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APPLICATION FOR ENCROACHMENT PERMIT
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TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA:
/J6- 81;;5
Pursuant to the provisions of Ordinan~e 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 nature or description
is as
which this application is
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made
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the
encroachment for
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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 existence of said encroachment.
Date:
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Signature of AppU/cant
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
same
"", said
(not) substantially interfere.with the use of the public place where the
is to be located and (2) will (not) constitute a hazard to persons using
public place; said application is therefore (granted) 0~ea4ed~~.
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Signature of-City Engi~er
Date:
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No. 1,040
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M1l2988
Distribution:
Original - Applicant
Goldenrod - City Clerk
Yellow - Public Works
REV. 2/88
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