HomeMy WebLinkAbout01105
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APPLICATION FOR ENCROACHMENT PERMIT
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TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA:
Pursuant to the prov~sions of Ordinance~No. 3140 New Series of the City of
Bakersfield, the undErt~igned applies, for' a permit to place, erect and/or maintain
an encroachment on public property or right of way as the.rein defined.
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The name and agdress of applicant is:
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of'the encroachment for which this application is made
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The nature.or description
is as fopows: ," d IJ /I.s
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The ~ocation of the 'proposed encroachment is:
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Applicant agrees that if thfs application is granted, applicant will indemnify,
Jr. / ;;we and hold harmless the City of Bakersfield, its agents, officers and
I~~ employe~s against and from all damages, judgments, claims, demands, expenses,
costs and expenditures, and against all loss or liability which the City of
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Baker~field or such officers, agents or employees may suffer, or which may be
recoverable from, or obtainable against the City of Bakersfield or such officers,
agents or employees, ~roximately caused by, growing out of or in any way
connected with the placing, e~ection or maintenance of said ,encroachment, the
applicant further agrees to m~intain the aforesaid encroac~m~nt 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 the 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 may be in which it was
before the placing, erection, maintenance or e~,~~t~~:;Of ~.a~dren:::~ment.
Date: c)-If f. / '10 j/( (...., \ ---=----
/ / Spgnature of~plicant
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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 (I)
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 therefore (granted) ~de~).
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A/tJDate:
ineer
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LA A-1
'7.4
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No. 1.105
TR-RR:mro
M:052S90
Distribution: Original - Applicant
Goldenrod - City Clerk
Yellow - Public Works
REV. 2/88
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3/02
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