HomeMy WebLinkAbout01096
'-
"'"~
~~..;...;.,.. -~,--:;--.
._-~..,-.-_.........-......~
~'
"
','
~
-"\ f
.. ~,. -;-
",. ."!
1-; 3~01
't-
,.-~
17A '''')
~;). ~F 7
L. }/;'4.5~
~.
APPLICATION FOR ENCROACHMENT PERMIT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA:
Pursuant to the provisions of Ordinance No. 3140 New Series of the City of,
Bakersfield, the undersigned applies for a permit to place, erect and/or maintain
an encroachment on public property or right of way as therein defined.
~
The name and address of applicant is: if. L, /;? E j.., L / N;; H A US ,t- A/
yao" SrEIJVsE{!k LANE ~A1kF;;S_r;'FLD C,A. '! 33 J!
....
"'-.
for
application is
F F JlI i /-_.
r;-,p
.t.J J'--
made
E7
j
~A,r
ItV
P R (j it! T
("1 r::
It /1/ J: (/!'/.~ ~ r-
~)I ,),4!., {').;=. ,-
....
/...< l._
I
<,;.;
-. PJ '..1
fi
f':~,., Applicant agre{"; that if this application is granted, applicant will indemnify,
\Zfl"'"j ~ and hold harmless the City of Bakersfield, its agents, officers and -"
. employees against and from all damages, judgments, claims, demands, expenses,
costs and expenditures, and against all loss or liability which the City of
Bakersfield 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, proximately ca~sed by, growing out of or in any way
connected with the placing, erection 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 permit is revoked.
, ~",' !.;
v'fttu
Applicant further agrees thac 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 existence of said encroachment.
P. :r;'~{ d ,-
../;/ /..~' )..:._../
:"7 . . / ,u hi Cf~.;f..-('1t.J.".7
Signature of ~{cant .
I hereby certify that I have made an inyestigation 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 therefore (granted) (den4edJ.
-a. ~ . C-~'-f Q /_.--./~
Signature of City Engineer
\)
...-
I'
Date:
3~'2' - r~
Date:
/~ \2. \ '-
C(
)
I qqU
NO~
TR/RR:mro
M:041390
Distribution:
Original - Applicant
Goldenrod - City Clerk
Yellow - Public Works
(80;) 6' S: 2 'I 20
REV.}L8S------
~-"""'" ~.
'~.
~,
~r' ..,.,6f
,,:,", 7-" ,
., '
Ie f \~G-l'tY- ' OE__MKERSf:J~bQ ~
DEPAR1NENT OF PUBLIC NORKS
L'
------~-- .
~..
To Whom I t ~Iay Concern:
'.... ~- - --- -;. -- .-----'-
---'~_.
Ne, the undersigned, have no objection to the cons~ruction of a
~7 O:.-wa~~_;:;d~;cS~ewa~\:L By 7It~~
(Street) I ' (Owner' 5 Narn ,'. .'
. . ..
, . '
of
(Address)
Phone 6 (, 6- -- 2- l.{- z tJ
'SiGNED:-'-' -
1) NAl-1E:
ADDRESS:
2) NN-IE:
ADDRESS: t/3lJl 5!-~/'kbeCJ: LAJr.-e.
3) NAl-IE:
ADORESS:
4) NAME:
ADDRESS:
5) NAl-IE:
'ADDRESS:
- -.... .:........----..--...:.... ,:--- -, -
6) NAME:
ADDRESS:
I,
"
. ~-",
J
J~
.
,-- -----. ---,,----
DATE: '3- '2 R - q().
DATE: ? -~J1- ?()
DATE: "
DATE:
. DATE:
-' -----------,,-"
DATE:
J