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City of South Bend/Public Works <br />rt�rrd227 W. Jefferson Blvd' <br />4 a South Bend, IN 46601 <br />Application and Permit <br />Allowing Extended Occupancy of City Right of Way <br />Applicant: KRG Eddy Street Land 11, LLC Dole, 1/16/2018 <br />,Applicant Address: 30 South Meridian Street, Indianapolis, IN 46204 <br />Project Site Address: Eddy Sheet batmen Napoleon & Howard. St, Vincent between Georglana and alley west of Eddy. <br />Note: Occupancy IWI-ed to street(s) immediately in froinf of construction site. <br />Nature and extent of Occupancy (e,g.: proposed construction activities, equipment proposed <br />to occupy public right-of-way, construction deliveries, etc.): <br />Proposed construction activities for construction of Eddy Street Commons Phase 11, Utility <br />Installation, road reconstruction, staging, construction deliveries, barriers for public safety <br />considerations. <br />Duralion of Occupancy, March 2018 - October 2019 <br />Signature of Applicant-!AfA <br />V <br />THE TERMS AND PROVISIONS OF CHAPTER 6, ARTICLES and CHAPTER 18, ARTICLE 7. Sec 18,-62 OF THE <br />SOUTH BEND MUNICIPAL CODE ARE INCORPORATED HEREIN IN THEIR ENTIRETY, FAILURE TO COMPLY <br />WITH THESE PROVISIONS SHALL RESULT IN CANCELLATON OF THIS PERMIT. <br />THIS PERMIT SHALL BE CONDITIONED UPON THE EXECUTION AND FILING WITH THE BOARD OF PUBLIC <br />WORKS OF A BOND IN AN AMOUNT APPROVED BY THE BOARD OF PUBLIC WORKS, CONDITIONED Tod <br />INDEMNIFY, SAVE AND KEEP HARMLESS THE CITY OF SOUTH BEND, INDIANA, FROM ANY AND ALL LOSS, <br />EXPENSE, COST OR LIABILITY OF ANY KINDS WHATSOEVER WI,1ICIA THE CITY MAY SUFFER OR BE PUTTO <br />FROM OR BY REASON OF ANY ACT OR THING DONE OR NEGLECT TO BE DONE, OR BY VIRTUE OF THE <br />AUTHORITY GIVEN IN SUCH PERMIT. <br />TO BE COMPLETED BY CITY STAFF ONLY: <br />Bond Amount,, qL� dO Date Bond Filed: <br />Compliance with CH 6, ART and CH 18,, ART 7, Sec 18-62 of the South Bend Municipal Code <br />Fee Paid <br />Date Issued: <br />BOARD OF PUBLIC WQRKS <br />UL <br />Member <br />Issued By: <br />Member <br />Membd <br />