Laserfiche WebLink
APPLICATION <br />TO ENCROACH ONTO PUBLIC RIGHT-OF-WAY <br />THE BOARD OF PUBLIC WORKS MUST HAVE FOUR (4) WEEKS PRIOR NOTICE <br />PLANS AND SPECIFICATIONS MUST BE ATTACHED <br />Date: January 3, 2020_ <br />Location of Encroachment: 3007 Mishawak <br />a Avenue <br />PROPERTY -OWNER'S IN <br />Business/ <br />Zion Castor dba Castor Liquidation LLC <br />Homeowner <br />Name: <br />Address: <br />733 S. 33" Street <br />City/State/Zip: <br />Sou th Bend, IN 46615 <br />Phone <br />541-255-5544 Email castorliquidation <br />6tmynrail.com <br />Signature Pit Name: n Castor <br />INSTALLER'S INFOIMA' <br />Business Name: Custom Awning <br />._..w..- ........ <br />._..� <br />Address: 1251 Third Street <br />Osceola, IN 46561 <br />Phone 574-674-5900 En customawninginc <br />(rD,Y rhoo .com <br />Signature <br />Print Name: <br />Jac(rline Beals <br />Encroachment <br />Description: <br />CL Road to R/W Line <br />Distance of R/W <br />Storefront Awning <br />26' <br />Attach Photo of Site <br />Here <br />(Or See Attached Photo) <br />Size of <br />Encroachment <br />2' _ <br />Amount in R/W <br />The above information is to the best of my knowledge accurate and correct with regard to the encroachment in the City's right-of-way. <br />Placed By: <br />This Encroachment should not be <br />relocated because <br />It has been determined that this encroachment in no way impairs the highway or with the free and safe flow of traffic thereon, and it is <br />recommended that the encroachment be permitted to remain. <br />J �f BOARD4�%FPL�J:11 O 'kS APPROi�4�rN"kbe �.� <br />1"teldrat <br />ember <br />M ber Member Date <br />L <br />RETURN FORM TO: <br />Board of Public Works <br />1316 County -City Building <br />227 West Jefferson Boulevard <br />South Bend, IN 46601 <br />Phone: (574) 235-9251 a Fax: (574) 235-9171 <br />