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APPLICATION FOR ENCROACHMENT PERMIT
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TO THE'CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNI~~ ~
Pursuant to the provisions of Ordinance No. 3140 New se~~the City of
Bakersfield, the undersigned applies for a permit to place, -erect an~/or maintain
an encroachment on public property or right ~f way as therein~define~.
The name and address of applicant is: ~\j \ f) f\St1L..i:. "l -7,0\ \ :I:''\)A \-tD
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The location of the proposed encroachment is: ~J<'k~D~ of ut\.~~~~BlL... -r '
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 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.
Applicant further agrees that upon the expiration of the permit for which this
ap~lication 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, mainte RC~ or existence of said encroachment.
Date: ?-\ S -'13
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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
APPLICATION IS THEREFORE (GRANTED) (DENIED).
Date: '~-/7-13 u:.~ )~, <-~
Signature of City Eng~neer
No. 1192
P/U031793
Distribution: Original - Applicant
Goldenrod ~ City Clerk
Yellow - Public Works
REV6/90
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CITY OF BAKERSFIELD
t DEPARTItENT OF PUBLIC WORKS
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To Whom I t ~Iay Concern:
We, the undersigned, have no objection
fence or wall behind the sidewalk on:
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(Street '
to the constructibn of a
G\l\~ flSHl ~
(Owner I s Name)
By
of .3n\ \ =t:nA\tr\
(Address)
Phone
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SIGNED: ~w..PSrn rr0
l) NAME: G:m.~ of JCW-9 ( ) ,~
ADDRESS: ~~\ 0 \ ~~.t-\-1)
-Sm H IU DATE:' 3.116 J Cf3
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2) NAME:
ADDRESS:
3) NAME:
ADI)RESS:
4) NAME:
ADDRESS:
5) NM1E:
ADDRESS:
6) NAME:
ADDRESS:
DATE:
. DATE:
DATE:
DATE:
DATE:
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