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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
B~~ersfield, the undersigned applies for a permit to place, erect and/or maintain
."" '. ~ an encroachment on PUbli. c property or rifht of wry as th~rein defiOjdo, III ~
Tr n~t)"1 ~~l3teIDli~t\1d~:-.JUVcVl of ike t..olrd bod lQf1\lJe (
71,
-r~.o Vlt c; v ~ uvld
The lel'E\a~tio~ cpf""t;.he pro~"Sed encro~hm~I)~ i~l:
v..::.wOrte. Lsee a l \LACYle()
Applicant agrees that if this application is granted, applicant will indemnify,
defend 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~ith the placing, erection or maintenance of said encroachment, the
applicant f~rther agrees to maintain the aforesaid encroachment during the life
of the said encroachment or ~ntil such time that thi~ permit is revoked.
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Applicant further agrees that upon the ~xpiration of the permit fot 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
:::::e tl~l~e~ction. maint~~X~~encroachmento
, Signature of Applicant (Owner'or Representative)
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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
,tAPPLICATIPN IS THEREFORE (GRANTED) (D~).'
Date: 1- .? c: - Ci3 fy- Si;:t~re ~~i;;-~
No. 1187
Distribution: Original - Applicant
Goldenrod - City Clerk
Yellow - Public Works
REV6/90
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