property or right of way as therein defined.
1.
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,
2.
3. Location of the proposed encroachment:~/tle..rk;V
4. Period of time for which the encroachment is to be maintained: /;;:e,
Applicant agrees that If this application is granted, applicant shall indemnify, defend and hold harmless City. its
officefS, agents and employees against any and all liability, claims. actions. causes of action or demands, whatsoever
against them. or any ofthem. 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 the said encroachment or until such time that this pel1Tlit is revoked.
Applicant further agrees that upon the expiration of the permit for which this application is made. if granted, or upon
the revocation thereof by the City Enaineer. aDpllcant will at his own cost and expense remove the same from
the DUblic arope.d3t 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 required by the City Engineer in full force and effed
for however long the encroachment remains. Applicant 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 acknowtedges the {lgtn of the City Engineer. pursuant to Bakersfield Municipal Code Chapter 12.20 to
revok.e the permit at any time.
Date: /~ 1/~7
"nature of Applicant (Owner or Representative)
Date:
PERMIT
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN
THE FOREGOING APPLICA liON AND FIND THAT THE MAINTENANCE OF SAID
ENCROACHMENT (1) WILL (NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE
PUBUC PlACE WHERE lltE SAME IS TO BE LOCATED AND (2) W1LL (NOT) CONSTITUTE
A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFORE (GRANTED) (VIii1..Ia1J. SAID PERMIT SHALL EXPIRE
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IHO FORM \ A. DWELLING :s~Rueltl~~s : CpRg~~R?~AL: D. LOSS OF USE: E.E~~~S~~~hRR~~~~LITYI F. M~~t~A~EPA6~ENTS 18~b PERIL! I
:: 1$ !$ !$ ! $ 300,000' l $ RS ly~~~fllA L ; I
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IDWELLING FIRE COVERAGES/LIMITS OF LIABILITY [ ] ADD [] CHANGE [] DELETE I
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;A. DWELLING: s~Ru~f~~~sIC.p~~~~~~~L I D. RENTAL VALUE :E'E~~~A~~ONAL IF. PE~SONAL LIABILITY,G. MEDICAL PAYMENTS ,DEDUCTIBLE & TYPE,
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:HOMEOWNER AND DWELLING FIRE RATING/UNDERWRITING [ ] ADD [] CHANGE [] DELETE I
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! ~~ ! RO~MS! A~TS l $H~~~~~ ! R:PL~~~~ENT !FAMfLIES:~~~~~~:~~t~~~~~Y~EAT TYPE !~!~~~~~~~!~~-~~~~~~t!~~~!-t
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FT HI [] SPECIFIC I LOCAL
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: FRKHEC: F~6DED~~~~l~T : ~ ~ ~H~I~ HH DI~t~~cT I [S~RX~~~l~L I SPECIAL STATE REQUIREMENTS I
I I I t j WITHIN PROT SUBURa I [j ~orL I I
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lINT I; ~ l ~B8lGi~T iNAHE AND AODRESS I LOAN NUMBER I
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IPAERSONAL INLANP MARINE/SCHEDULE OF PROPERTY I
Illrtacn appraisal oToi of sale if requIred)
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Il~~~G~F, # I PROPERTY DESCRIPTION I A~~~~~~~f/DATE I ~~~ij~~N~~ I
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+--------+-----+--------------------------------------------------------------------------------t----~--------------+--------------t
:WATERCRAFT COVERAGES/LIMITS OF LIABILITY ( ] ADD (] CHANGE (] OELETE I
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I H U ILL I OUTBOAR~ MOTOR I PORTABLE A~CESSORfES I TRAILER I LIABILITY ,MEDICAL PAYHENTS I
I $ BOA T 1 I $ BOA T 2 I $ BOA T 1 I $ BOA T 2 I BOA T 1 '$ BOA 2 I $ I $ I ,
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: ~OLICY AHOUNT : $ RETENTION :OTHER COVERAGES I
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I AUTO~OBILE I PERSONAL LIABILITY I WATE~CRAFT I RECREATIONA~ VEHICLES I
: $ B I : $ PO : $ , $ B I '$ PO I $ B I I $ PO I
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, REHARKS I
: INCREASE LIABILITY TO 300,000 :
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RO ' NA TURE I JA.TE (HH/DD/YY) \
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INSURED COpy
TIlE AITACHED IS A COpy OF TIlE CHANGE
YOU REQUESlED ON YOUR POliCY, IT WAS
SUBMITTED TO TIlE COMPANY AND YOU
, WIlL RECEIVE A CHANGE ENDORSEMENT IN
:j A FEW WEEKS, PLEASE REVIEW IT AND
I REPORT ANY ERRORS TO OUR OFFICE.
,CONl1NUE TO MAKE YOUR PAYMENTS FROM
'IBIlUNGS YOU HAVE A!.RF.ADY RECEIVED.
UNlESS ADVISFD O1lIERWlSE.
TIIANK YOU,
CHUCK SILER.
V,lP.S, INSURANCE
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CITY OF BAKERSFIELD
DEPARTMENT OF PUBLIC WORKS
TO WHOM IT MAY CONCERN:
We, the undersigned, have no objection to the construction of a fence or behind
the sidewalk on:
of
Si hid fon
(Street)
2/Z ~~i-+-U C6u{"~
(Address)
By: {!/7)JLJirm' ~Md.6'
(Owner's Name)
Phone:~-2S1Y
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SIGNED: c---.. 0
l)Name ~~
Address -+~'00-{- -:5i-Lcre'2'f'eJN' -ftV-E
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3)~=~tir~~~~~a-,
4)~::ss ~~~
Date:
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Date:
't~/(-97
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Date:
Date:
5) Name
Address
Date:
6) Name
Address
Date
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