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INDIAN RIVER COUNTY <br />RIGHT-OF-WAY REVIEWPERMIT APPLICATION <br />DATE Oct 30, 2017 R.O.W. PERMIT No. 20 �(02-,OCO <br />APPLICANT Blane Kirov for Tower Crud FTPFLO137 813:495-6481 <br />NAME PHONE <br />10401 Highland Manor Drive. Suite 120, Tampa, FL 33610 <br />DRESS <br />CONTRACTOR Y -Comm Kyle Ogletree 706-830-6411 cell License # CUQ057425 <br />NAME EMERGENCY PHONE NO, (REQUIRED) <br />424 West Drive, Melbourne, FL 32904 321-723-6025 <br />ADDRESS OFFICE PHONE NO. <br />LOCATION OF WORK From 1-96 & CR 512/ Fellsmere Rd to Fellsmere Canal on CR 507 - County Line <br />STREET ADDRESS <br />LOT BLOCK SUBDIVISION UNIT <br />DESCRIPTION OF WORK Direct bore 3X1 25" HDPE Conduits, fiber & hand holes in ROW - <br />TYPE OF REVIEW/PERMIT: (CIRCLE ONE) RESIDENTIAL COMMERCIAL <br />INDIAN RIVER COUNTYLAND DEVELOPMENT SIPTERGIF V E'D <br />TRAFFIC ENGINEERING DIVISION <br />MAINTENANCE OR TRAFFIC REVIEW (UTILITY XX) <br />-0 14 2018 <br />Vitt' <br />ONE)UBLIC <br />0�PjWflf IE N 6 1 N E E R I N G <br />TYPE C STORMWATER REVIEW: (CIRCLE ONE) YES GO:*EC(SWE[D) <br />CONSTRUCTION TYPE: NOV 01 2017 <br />DRIVEWAY* CABLE TV X UNDER <br />STREET PAVING ELECTRICITY OVER% <br />M VRIVER COUNTY <br />SIDEWALKS/CURBS TELEPHONE STORM NVWING f)1V!,S1ON <br />RIGHT-OF-WAY WATER SYSTEMS CLEARING <br />SANITARY SEWER __-X_OTHER Communications - Cell Tower <br />NOTE: 1. Detailed drawings shall be submitted with each application. <br />2. This permit is issued subject to all conditions on reverse side of this application. <br />3. A signature bythe contractor shall be construed as making the contractor personally liable for ail permit <br />I - <br />conditions unless contractor attached written proof of authorization to act on behalf of the applicant. <br />4. All work is subject to final inspection by Engineering Division. Call 770-5455, "AIRS" (automated inspection <br />request system) to schedule inspections for any permit issued after January 1, 2003. <br />`�� (—�, Bia ne Kirby <br />APPLICANT / CONTRACTOR SIGNATURE NAME (PLEASE PRINT) <br />OFFICE USE ONLY NOTES: <br />PERMIT FEE ,e -Y -D -4a-a cips6rfj- <br />V\ <br />ISSUING OFFICER. <br />DATE ISSUED lli—DA FEB 1. -5 2018 <br />V, <br />EXPIRATION DATE Wp (A i <br />.............. ILO lc=� - "4� <br />C:\Docurnents and Settings\webrnasterNDesktop\ROW APPLIC <br />Rev. 2/18/04 ATION FOR, 1 Am 1 <br />