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1810
"—=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 improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS DATE 7-23-93 LOCATION OF CONSTRUCTION The Quarry Subdivision Improvement Permit— Class III Minor Improvement Permit Class IV (Street address or Description of Location) PURPOSE OF CONSTRUCTION Move BciuiRY"t Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION D-69 Dozer DIMENSION OF INSTALLATION OR REMOVAL L651 VID4611 Wt.110,277 SIZE OF EXCAVATION, IF NEEDED Route: Jefferson to 54th to Madison -to 38th to keller Pit Rd. APPROXIMATE TIME WHEN WORK WILL BEGIN 7-26-93 one trip '° p La ° D JUL 2 3 1993 D u APPROXIMATE TIME OF COMPLETION u ESTIMATED CONSTRUCTION COST $ ' (Including removal of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing inprovements) In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, defend and save the City, its authorized agents, off cers, representatives and!employees, harmless from and against any and all penalties,.•Iiabilities or loss resulting from claims or court action and arising out of ayiy 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 advanc f' the time when work will be started. Comply with all applicable City Ordinances, the terms and conditions of a per Et and all applicable rules and regulations of the City of replacement necessary as the esult of his wo La Quinta and to a for an additional P Y Y Signature of Applicant or Agent I Johnson Machinery Co. 800 last La Cadent Df, Riverside CA 92502' t909)686-4560 Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Contractor's License No. ness Address Telephone No. City Business License No. Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit —Class III 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 Fee 10 Penalty Cash Deposit -Surety Bond if required TOTAL: $ 10 Receipt No. Received by Date 1810 PERMIT VALIDATION PERMIT NO. 1810 DATE APPROVED 7-23-93 EXPIRATION DATE 7"26-93 DATE ISSU D 7-23-9 By Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 J r J+•^;C?i99 68 , �"' .'�4. }w►.".�r.«.r(,,'. ti�ai$+,wf. ,.'�' ;+M,13e:'a"y'.`"'a•'"F'-- 31yo y ldnidN9ls.iN39V oazib0HLnV (� ;WoH31190W V VNIM01 NO3 S1 11iY6'3d S1H1 d! 03N1V'IS0N339 fAV)4 N0fIVIhfQJSNY4I AlD yGIIJNV AiNOO� 17V IVNI sNoaiallo� uwmaA p et1µlW�ad—OIyJ {6,-t'A'a141-d-WWQ �t LdW3(A' ❑ `33i 3'JN'�1�7 NSVD ❑1 SIN3WH:)bIIV 03211ntA7b 3N0hl ❑ 93A kilt,--'-V-i ' qT, ,1•-r v a "r `Q � -11 --1 -�' 1" oS 1►' � a � n v�__ _ � � : vN O oto C� h-� r,► 1 'T 03a11G3$ SA.WkJd AID a0/d1SIV AIM10:0 SAV I IVIS a3ilaOHlnY i 1 iS9 Jd0 •ad lid N0863:jd3r 12 ot-I�I�IaG iy f»r LJ c i O {, 9{ Y G �, U t ONI37dS 71X7 SMt a2SwnN I ^vnwftN b g G 9 & v £ L t 31XV I Y 93 t NVH X�AOW d�� 1 'Ht�N31 11Ya3Af0 , q t H XylyMj �1 1 XYV! canioF1iny 10N 3ay M0139 NMONS 350HI ON1C1 MR UH013M NO NYMI iN383dd14 SNOISN3W10^030VOi d0'L —Q9 c g HiUN31 xvw c 0-V 31XV 1571 NC511r1S �iNIA13�3a NOIIVIS JN1aN34 �- 313, 3A '9W07 61 NielONiX 31xv Z I oval 31xv e 4*01i-12A 9dAL Ind 1V3S 1nGH11M 011VA ACN SLIwa3d 0314033131 ON 1340W dNY 1N3Wdinh3 a0 av01 11VIMS311M 31V1s 49ZINQH1nY^ 3$14Nn$ Q1 L3sNns .© ❑ `olq a99V-999 ( 606) 4 � I� AVOhInS . Ie'a3H 3Nt7Hd 4 f_J AVOan1VS �C�976 '1�� `fipt$ �9/1��. ON ,iA ORISONinV !JNIAOW 135NnsaNb �u9g.� gj qs.3 009 --- Y� iJ ss��anv, i W11 oo 013 UOSU O 4 +a'�� 10L Od1NVSO A93113H N31M139 D+1 dA 11W213d 5I NO�SSIW69d-SIN3WH37Ald 3HL dNV M0139 N31AIM SNOWIIaLSU ONY SNOT! IOI103,'cwajl JHl 30 11V 04 DUMS (JNV Wf`103a anOA HIM 33NV11dyA*),NI NOUVIM4SIA01 30 1N3WAVd30 VIWt0if1`0, LIWm3d•r14QI'AVIa0dSNVIII'- 1T9'� S-6 t,T+20,24-„a6 ?3T sziu1-4e,,j '2-o4. U'gP1a!:l rj, 2r • �. _ ?.f .+Mfg "A p