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N <br />� <br />M1NI�dUM REQUIREMENTS CHECKLIST <br />ltIGHT OF WAY USE• PLRMIT <br />PL11N CHECK NO. <br />All applications to be completed in ink. No avPlication will be reviewed until all <br />required information has bcen received. <br />1. Completely till out all blanks on Right-oi-Way Use Appiication. <br />2. If they have not aiready been provided� application wil! require four (4) readable <br />copies of site plans� such as ENGINE[RING D2AW1NG5, drawn to scale and <br />showing: <br />a. Property lines <br />b, Outline and dimensions of existing and proposed structures on Public and <br />Private property� labeled existing or proposed� and showing intended use <br />c. Existing and proposed utilities including poles, hydrants, etc. <br />d. Centerline of abutting Rights-of-Way <br />e. Any topographic changes requiring cuts and fills, othe� than normal <br />foundation excavation <br />f. On-site drainage systems; when required or proposed, indude calculations <br />g. North arrow <br />3. All submittals to be collated and folded. <br />4. If you have any questions concerning tlie requested information, please contact <br />the Public Works Department at 259-881 l <br />ACC[PTED DY: <br />��' - %�� ii' <br />�—�=� �-��� <br />Name <br />itl7�' e---'� <br />Datc <br />