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1447y NOTL1. • . � With proper validation i 4 Q this form constitutes an I CITY OF LA QUINTA ` encroachment permit APPLICATION FOR -PERMIT, $ PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)_ Y M b. For. -the construction of public or private curbs, driveways; pavements, sidewalks, parking lots, sewers, water mains and other like public -works Improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATE: May 28, 1992 Subdivision Improv nt'Pe m`it1-- Class..1111w_ Minor Improvement Permit Class IV ' LOCATION OF CONSTRUCTION (Street address or Description of Location) PURPOSE OF CONSTRUCTION Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION -Grinder, 10' Wide, 84.000 lbs, All sloe legal Haul Route: 52 @ City LimitstoDIMENSION OF INSTALLATION OR -REMOVAL Washington & La Fonda and Return Haul: Date: 5/28/92 SIZE OF EXCAVATION, IF NEEDED' ' ,APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION" r ESTIMATED CONSTRUCTION COST $ ' (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent -resurfacing and/or replacing improvements) ' In consideration of the granting ofithis. 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 Iresult 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 La Quinta and to pay. for any additional replacement necessary'as the result of'this work. Signature of AppAicant or Agent Tarmac California, Inc. P.O. Box'14050- Palm Desert, CA 92255 775-8267 Name of Applicant (please print).' Business Address "' Telephone No. t Name of Contractor and Job Foreman Business Address Telephone No. On File - On. File Contractor's License No., City Business License No. •On File _ On File Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class I I I ,Public improvements: 3% of estimated construction costs • «� / j Private improvements: 3% of estimated construction costs • i' 447 Minor Improvement Permit — Class IV: See attached schedule f Inspection Fee Permit Fee Penalty Cash Deposit -Surety Bond if required TOTAL: 10.00 $ 10.00 Receipt No. Received by Date Recorded by W • PERMIT VALIDATION PERMIT NO. 1447 DATE APPROVED 5/28/92 EXPIRATION DATE 5/28/92 DATE ISSUED N 5/28/92 By Administrative Authority TELEPHONE: (619) 564-2246 14 1401061;,UM "9 nfo '4 *#ovm#v 0=1 11yo 04 le"°yl, Uvo N011r41dx7 1no). 03AOvdo 31x0oaunp,y 0 pi ua,ns l.wa.p 4T,3 0': 11Y+ti is ti'^'fQ NOlir011rA A,wa3� I ++>t ►�wa,a �T S „� uoU7lpfyf �1� �{nO.Wf ofieq,� o.L A1 qf� — i�uwd fww,no.0u+, ,or•Yt fStW uD�Li�L Yit/Qtl 0.1 f1r X110 ;py Bil l flfA�.d tll orUw uuu+d •aw bau e• I+RwnN NitOd A..404 -n f IUIa�{ eN �tY14�1 nau,eng A17 7 t 11''1111111111111,461Ilse tfluppr n7u tn� + 7 1p� IyffN i:r.i� h Py lilv�tn8 u . � flwq ld1 tua�� ar •Wf� ,� �tUsey r0 ivr3�{AQrr !o tunlrub!q � ./ 49 14 M {rpt a+a� ufw+ {wW Wt ob,4,f �qp, euoo< out w. •► •w•q meq "! ,. "214"t {N�a oaf IID 01ap'�w" owl M • ego oy of 1uMrYf� .u�y1 WMA" •w 46040% ulaq,.Qy* NOM W 1• Y� Mw.d.d 1 tV + Iu. Y 04 �� %Bill 4 1 '-w9 a ah •+u•4aar Ayr N w k. BU# Ovr .uaLir uMo y rr.p Ir aYe woy {.+wury',w"0'° r Owr �>+.�•�oar '. •e• u" tvq�iry ew Ab .wY,.q�, fMl,arr H• 'Rv.fy P.fYrWN ql •A+1' fV Mi our A"311 tufM„Qdip > .11"Ma app to bwlumA fW tm uonuapffue3 u , �� ,,,.• %� IOurlw+�n,4W� Auatrytlfu ,orput ba, I ( / 'v47'a+11{1>arrp'fugrdoue tln,ej.ty tU tual of 5ucnd Au/ uawrd 111 10 twwu SUIpAMU1) f 1SO3 N0=rI,tIuNO3 031vr1t.LS3 NOUL31dW00 do 3wtl 34w+ylx0ad4v W.f xf a✓ r It wafd uaana a, wiry wain Nim 'I• vA ywom Nam 3W11 ILY'AIxO!!dd'I 03033N lt'N0IIVAnX3 !o 3ZI$ 1'/AOMay 110 N011rilblSN) 10 NOIS YWIO ✓ NenMLsrr0�g014oe�'b a NOLL 4USN03 d0 35Odand Al •oq tt"4d WI Iw NOL)Wlt,ISN0710 Mort�o"3o1 III t Lw.*d tuwuMa+Owl UotwA{pq,"S : 31,0►0 iIVOr=IA)Q®� 03A0bddr'ftLN3A3A0ydYVl WON I" %0,,A uom.uud* vi GA ftm44 Bgl c rtl+w+�a,t LM" '1401 5UI" '.fyuuwpq 'aturwf/•Q •,Af".f"„¢ -IWfa ft",,l +o ><{aneVoilo„o*o+uu411 /into Dur os fill lei 11N3WM*V0y0N3) N0tI:)n&LS'N07 SNUOM Ongnd 1IM13d M01 !j0f1b711ddV b1N1f10 111 d0 Jlllo �u~.+eu•..e•mw "'-%aAU 70 uu W e WS 1+ © onw -4.0 o !l 5R 6 nH'1 Z6—.a3Z"—J,ki W