0983 (2)t_t
The IOIIOWino General and Special Provisions are attached to aha mace a part of Permit No.-
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-.GENERAL PROVISIONS 1. • •• :�� .
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t The following small always apply:
=VC ROACH MENT ON PRIVATE PROPERTY: 'This permit autnorizes worx to be accomousned within City of La Quinta right of way
ONLY. Whenever construction extends within private property, it small be the responsmdity of the oermittee or his contractors) to
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secure permission trom abutting property owners. Such author Batton must be secured by the permittee onor to starting work.
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�TRACKLAYINGCONSTRUCTION EQUIPMENT: Cleated tracklavingconitructonequipment small not bepermitted tooperate onany
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pavea surface unless fitted with Sir oth-faced street dads. All mechanical outriggers snail be fitted with rubber street shoes toprotect
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tme,paving,during,excavations. Rubber-ured,ecutpment only shall be uieo•in backfill operations in paved -areas. it the existing
- pavement is scarred. walled. or broken auring the term of this contract: or if the pavementis marred. City of La Quints shell request
:nat these portions of road be resurfaced over theirenure wioth. Resurtacing small consist of one coat of two inches (2'1 of A.C..
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surfacing plus appropriate seat coat as specified above.' .•
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PROTECTION OF TRAFFIC: All excavations and work areas snail be property lighted and barricaded as deemed�necessarvbYthe City
Engineer or La Quinta City Public Works Inspectors. 5ui able detours ana Detour signs shall be placea and maintained for the duration
of theproject. The City shell be notified 24 Mrs. in'adv'ance of any traffic detours or delineations. w
CARE OF DRAINAGE STRUCTURES: Any drainage structure.inctuding'corrugaied metal pipe, concrete pipe. steel culvert and
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concrete, structures encountered during excavation which necessitate removal shall be replaced in kind. In the event.lt becomes
necessary to remove or cut existing drainage structures City of 6 Quinta shall be notified prtor to commencement of this work.
aDrainage structures and open drains snail be' kept free of debris at all times for proper drainage. ~
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Any material from backfill operations be fromtne of
RIGHT.OF WAY CLEANUP: surplus resulting excavation and shall removed right
way. All paved surfaces shall be broomed cleanof earth and other objectionable materials immedtateiv after backtiii and compaction.
x ';Existing gutter line and drainage ditchesShallbe replaced to their original standard or betl0r. All excess material snail be removed
nor to Davin Watef tanker snail be 'Used. as'reQU treo.'to'Sprinkle the lot) site to keep down Oust conditions and shall be used -
. mmeaiateiv after backfill. •ri, t l,w� . a - - y 4 ` ,
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; ' ` DE•WATEA OPERATIONS: If de watering opeianons are required arta oumbs are forcing water on City of La Quinta roads. it shall be
Ing respOnsimlity of the,permittee (contractors IO controt this water and t0 provide off -street barricades when necessary.•�..,
CLOSING STREETS''No street shall be closed. A mirnmum of one lane of traffic be maintained at all times to provide timitea ,
access for the adjoining property' owners and emergency vehicles. In the event it is felt bvine permittee that me must close a street for
env length of time: permittee Shall -contact this office to obtain the necessary permission,
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SPECIAL PROVISIONS"
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-The follwing shall apply ONLY when indicated: A
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''I'Y?CASH
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NOTIFICATION: Permittee shall notify ttie City -at 564-2246 at least 48 hours in advance of starting construction.
DEPOSITS 0R BONOS: A cash bond or an approved surety bond in an amount of not less than s `
i shall be furnished in t'he_name of City of. La Quinta to cover all work involved in the restoration of the various La Quinta
f r roads and survey monumenls..This bond shall be continuous until cancelled by the City Engineer. This bond must be
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posted prior to commencement of any work on this project . ^ %'
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" R3 TILITYCLEARANCE:ISubstructures)Pr'ortomaknganyexcavationwithiniheCiryotLaQuintangntotwavauthonze(i x
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I . i by permit. the�perminee snali.contact all concerned utility companies relative to the location of existing•suostruetures.
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Damage to existing -substructures resulting from operations under this permit snau be me sole responsibility
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'ot the permittee. .' <� .'. ?
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R4 TILITY CLEARANCE: (Surface structures) No work shall be done under this permit until all utilities are Gear of he
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' proposed work site. The oermittee snall'notify all concerned utility companies of the Dr000sed work.'
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-' • RS PAVEMENT WIDENING: Area between the proposed concrete' gutter tine and•t_he existing road pavement shall be
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surfaced with inches of A.C. paving placed on L r inches o1 class aggregate subbase course
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having an "R" value of not IesSthan and in conformance with City of La Quinta Road Improvement Standards
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and Specifications: Ordinance u461.
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R6 PARKWAY GRADING: Are; a betweerrthe properivhne and loo of the pr000sea concrete curb shall be aradedto a slope of
1 r4 inch to' one 11'). '•.
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R7 GRADES & STAKES: City ot'La Quinta shall esiablish grades, and stakes for the proposed concrete curb and gutter
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construction. 4•,�,
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R8 RADE CHECKING: City of La Quirna shat) check grades uoon receipt of plan and profile and/or graoes as established by
a licensed engineer.
R9 CURB REMOVAL FOR DRIVEWAYS:_A portion of the existing concrete ctirb,and/or curb and gutter I feet)*hall be
removed. Curb and/or curb and gutter shall be saw cut prior to removel.y0epressed curb: matching concrete gutter and `
concrete driveway approach shall be constructed In conformance with City of La Quinta Standard x207.
!-RIO. ORIVEWAYS.'A.C.: Driveways shall be constructed a$ not to alter existing drainage pattern. Surfacing between the
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property line and the existing road paving shall be 2.1 /2 inches of A.C. paving placed on I _'1 of class
,'aggregate base. Driveway construction shall conform to attached drawing. 4 ,
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R11 CULVERTS: A inch diameter( I culvert §hall be installedwith the invert approximately 1-1 /2
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,r mches�iaiow and in line with the existing flow tine. Culvert installation shall conform to the attached drawing.
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. SIGHT CLEARANCE: Sig tames of 600 feet in either direction shall be assured dna meinteined.
-- 3 SOIL' STERILIZER:, The area to be surfaced shall be treated with soil sterilizer. Rate of appfication shall comply with the
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x anufacturer's specifications, :; +
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01:4r OOROINATE WORK: The proposed work shall be subordinated to any operation which the State of California or ,.
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- . • ; , ' City of La Quinta`may conduct in this area during the period of this permit. Work shall be coordinated with the State or
`City of La Quinta forces to prelude delay or interference with State or.Clty of La Quinta Projects.
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''► I • R15 URVEY MONUMENTS:'Prioc..to excavation or beginning of construction, all survey monuments which exist on the '
centeriineofall streets d►propertylines wheninvolved shallbe'complatiprtiedout sothermaybe readilyandow *My
be replaced by alipnsedehrilenginaa►ors�rvetioratthaetroanaaofthapermwAaAcoimplimsetofrlaaaehom"Ifte '• •
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tiestOthine ntarKMllMOaflaMbeQt"ialtedtadin L'llyEYt9lneMpRerfbttte►et110YN0lit1yt11aRutRentS.ThI{Offlbeshall r
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be noodled !Toe eaf+pleooe of replaeentern d su survey ntorttnnartee for prom project etaaranea •r
R16 SUR% )NUMENTS: Prior to excavation or oeoinnina of construction. all survey monuments snail be het out bvCity
of La Quints and suitable payment or guarantee or Payment snail be made as reimbursement for all work involved.
R17 PAVEMENT CUTTING: Pavement will be mechanicativ cut to a straight edge prior to excavation. Method of pavement
cutting snail be approved through the office of the City Engineer, (Under no circumstances inau excavating equipment
be used to excavate prior to cutting of pavement. Excavation material snail be placed in such a position as to best
facilitate the general flow of traffic. Prior to final paving operations. any damage to pavement straight edge shall be
�—� corrected.
R18 . PAVEMENT CUTTING: Pavement snail be saw cut Pnor to removal. Prior to final paving operations. any damage to
_-: pavement straight edge snail be corrected.
i R19 LIMIT OF EXCAVATIONS: Excavations shall be limited to 1.000 lineal feet of open trench petore backfill operations must
begin. All excavations snail be property barricaaea with lights overnignt. on weekends and nolidays tortneprotecuonof
the travefing public. The Public Works inspector snail determine the suitability of excavation barricaatng in each case. No
excavation shall remain open for a period exceeding five 15) days. No excavation snail be made unless the construction
_,�material is actually on the work site.
i R20 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes
--of producing an adequately consolidated backfill. Any material which the City of La Quints deems unsuitabie Ispongyor
saturated material) which is encountered during excavation shall not be used for backfill. but snail be suoplementedor
replaced by an approved sand or gravel.
R21 BACKFILL SAND: Backtill shall be approved transit -mix sand or equivalent and shall beplaced in lifts of not grestertttan
three feet 0') andvibrated using vibrato moor or eouivatent equipment. Alternate methods may be substituted, but in any
,case a relative compaction of 95 percent shall be attained within the structural section of the roadway.
4122 BACKFILL PLACEMENT: Backfili shall be applied in layers of not more than 50 percent of the total depth of the trench
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o-_ //before flooding or a maximum of five-foot 151 lifts where trenches are of excessive depths. Care is to be exercised thatthe
backfill material is not subjected to extreme swell by flooding operations. Backfill material snail be placed so that the
resulting compaction shall be not less than 90 percent or equivalent to the surrounding ground. wnicnever isthe greater
compaction. Where ponding or flooding is used for a maximum settlement. adequate dikeswiil be constructedto retain
the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water
suopiy shall be continuous.
823 COMPACTION TESTS: If so required bvthe insoector. compaction tests shall be made at intervals of not more than 1,000
feet and a minimum of one (1) test on each road. One (1) copy of each test shall be forwarded to the City Engineer for
approval andfiled prior to making permanent repairs. Compaction tests shall be mace as outlinea in Section 6.3.01 of the
-_--�tandara Specifications. Division of Highways. State of California, dated January 1973.
R24 COMPACTION TESTS: If so requirea by the inspector. compaction tests shall be made for each crossing or service line.
< One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs.
Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications. Division of Highways. State
roT-California, dated January 1973.
#25 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations. a temporary patch
consisting of 2 inches of SC -800 shall be placed on a prepared subgrade. The SC -800 temporary paving snail be placed
after a maximum of 3.000 lineal feet of trench has been excavated and backfill operations coma tetea. but in no Case shall
the placement of the temporari (....d.r.drit eni.edti d ii.a i5i day limit.
,A24_1\PERMANENT PAVEMENT REPAIR: After backfill and compaction operations have been completed. a temporary patch
consisting of two inches 12l of SC -800 shall be placed immediately. A permanent patch of inches A.C.
surfacing placed ona inchss base shall be placed no later than "i_daysaftercompletionof
temporary road repair. kJ�z
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827 PAVEMENT REPAIR: F.A.S.: Upon completion of backfill and compaction. a temporary patch consisting of two inches (21
of cold mix paving (SC -800) shall be placed immediately. A permanent patch of three incnes t3") of A.C, surfacing shall
be placed on six incnes (6-1 concrete base as directed. but not later than fifteen 0 51 days after completion of temporary
paving. Concrete base snail be of five -sack mix and shall conform to the City of La Quints Road Improvement Standards
and Specifications. Ordinance P461
R28 FOG SEAL: A fog seal coat consisting of an appltcation of asphaltic emulsion shall be applied over all patch areas as
determined by the City Engineer.
R29 SEAL ARMOR COAT: A seat coat consisting of an application binder and screenings snail be adoued on all patch areas
where such seal coats existed prior to issuance of this permit. Seal or armor coats snail be aooiiea as specified in Section
37. Standard Specifications. State of California. Division of Highways. dated January 1973. Work of pavement repair to
be accomplished by a licensed contractor engaged in the ousiness of pavement repair,
R30 STREET RESTRIPING: Where street striping is still visiole on streets to oe excavated. sucn stricinq small be replaced upon
completion of permanent repairs.
R31 TREE RELOCATION OR REMOVAL. Tree relocation within the City of La Qumta roan right of way snail be accomplished
by a licensed. bonded and Insured tree service. and handled safelywahout interference or nazard to the traveling public.
It shall be the responsibility of the permittee to maintain the tree in a vigorous growing condition at its new location.
Trees to be removed shall be removed in sections which can be handled safely without interference or hazard to highway
traffic. The entire width of the tree stump shall be removed and disposed of so that no aeons remains in view of the
highway. The stump hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where it
becomes necessary to restrict traffic. the work shall be restricted to a maximum of 500 feet at any one time. Adequate
signs, flagmen and/or barricades shall be provided to protect the traveling public at all times.
Large holes resulting from treeremoval shall be backfilled and compacted to not less than 90 percent or equivalent tothe
surrounding ground, whichever is the greater compaction as determined by the impact or field method. Compaction
tests shall comply with Section 6.3.01 of the Standard Specifications. Division of Highways. State of California, dated
January 1973.
R32 TREE TRIMMING:
a. Only the necessary trimming shall be accomplished to provide clearance of the facility for one calendar year.
All broken or weak sections within the trimming shall be removed.
b. Where it becomes necessary to restrict traffic. the work shall be restricted to a maximum of 500 feet at any one time.
Adequate signs. flagmen, and/or barricades shall be provided to protect the traveling public at all times.
c. If tree trunks are partially outside of the City of La Quints road right of way, permittee shall make his own
arrangements with adjoining property owners for Consent to the trimming in addition to the authorization provided
by this Permit.
d. All tree trimming on EVERGREEN TREES. PALM TREES. and other ORNAMENTAL TREES shall be accomplished to
the satisfaction of the City Public Works (n ps— ,
e. Abutting ptopsrry *vA*m shalt be contocifft in all Instances, prior to trimming or topping Loses.
f. Pruning shalt, in all instances. be at the ahouWar of the Croteh 0 tttatrse
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ADDITION- --NCROACHMENT PERMIT N0.0 -- r,
` a f -CONDITIONS - y
'Survey monuments shall be 'protected .inlace or
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reestablished,pursuant to City standards -and the,State-of...
t ,•':California Land. Surveyor's Act.
-� R34 `;Work shall be coordinated � AItYi theme Cit' of L
w Y a Quinta s ,.
- r,•, forces to preclude delay;.or. interference- with the City of La
" •Quinta' s •'.projects . x
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R35, Contractor shall.com 1 with A
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_ „ i.:,• ocal:notse ordinance, and f :
construct_ ion oper_ ations ,and maintenance 'of .equipment: within ' • ° ' r'
` dne �haif mile 'of human 'occupancy , shall be p erf'armed ,onl
"during the` time' periods as follows •'` 3•` ��-
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October .1
st.to April 30. Monday-Friday 0.
t y 7 0a .m:-5 30p:m.
Saturday 8:OOa.m.-5:00p.m..-
` May- l'st. to -.'Se "":September 30: '
P Monday=Friday 6:00a.m..-7:00P.m.'µ'
Saturday-` 7.= 8:00a.m. -5:00
Work shall 'be prohibited',anytime on Sunday" and. ,Federal . _� • m •
holiday....-
_ -� R36 t Traffic 'control shall be. as ^� '`
per Cal` _Trans Traffic4 Manual.
" - Field_'adjustments in detouring'-shall be accompl-fished as
^ . . diiecte'd •in .order to- adjust- to, actual field.'condit%ons. It
shall'. be -the"-contractor',s .responsibility to. adequately °' '�,4'
' barricade and `detour this te. A Traffic control plan, shall'`;'• j
•' be 'submitted .for approvalY Cb the, ityEngineer
All excavation at; or near the travel wa .,'
y'•shall be backfilled-
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at the�end of the.•.work. day,
'for •the protection of `the
"• travel"ing public. r
f R38 St'reet sures sha not beJ.
r` �cl'o r 1'1�- allowed at:any time. {• ' �'
p�R39 ,a minimum of two~'paved travel f .r •: ��
lanesl- shall be'#,maintained at-
-al 1 times with fla en-
_gm during working hours
< .• =R40, All work to .b :. •R � -r�..•-� ••`. ,, ';r T •.
>. a performed within the existing paved' sections Y
�t : shall be 'temporary paved and maintained by 'the Permittee, ', ^
permanent pavement ;shall be placed' no- later !r than 7-15 days,,'
after .completion of .the temporary road,repair:+'�, .r' •- . ted.
-R41__ . In ress -and egr for �1oca1}� • - V
g ess properties shallLbe,maintained s
at all times w'
r Prior to work. starting;' Underground,'Service `Alert«shall-be
contacted at 1-800-42.2-4133 and an` "inquiry .number."•i shall be _
provided to the Cit l �•
y Public Works Tnspector. '
. • . . shall b , •tom ,x; . , - , ,� -,. •- .. ' k
Pavement' a sawcutrem
prior,. to ova
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NOTE: .
With proper validation
this form constitutes an
encroachment permit'
CITY OF LA QUINTA
APPLICATION FOR PERMIT
PUBLIC WORKS CONSTRUCTION, (ENCROACHMENT)
For the construction of.public or private curbs,. driveways, pavements; sidewalks, parking lots, sewers,.water mains
and other like public works impeovements-in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit. --Class III
DATE: 2 /al- / Minor. Improvement Permit Class IV
LOCATION OF CONSTRUCTION. -
(Street address or Description of Location)
PURPOSE OF CON TRUCTION -SIS. CACLE 'r�mMf/ o / SO Sketch (attach construction plans if appropriate)
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DESCRIPTION OF CONSTRUCTION -r6 '7-r,tC �!o`7 E 0d (Zc,JCE PCJZM"r 0983 �Te__
Rf UC E P,-7- o {!A L _ T6Q EG
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DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED 41
APPROXIMATE TIME WHEN WORK WILL BEGIN'` 27FF/
APPROXIMATE TIME OF COMPLETION 9
ESTIMATED CONSTRUCTION COST $ 2,020 '
(Including removal of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or -replacing improvements)
In consideration of the granting of this permit, the applicant -hereby agrees to:
Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss. or damage to persons or property
happening or, occurring as a'proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority- at least twenty-four (24) hours in advance of the time when work will be started.
Comply with all applicable City 'Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
s La Quinta and to pay for any additional; replacement necessary as the result'of this work.
• Signature of &PP I o ent
dF-C- AJ E/ SSk�ck /nl C r-t3Z 4 ::1AQ Tk iAt, UP, 15C62�/, ro�J . (A- ('7 4)097-Z
Name of Applicant (please print)
• �ARY IAl►SSri2 '
Name of Contractor and Job Foreman
18 3 S"S�
Contractor's License No.
Business Address I-
Telephone No.
Business Address r Telephone No.
City Business License No.
Applicant's Insurance Company y Policy Number
FEES: Subdivision Improvement Permit — Class I I I
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated construction costs
Minor Improvement Permit — Class IV: See attached schedule
Inspection Fee $ �� PERMIT VALIDATION
Permit Fee
Penalty
Cash Deposit -Surety Bond -
if required
TOTAL: $
Receipt No.
Received by Date
Recorded by.
PERMIT NO.
DATE APPROVED
EXPIRATION DATE
DATE ISSUED
By
Administrative. Authority
TELEPHONE:: (618) 5642246
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