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1557fi C NOTE: `With proper validation ' _ this form constitutes an CITY OF LA QUINTA encroachment permit' a APPLICATION FOR PERMIT PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) ,L} For the construction of public or private curbs, driveways,, pavements, 'sidewalks, parking lots, sewers, water mains 'Wand other like public works improvements in conriection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS ' „4„ Subdivision Improvement Permit— Class III DATE: September 24. 19992 Minor Improvement Permit Class IV :LOCATION OF -CONSTRUCTION r (Street address or Description of Location) ,PURPOSE OF CONSTRUCTION A wdnnt Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Mill UMAX ins+ high, • `. � M�AAti 8�' olntfA 1ha.' ROUTR: Sonora and Diaz to Bermudas to 52 to Washington to 52 DIMENSION OF INSTALLATION OR REMOVAL and Out of City.11mits. DATE: September 25, 1992 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) S ' 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 y, 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 * La Quinta,and,to pay for any additional replacement necessary as the result of this work. Signature of Applicant or Agent Gronite to6st. Co. k.0. Boy 9011 Palm Desert, CA 92255 775-8302 Name of Applicant (please print) Business Address Telephone No. Name of'Contractor,and Job Foreman Business Address Telephone No. .;' On, file... Contractor's License No. City Business License No. .a. 'Applicant's Insurance Company Policy Number FEES: : Subdivision Improvement Permit — Class Ill 1 I Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs Minor Improvement Permit — Class IV: See attached schedule' r Inspection,Fee $ Permit Fee 10.00 Penalty Cash Deposit -Surety Bond if required TOTAL Receipt No. $ 10.00 Received by Date I: )*'•' Recorded by PERMIT VALIDATION PERMIT NO. 1557 DATE APPROVED 9/24/92 EXPIRATION DATE 9/25/92 DAT I SUED 924/.92 B- �] Administrative Authority TELEPHONE: (619) 564-2246 W7 aQ1]A �u�o,,nr.r MAR,ao;,,4upv "8 07R6$1 ilvo levo NO11vy(dn aInoaa4► 10v(3 0% tr1',y" NQUY011TA .LjWWje "Cv,nM V,rod 'oN 7�u4a� nav,►ne N!� aN �4CiI/Rl o1+4 *uQ1A tj 1 a.a ------------ QV lo•q.y w„npy It auog tit.,Ms r•too$() ti,w*e S 441 ►,Ward +j I u011340%, ;5 .. x nLmv0�un,v,w.4e nia CUC u� o.twraylO1� O.1,�4,+a�o4wr IttAr,d a u0,L1et,ltyr� sal"" I° v :0--04uji ar;grt4 0113 11 a uuwd .0,1,. OOMC Issippv nturin no w46v,p su+o.;apv, Io dn—__ 5314 ON �tuval t .oy1,►yO, 9 uw,Q,o aaC ovr,ourrnva3 ,o hutr� 8. ' tlu,,,p adt lur,,, � O sWeN w O is u ,� ,�ti,.,r Wwwrnp,y gwov w M ,an PLO SPAN •rgq,oq� dk, Ia! All*+w.,�► ^A i• M,ar•vuaD oui oa"4rr �0 rrw r,ar wrr " M !o ra...oR w �"`OH l►!I yw,,,y °O"`OaQ'O Nq � uo V.% A�� •M4li VOr uta dt 4Wry r� vVM44 Will" �� 1• y y":�Ni, , �� 41 q MA �P4N ..e7ca.u„4 4.vq, ui4 1R M^�1 r►�..+v„ ° 0 ■ p V�wrr Mr n'R M+ e� ar wey �n+..Wry •.y�,Aw �~ no L's �+r ow uaw ynem n .,.rro u'W �l,w. CWP4 C.n.oanr a' ON M 'aN •o,M Uhl, f N�����M►Nw.+put / Wp f -A4A,j4 luo, OCO at,= Iruuq14jj ,( 10 Y01R,IprlUtq UI '4. JmAAmowr 3vQhea )o/twY ww,au ' +vao'Sur((r+t.16Waye 'hrAm., u •d suar.o ovr.u.onnp 7KLtgp (Ir to IL,4wu 1ki,Pmoulf t 1103 NOLL-7ijkWN03 a31vw11S'3 NQU31dW0D 40 3W(L 31uWrxObdd� © o � N1O38 T1tAil ' �%l© � �v� � kaaaN'3ty�g3w113.r.d,�cxoaedv Q3Q33N df'P1OtivnraX3 do 3ZIS 1vA0Mf3Y bQ N0tiv-nv1SN1 do NQ1SN3riIQ l"4mli vq�(j —�-� Q iii iC No, lar P uo,>ynan,� Wary ua • 0 ` NQfL:NIVISN07 do 330da114 r ~ Al ill"V* O L4t� U"KUAAG4Wj ,ovill �" NWJO� u,wua�►,il YO,y�rp rveo.4� � � ■+�ooa s..wf1 NOLL311RJ ;N00 !o Noftnai � r a � r 2OISIAiQAr�;Q3Aoade+/pvo / 91l�3W3noadWl W()Nlly ;4t A uaoo.uuoo yr WW1 t><,M, a t 'Aq 8ur�,ed yK;w�pn 'au« J4A#d 'JAUtIAl,p 'fewng ns+v,d rO old o 1Qn4AgURZ& 8 uQr>•Jn4m" owl ,od tt�awr�a,roa�Na� nlol.un uisvo3 sxaom :D' 11Wil3d b1od ,4011"11ddd b1N�no vi do Aa13 +—o- Mr i I3g1, r • �, M �,,a 4LM ! ,� �a� C= T rD d �n W -+n nH1 ZS--tpZ —daS