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<1 <br />Q <br />MINIMUM REQUIREMENTS CHECKLIST <br />RIGHT OF WAY USE PERMIT <br />PLAN CHECK NO. <br />All applications to be completed in ink. No application will be reviewed until all <br />required information has been received, <br />1. Completely fill out all blanks on Right -of -Way Use Application. <br />2. If they have not already been provided, application will require four (4) readable <br />copies of site plans, such as ENGiNEERING DRAWINGS, 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— rL- hl <br />e. Any topographic changes requiring cuts and fills, other than normal <br />foundation excavation <br />I. On -site drainage systems; when required or proposed, include calculations <br />g. North arrow <br />3. All submittals to be collated and folded. <br />4. If you have any questions concerning the requested information, please contact <br />the Public Works Department at 259-8811. <br />(1 ACCEPTED BY: <br />Name <br />Title <br />Date <br />63 <br />0 <br />