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1868
.45;;� NOTE: With proper validation this form constitutes an CITY OF LA QUINTA encroachment permit 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: 9/7/93 Subdivision Improvement Permit— Class III Minor Improvement Permit Class IV LOCATION OF CONSTRUCTION Keller Pit Road to Whitewate Bridge 0 WaAhington (Street address or Description of Location) PURPOSE OF CONSTRUCTION MoveEguipment DESCRIPTION OF CONSTRUCTION D8L Dozer & Rippers 14'10 H,13'10"W, 98'L DIMENSION OF INSTALLATION OR REMOVAL SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN Sketch (attach construction plans if appropriate) APPROXIMATE TIME OF COMPLETION 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 of this permit, the applicant hereby agrees to: ROUTE: Keller Pit Road-- Ave 58 East, Madison North, 54th West, Jefferson North, 52nd West Washington to White water Bridge DATE: 9/7/93 PIiDOT CAR REQUIRED 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 La Quinta and to pay for any additional replacement necessary as a result of this work. Signature of Applicant or Agent Dalton Trucking Name of Applicant (please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business License No. On File On File ` 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 Penalty Cash Deposit -Surety Bond if required TOTAL: Receipt No. Received by 10.00 Date SEP 0 7 1993 t 'PERMIT VALIDATION PERMIT NO.� 1868 DATE APPROVED 9/7/93 EXPIRATION DATE 9/7/93 DATE—ISSUED 9/7/93 By �� Sfi 11 Administrative Authority Recorded by 11 TELEPHONE: (619) 564-2246 r •. .' SEP 07.'93.11:27 DALTON TRUCKING P.2/2 ' . TRANPORTATION •.PgRMIT [,AIIPOR�IA'•,t)EP¢ARTMENe.OP• TRANSPORTATION ; CQMPLl4NGE WRN'YOLJA'ApQt1H8i AND 5ULt1EG7 TCS ALL OF TME TERAS, CQNDr• PERMI; VALID FN 2:. AHO RBSTRl&ONS WRIM14 HLOW AND THE .ATTACHMENT5, PERMI FJON 15, .. .'. 1; ! f ' ANC SUN9ET.. 5.6 ' 1 MOVING AUTNO!! ZED YES NO SATUA DAY ,'.:ir .. �iA.'+..'-»-"+-""•-? XCQ: SUNDAY G t3 Q, 0�j'av SUN iO.SIINRISE !^f �• ALJTFiCMtLEb:STATE RfRA@WNTAYIVE r NA L' ' L DOR APJD MOGEt NO. TELECOPIEO PERmrn,iQoT vAuD wpm0lh SIAL. RL tri- dT C�Gf`f f/ •" {ti , • r a3 P'! .V'ENMLE .. !" lcthJli Ptt1 So. % OMS; vEHKiE : r `y Lhsy AXLE.. JI /r' /, LENGTH �. %,40iNG. STATION AECRIW.IG mil !Y 91 ,. Lblwb�i lI 14 IS DWERENT THAN OR WIDISHTS E)�CMVWG.•.THOS@ SHOWN 02LOW ARE'ldOT AUT F1bROft MAX �f w1pTM:, / MAX : �• OYEahl6 tENG}N; 9 g- MAA . OVERHANG: . /'3 ,1,:. ,� ;,fir G: �!. r A*LE WIDTH O f/� / Q A(! 1 •DRt DESTINATION TAICS ` r'> A P ..COUNTY HDl REQUIRED, , •rcJ � P ...7 Lw�5 �" `: �; . v' L ,. f�, u V'' .1• f'f �' r. I^ �V � C) t• i __r.�` I �•`E; f` ��• { )/'� f 1f 'i�:'hy, "i� 't�' � ' OT'CAR YES Nfli REpU1REG Ar rACHMENT PERN is T. GOh1 i s 4;i►5H ! IiAt Ali C' N7Y AND/GR 07Y TRAAt5P0e7ATM PE 17. © HAVE' &1'fN 08J'iN£D:IF ili PERMIT IS FOfd.'TQi4llNr, A MONILEHOME. —" ��! EXEMPT; : i l� � � '� � � • - 1.. ,' A pA AGG, .SIGNATU _ • � d .GIk1M,hle(Rew. T.e4f ORFG�-PbrmiHv6a ::; :. � .1t9'.:6�1•':� UR 0