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SPECIAL PERMIT <br />1c, sky �"J oil <br />IMIDA10111 MWEENK1110 RUM 0 <br />Name of Transporting Company: Lx< 'S % <br />Name of Representative�b°1 ffI4�� <br />--. �()Qcv <br />Headquarters Address: % 0 tcl SW I M VDWJyj l4qbo0n, &B14 <br />Telephone: -1 _1��L_ CA 62 & 0 D <br />F. <br />Name of Local Representative'"'" fn(-610tA_>*-Y--J <br />Address of Local Terminal: is 'C5, out khe So OA-An—ee-via m') +(OCO(C <br />Telephone: _:�,-71 <br />- — a <br />00<9 -7 377) to <br />Inn L14116pultulg UU111pany, in possession or a vano kiate irermit to operate long double and/or triple tractor -trailer combinations on the <br />Indiana Toll Road, is hereby authorized to operate such combinations on City of South Bend streets along the shortest route on which <br />the vehicle can safely maneuver from the Indiana Toll Road as described below. All general and special conditions of the Gate Permit <br />shall apply while on South Bend streets. This permit shall be valid twenty-four hours per day, every day, except that the transporting <br />company agrees to suspend operations on City of South Bend streets at such times that emergency conditions prohibits safe travel. <br />The transporting company shall make each and every operator of such combination vehicles aware of this permit and its conditions. <br />The transporting company agrees to indemnify, defend, exculpate, and hold harmless the City of South Bend, Indiana, its officials and <br />employees from any liability due to loss, damage, injuries, or other casualties of any kind, including attorney fees arising out of, or <br />resulting from, the issuance of this permit. The transporting company understands that the City of South Bend does not warrant, <br />guarantee, nor hold forth that the streets along this route are currently in condition to accommodate such combinations. <br />The representative of the transporting company signing below certifies that he holds the title stated and that he is authorized by the <br />company to bind the company to these conditions, <br />A' <br />Sioae,X"A A?K.4ig <br />Y- F 1--cr rritic_U14 4,0 Qf W, L bate: _L—— I <br />Routed Printed ame <br />A-M\WA C-rt-4 ILV �W� I U 4--u Cn e-io <br />0, V �l N erx Il—The - <br />CIA" 3 1 so <br />return % to the Inifiana. Toll Road shall be reversed, except as noted above. The length of the (one way) trip is '7 - miles. <br />Operation of long combination vehicles on City of South Bend streets according to the terms stated above <br />and along the route given is hereby approved for a period not to exceed one year from the date approved. <br />Notification of approval/denial of this request will be issued by return of this form, upon signed authorization <br />by the Board ofPublie Works. 11 <br />RETURN: FORM TO: FOR CITY USE ONLY Board of Public Works <br />k Board, of Public WorI s, RECOMMENDATIONS o APPROVED u-1DE AN, 1D,, Please see attached <br />1316 County -City Building Police Department <br />227 West Jefferson,Boulevard Legal <br />South Bend, IN 466,01 Other President` <br />Phone:, (574) 2354251 z' <br />Fax: (574) 235-9171 Member <br />Metber— <br />Attest: <br />D. ate: Linda Martin, Clerk <br />a <br />I <br />