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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 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:
t./ 70~ CI4 LJ);=- ~ LAAJtr
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The nature or description of the encroachment for which this application is made
is_as follows: A:!I/I.L/IGi-I ;:"&d\/Ci? t:.RL.JAI? 7/../(': ql)Ft))JI{~ /0
/ /,1; - /1J70 P-Y I",:> J lIVe; (Of"')" 1..11/< 1-1 CPAlrtJ A I ~I r"'J1.7 II /;CJte I .)
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The location of the proposed encroachment is: 170;'- r LJI./fJr--;e
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Applicant agrees that if this application is granted, applicant will indemnify,
rk/f,.r! _s.a-ve 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 caused 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.
/~ Date:
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
before the placing, erection, maintenance or e~istence of said encroachment.
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, , / ( Signature off Applicant
I hereby certify that I have made an investigation ~the~acts 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) (~~).
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Signature of City Engineer
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Date:
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fer!; 9
No.
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Distribution: Original - Applicant
Goldenrod - City Clerk
Yellow - Public Works
REV. 2/88
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