HomeMy WebLinkAboutEncroachment - Jairo Gallegos-Los Tres Mangos1316 COUNTY -CITY BUILDING
227 W.JEFFERSON BOULEVARD
SOUTH BEND_ 1ND►ANA 46601-1830
CITY OF O BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC
June 25, 2019
Jairo Gallegos
Los Tres Mangos
2518 W. Western Avenue
South bend, IN 46619
RE: Encroachment into Public Right -of -Way — 2518 W. Western Avenue
Dear Mr. Gallegos:
PHONE 574/235-9251
FAX 574/235-9171
The Board of Public Works, at its meeting held on June 25, 2019, approved your request for
the installation of channel letter signs at 2518 W. Western Avenue. This encroachment was
approved subject to the improvements not becoming a safety hazard. Enclosed please find a
copy of the permit.
The encroachment will be permitted to remain and continue until such time as the Board of
Public Works of the City of South Bend shall determine that such encroachment is in any way
impairing or interfering with the highway or with the free and safe flow of traffic thereon.
Said encroachment shall not in any way prejudice or preclude the City's rights with respect
to the future use of that portion of the right-of-way.
If you have any further questions regarding this matter, please call this office at (574) 235-
9251.
Sincerely,
Linda M. Martin, Clerk
Enclosure
GARY A. GILOT GENEVIEVE E. MILLER ELIZABETH A. MARADIK LAURA L. O'SULLIVAN THERESE J. DORAU
APPLICATION
TO ENCROACH ONTO PUBLIC RIGHT-OF-WAY
THE BOARD OF PUBLIC WORKS MUST HAVE FOUR (4) WEEKS PRIOR NOTICE
5. µ PLANS AND SPECIFICATIONS MUST BE ATTACHED
,//lDate:
Location of Encroachment:. �,. „J 1 0_-i� �" � (',1A_e
PROPERTY -OWNER'S INFORMATION
Business/,,
Homeowner
Name:
Address:
City/State/Zip: _ A-.�,. 0,Y6A
Phone 4GI► Email ";Y Signature
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Print Name:
J
INSTALLER'S INFOATION
Business Name: ." ti °3 � Y e ' A 0
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Address: 2 �) Id OA2j �_& K
City/State/Zip: �&OA6 TjQ Lif,&m
Phone
Signature
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7� Email �/ g
Print Name: _ f _11�b L
Encroachment
Description:
CL Road to R/W Line
Distance of R/W
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The above information is to the best of my knowledge accurate and
Placed By:
This Encroachment should not be
relocated because
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Size of �p h
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Amount in R/W .,-71 . 1�o n
with regard to the encroachment in the City's right-of-way.
It has been determined that this encroachment in no way impai the highway or with the free and safe flow of traffic thereon, and it is
recommended that the encroachment be permitted to remain.
OARD OF P A LCUOKSAPPROVAL
President Member Member
Member Member
RETURN FORM TO:
Board of Public Works
1316 County -City Building
227 West Jefferson Boulevard
South Bend, IN 46601
Phone: (574) 235-9251 0 Fax: (574) 235-9171
,//.-)- a 9
Da e
REVOCABLE PERMIT,,,
vi p �
RECOGNITION OF ENCROACHMENT UPON CITY OF SOUTH BEND -CONTROLLED
PROPERTY AND PROVISIONS ALLOWING TEMPORARY CONTINUANCE OF SAME A"-
Company/Homeowner ps66
Name: " 1 " C,
Herein, "APPLICANT",
The encroachment will be permitted to remain and continue under the following terms and conditions:
1) Until such time as the BOARD OF PUBLIC WORKS (BOARD) of the CITY OF SOUTH BEND (CITY) shall
determine that such encroachment is in any way impairing or interfering with the highway or with the free and safe flow
of traffic thereon;
2) Said encroachment shall not in any way prejudice or preclude the CITY' S rights with respect to the future use of the
portion of the right-of-way;
3) The encroachment as it now exists shall in no manner be added to or enlarged in its present scope or dimensions;
4) In the event of change of ownership of the fixture or any other item of personal property which constitutes the aforesaid
encroachment, this permit shall become null and void;
5) The CITY shall not be liable to APPLICANT for any damages caused to APPLICANT that arise out of or is incidental to
any activity and/or incidences authorized by this permit;
6) In consideration of the granting of this Permit by the BOARD, APPLICANT shall indemnify, hold harmless and defend
the CITY from and against any and all actions or causes of action which the CITY may suffer or incur by reason of
bodily injury, including death, to any person or persons, or by reason of damage to or destruction of any property,
including the loss thereof, arising out of or in any manner connected with any activity and/or incidences authorized by
this permit and/or any activities and/or incidences incidental thereto, or which the CITY may sustain or incur in
connection with any litigation, investigation, or other expenditures incidental thereto, including any suit instituted by the
CITY to enforce the obligation of this agreement of indemnity.
It is the intent of the parties hereto that the APPLICANT shall indemnify the CITY under this indemnification clause to
the fullest extent permitted by law, except that APPLICANT shall not indemnify CITY for any damage or expense
caused by the sole negligence of the CITY.
This approval shall be binding upon everyone past or present, claiming any interest in and to the aforementioned encroachment.
ACCEPTANCE OF TERMS AND CONDITIONS
I accept and agree to be bound by all of the terms and conditions of this permit.
Submitted By:
Signature:
Date: .............
BOARD OF PUBLIC WORKS APPROVAL
4
Presiden& Member Member
Member
Member
l0
Date
Updated 02/18