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x <br />227 W. JEFFERSON BOULEVARD PHONE 574/ 235-9251 <br />SUITE 1316 COUNTY-CITY BUILDING FAX 574/ 235-9171 <br />SOUTH BEND, INDIANA 46601 TDD 574/ 235-5567 <br />CITY OF SOUTH BEND <br />DEPARTMENT OF PUBLIC WORKS <br />SPECIAL TRUCKING PERMIT <br />*FAX OR MAIL FORM 3 WORKING DAYS (EXCLUDES WEEKENDS) BEFORE REQUIRED 48 HR PUBLIC NOTICE <br />**48 HR PUBLIC NOTICE ANNOUNCED UPON APPROVED FORM <br />***THIS APPLICATION EXPIRES 30 DAYS FROM SUBMISSION DATE <br />Oversize Overweight Hazardous Material <br />Submission Date: 7/15/22 <br />Applicant Name: Wolfe House Movers of Indiana Phone #: 260-224-2615 Fax #: 260-982-7410 <br />Email: andrew@wolfehousemovers.com <br />Application #: <br />Route: From: 130 Park Lane, <br /> South Bend, IN 46601 <br />To: Southeast corner of Riverside Drive and Park Ave. <br />Travel Date: September 8th, 2022 Single Lane Occupancy x Multi-Lane Occupancy <br />Time(s): From: 8:00 am To: 12:00 pm <br />Contact: Andrew Heck Phone # 260-224-2615 <br />Load Description: House on hydraulic dollies. <br />Vehicle Description: <br />Length: 50’ Width: 38’ Height: <br />Weight (Gross:) 80 Tons Max Weight (Single Axle): 20,000 lbs <br />Number of Axles: 8 Axle Spacing: Rear Steerable Axle: x Yes No <br />Vehicle Type: Tractor-Trailer Truck-Trailer Truck x Other/Towed <br />Has the route been driven previously? <br />If so, provide the date. x Yes No <br />Will the load be delivered within the City? <br />If so, consult Ordinance Section 21-07.05. for regulations. x Yes No <br />Attach the following: x Route Map x Axle configuration for vehicles over 5 axles <br />For County route permit contact: 574-235-9626 For INDOT route permit contact: 219-325-7523 <br />OFFICE USE ONLY: <br />Approved Approved as Noted Revise Revise as Noted <br />Comments: <br />Engineering Division Authorized Signature: Date: <br />Version 1.0 [5/27/2016] <br />x <br />8/1/2022