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, � -_� ,.. <br />h11NIMUM REQUIKEMC•N�S CFiGCKLIST <br />RIGHT OF WAY USG PL•RA11T <br />PLAN CHECK NO.`? ;-i:> <br />All applications to be comp(eted in ink. No application will be revicwed until all <br />required information has bcen receivcd <br />1. Completely Sill out all blanks on Right-of-Way Use Application. <br />2. If they havP not already been provided, appGcation will rcquire four (4) readable <br />copies of site plans, such as ENGINE[RING D[tAWINGS, drawn to scale and <br />sho�ving: <br />a. Property lines <br />b. Ou:line and dimensions ot existing and proposed structur�s 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, other than normal <br />foundation excavation <br />f. Un-site drainage systems; when requircd or rroposed� include calculations <br />g. North �rrow <br />3. All submittals to be collated and folded. <br />4. If you have any questions concerning the reyuested information, please contact <br />the Public Works Department at 259-881 l. <br />ACC[PTED DY: <br />� <br />� �",: � ,�,�E w,r <br />Name <br />itle <br />l� ��% ,�' <br />Dat� <br />