ST9905-CS030602 (2)
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~l 99 -05
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Use Permit A 'ieatioD
Represlntruive(:i) of tlte ConmU:lor mU:i1 adlrere 10 all conSI"4ctioll st/Ufd(l'ds app,oved by the City of Coppell, /tIltich
incllUln bllt is nOllimited to: Erosion Control O,dinance, COMpactioff requirenre1ltl (derrsity tests may bit required Q./
thl applic,1nfS Upense) and !Jarrlcfllling acco,r/i"ll (tI IIu Tccfl$ Maffutl! on lInift"..,,, T7t1lJic Comrol Dfi';ces. ATtarS)
affected mus, be restored to (IS good COl/ditio" as before the Comnrellccme"t of Hlor/( (g'tlding, rJrtlintlg~; Yeg~truio",
affd erosioll control).
Pa e2
>> Aay u~ntiou requiring ~Josjag ala street/alley must b. reponed prior to dosing to the (oUomu/::
Pollee Department @ 972-304-3600
Fire Department @ 1n2.304-3500
Street Departmellt @ 972-304-3546
Engineering Department @ 972.304-3679
II M 0 D/AQIL..
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>> AIt.1Ic:b barricade pIau / trench 5afcfy plan il. lane or street clolure if required.
NOTE: Street closures are aJ/o/tled bo", 9.-00 a.m. un,11 .f.-OO D.na. ONLY IUIless ol"~rwise apP'oY~d by City
Engineer. (.~ \
\Ac ",^-,I\l cl f~ J I ctc \ \ (\ i
> Atta,h W.rt< 0'0" ([...."';.. \ .Iy)) h", _ \10\ 1 ,~"{~ )
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>> Contact must he made wi'" City and utility companies to loeme e:ristinf utllilles 48 /'OIl'S prior 10 begi""ing of
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y /~ ~;:}7!~VLF tt~
o pany Representative Printed Name Date
C{'T2 - 32 ~ - ~4'Ot)
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Date
~~~s
Printed Name
JAJ]Ul 0U,t~Df
Signature of City Representative
1 er~co..~ LurVL E'.r
Printed Name
1/C},I/DB
Date I ~
7
(ApplJCaJlon /tilth original Sitntllures neetis to be SJ4bnriUed (D tile engilteerinz Depllnmtflt btfore flpprfJyrd)
1/
· NOTE:
;. Co rnmenrs:
SU(\ 'Sf-w
Notify City Inspe:i, at 97].304.3
trencn. ditcn Q/rd open p'tlllSp~ctions.
(lJackflll musl meet all COItSm4CI;on Itallda,ds apprtlved by tire City 01 Coppcll)
7plicllnt shall indemnify and forever !told !tamrless lIll"insl lite City of CtJppcl/ lack and every claim, demand or
us~ of actioll '''fIt ma)/lJe mad~ t1, come against II by rellSon of 0' if any /tIay (lrisi"r ow of rite C/03ure, blocking.
ca"fUint. clIl1ing. tunneling. 0' otlte, Klo,t by rite applicant ,mder permit fro", tire City, if Sue" permit is granted.
ijctt oJ€ t\D1- S \.0w[)~ m bL ~~.~ RDw ~-L 1U'\:;(J;t'Wt
o,d~ \J'\ w !\i\.\LI ('0-Yr'\.Qj' b-r Dett\Lli.- \ he4:'u II .
t!Jw1t m~ D btoi.J) ()J yr I \,Cd-e., eas~ vu- -H'" 07Y) ,
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