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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: 10/ 15/2020 <br />Various locations on Eddy Street and <br />Location of Encroachment: Howard Street <br />PROPERTY -OWNER'S INFORMATION <br />Business/ <br />Homeowner <br />Name: KRG Eddy Street Land II, LLC <br />Address: 30 South Meridian Street <br />City/State/Zip: Indianapolis, IN <br />Phone 317-713-5653 Email thalseynkiterealty.com <br />Signature t em <br />Print Name: <br />INSTALLER'S INFORMATION <br />Business Name: FA Wilhelm <br />Address: 3914 Prospect Street <br />City/State/Zip: Indianapolis, IN <br />Phone 317-359-5411 Email mattmueller(a,)fawilhelm.com <br />Signature ) 0,-� HIdT <br />SEE ATTACHED PLANS <br />Print Name: Matt Mueller <br />Encroachment Private storm sewer that carries storm water from the west side of Eddy Street to permitted underground <br />Description: detention system(s) east of Eddy Street. <br />Size of Varies. See plan sheets and request <br />CL Road to R/W Line Varies. See plan sheets and request letter Encroachment letter <br />Varies. See plan sheets and request <br />Distance of R/W Varies. See plan sheets and request letter Amount in R/W letter <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 Buildings are situated per approved setbacks and are permitted through building department. <br />relocated because Encroachments are needed to Drovide aDDronriate access to them <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 />BOARD OF PUBLIC WORKS APPROVAL <br />BOARD OF PUBLIC WORKS <br />Gary A. GJot, President Therese J. Do Member November 10, 2020 <br />_gz:a _ c� `� u - Date <br />Eliubeth A. Memdik, Member Jordan V. Gathers, Member <br />7'rl- ATTEST. RETURN FORM TO: <br />�"`l`�`°�" Board of Public Works <br />Joseph R. Molnar, Member _ <br />Linda M. Martin, Clerk 1316 County -City Building <br />227 West Jefferson Boulevard <br />South Bend, IN 46601 <br />Phone: (574) 235-9251 • Fax: (574) 235-9171 <br />