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APPLICATION FOR ENCROACHMENT PERMIT
PERMIT NO.EN-01326
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 permit
to ~lace, 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:
DORMIER SHEILA F
2105 19TH ST
BAKERSFIELD, CA
93301
Phone No. 3"2>\ ~ 'Sf I r
2, Nature or decription of the encroachment for which this application is made:
DECORATIVE WROUGHT IRON RAILING APPROX 32 INCHESHIGH ALONG BACK OF SIDEWALK.
3. Location of proposed encroachment is
2105 19TH ST
2105 19TH ST
4. Period of time for which the encroachment is to be maintained:
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, 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 mantain the aforesaid encroachment during
the life of the 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
revocation thereof by the City Engineer, applicant 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 required by the City Engineer in full force and
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.
The type(s) and amount(s) of insurance coverage is:
Date: 05/13/1997
akersfield Municipal Code Chapter 12.20 to revoke
Applicant acknowledges the right of the City
the permit at any time,
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PERMIT
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION AND FIND THAT THE
MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE
SAME IS TO BE LOCATED AND (2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
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THEREFORE (GRANTED)
Signature of City Engineer
Date: 05/13/1997
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AI CIRCADIAN:WAY':SANTA'ROSA,CA' 95407-5416
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RENEWAL
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ALLlED'SERIES
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Poli,cy' Number: ' .' HAS. 7820097359
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, : ' 'Named Insure&' DORMiER; SHEILA - DBA
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'.f;":Mgiiing AdJ~~ss: ':2105 '1eTHSTREET
'"., ' BAKERSFIELD, CA 93301
, AgElnt: 'CLlFFORD"BRADFORD INS. AGENCY
Address: BAKERSFIELD, CA 93301
84 07653
PolicyP,eriod:T~is;policy is effective from 07-08-95 to 07-08-9612:01 AM Standard time
':atthe above mailing address. '
The Named Insured, is: INDIVIDUAL
Business of the Insured is: DELICATESSEN 1954
IN~ETURN FOR THE PAYMENT OF THE PREMIUM,AND SUBJECT TOALLTHE,TERMS O~ THISPOUCY,
, .:i'" .. " , 'WE,AGREE TO PROVIDE THE INSURANCE AS STATED IN THIS POLlCV:t .
ISCHEDULE - .SECTioN I This 'policy contai!"s a $ 250 deductibleunless'ottierWise'stated.
10101 2105 19TH STREET BAKERSFIELD, CA . 1,187.00
COFfEE AND COFFEE BEAN SALES W/ SEATING
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A BUILDING 231,000 INCLUDED
B PERSONAL, PR9PERTY ' '.lS, 000 . INCLUDED
C BUSIN~SS INCOME AND EXTRA EXPENSE ACTUAL 'LOSS . INCLUDED
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PREVIOUS POLICY NUMBER.
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tECT BILL '-""7831",)',85163
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This policy is:No.n-A~ses~~ble., Th~_lnsured shall not be liable for any. assess~~nt un~~r: thi~'policy. ,.' .'.,~,!_ ;' ,; .1' ":::::i"!~~-: >>~
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"IN;.W1TN~SS WH~REOF. the,Comp'a~y.:hascaused th.is policy"to be !lig,nedb}', its~reSiderit:and';se~r:et~rY:~QPCo~!1t,~r~igo;~.:~,n;~~~,' ".
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ALLIED MUTUAL INSURANCE COMPANY
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,MUTUAl. CON!lITlqNS:By virtue of this policy the Named Insured isa member of the Company and is entitled to vote,
either in persc)n or by proxy, at all meetings of the Company and shall participate in the distribution of dividends as
'fix,ed and determined by the Board of Directors in accordance with Jaw. The annual meeting of the members is held
,atOthe Home Officeofthe Company in Des Moines, Iowa, at one o'clock P.M. on the first Tuesday in March. '
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INSURED COPY'.':;"~"'"
RA078250,097359
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BAKERSFIEL
PUBLIC WORKS DEPARTMENT
MEMORANDUM
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TO:
Raul M. Rojas, Public Works Director
0/1 Jacques R. LaRochelle, Engineering Services Manager
o May 28, 1997
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FROM:
DATE:
SUBJECT:
Encroachment Permit Application for 2105 19th Street
Sheila Dormier
Installation of 32" high railing in front and side yards
Engineering and Traffic staff have reviewed the attached encroachment permit to allow the installation of a 32" high
railing in the front and side yards, The site has an eating establishment on it (Java Jazz) and is located on the comer
of 19th and "0" Street.
The applicant has provided proof of appropriate insurance coverage to the Building Department representative.
Based on their review, staff recommends approval of the permit.
M:\PERMITS\ENCROACH\21 05 _19s, wpd
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Project File
Marian p, Shaw
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BAKERSFIELD
PUBLIC WORI\S DEPARTMENT
MEMORANDUM
TO: Brad Underwood, Civil Engmeer III, Traffic
FROM: ~ Marian P. Shaw, Civil Engmeer III, Subdivisions
DATE: May 17, 1997
SUBJECT: Encroachment Permit Application for 2105 19th Street
Sheila Dormier
Installation of 32" high railing in front and side yards
Please review the attached encroachment permit and return to me at your earliest convenience.
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mps:M:\ENCROACH\MEMOTR. WPD
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Marian p, Shaw
09/10/96 TUE 10:03 FAX 80S 32S 9162
CITY AITORNEY
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APPUCATION FOR ENCROACHMINTPERMIT
TO THE CllY ENGINEER OF THE CITY OF BAKERSFIELD, CAUFORNIA:
Pursuam to the provisiOns Of Chapter 12.20 of the Bakersfield Municipm,Codei"the'underltgn.tappllet'fora pennit
to pface. erect. use and maintain an encroachment on pubUc property ,or .'of way'. thellliltMlled.
1. F" name or ~ and compIaI8 -.. including telePhone numIIlIr. ,Q1lf 1M F. ~12.Mrf t?-
2-- 1 0 5 J...:1 ~ S'.T DA~r;:rz-~RC;-i'j), 0r 93'?ol'
2. Nature or delCrtptlon of the encroachment for which this application is rIUICIe: )?if r? / I7<T (fiJ ,2-
'f+-n.;')f' OJ a.L e;j iZ JO 5n 11 c- i? A I J f YJ v IZ /\I C I' Ofi ct., 11<7 f" .:?.r;..r-. T /~ /I'-f--t, lVI"
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3. Location of the pl'DpOUd encroachment: 2-) o~ / '1 11 <;:..T :Et::sh') (I'j '73.3 0 I
4. PeriOd of time for which the encroachment is to be maintained: I ~;G)'~ .
Applicant agrees that tf1h1s apptication is granted, applicant shall incleninlfy:, defenIt,..........ml...~Cily. its
otfian. agecD'andemployees against any and aU 6abifity, claimS. adian.~:cau,.:or,acliamCll>.~wba.-ver
against theil\aranyOf them,' b8be administratIVe. quasi-jUdicial or judic:ial'trtllUnalSiGt..........IIlI8larising
out of. cannected with or caused by appllcant's placement. erec:IIon. U..,(byiappkailtYGr'.............entiIy)
or rnaIrf8rBICe of said encroac:hment. The applicant further agrees to maintlllnttle__llif.:ena..........'durlng
the life of the said encroactunent or until such time that this pennttls revoIrecL;,:
r- bth8r,agrees that upon the expiration of the pennitforwhlch thfs',~l. rnadel' If O'___,Ol"JllIlll
_ ~ ....,1IV1hIt CIty EngiftMt. aDOlleant will at his own--.ndlUl,..-.'.... .......fnHR
.... !)-ohIII'! DIO-~ or rtght of way where the same is located, and restore said publc'PfOpeItt,ordgN'atwar,tD the
condIIIon as nearty as that in which it was before the placing, erBdion. malntenance;;ar;i6:J ~lt.I.,,('of,said
enCtOaChmenl
Applialnt fudher agree& to obtain and keep aU liability insurance requirwd by the CllyEngineercln fill ran..nchdl'ed
for however long the encroachment remains. Applicant shall fumtstl the City RIsk ManIIgIIr~wIb'a,CertiIIcIIe of
Insurance evidencing sufficient coverage for bodily injury or ~ltydamage II.bUIIy or balli' and',11IqUIred
endorsements evidencing the i"surance required. The type(s) and amount(l) of Inlurance ~'iS:
Applicant acknowledges the ilgI'R of the City engineer. pursuant to I kersfteld jicipld.COde,Chaplw:12.20 to
_Ih&$it at anytime. , I
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Signature Of AppIicanr( 'Or Represent8IIve)
P'
PERMIT
I HEREBY CERnFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS aTATED IN"
THE FOREGOING APPUCATION AND FIND THAT THE~MAlNTENANCI!:'OF' SAID
ENCROACHMENT (1) WILL (NOT) SUBSTAN11ALL Y INTERFERe'WITH THI!'U8E~OF;THE
PU8UC PlACE WHERE THE SAME IS TO BE LOCATED NG (2J WILL,(NOT) cONamuTE:
A HAZARD TO PERSONS USING SAID PUBUC PLACEi SAID APPLICATION la'
THEREFORE (GRANTED) (DENIED). SAID PERMIT~ EXPIRE
Date:
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Signature of City Engineer
No.
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