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0 <br />FORM L%wis <br />SYSTFUS n_onv*m <br />Ilm <br />SPECIAL ,PROVISIONS ,�,��, <br />Ni—*121-2—w <br />NON-CONFORIVING CONNECTIONS: YES <br />NO <br />If this is a non -conforming connection permit, as defined in Rule Chalk-irs 14-96 and 14-91, then the rollowing may be a pail of this permit; <br />I, The nonconforming connection(s) descrilied in this perriiii voill carry no more Ilurn in average daily <br />traffic, or in peak hour traffic. <br />2. All non -conforming connections will be subject to closure or itlociflon whett reasonable acus beezraes available in &C fuam. <br />E R SPECIAL P ROV IS 10 14S <br />-F,i�;Erjr UPON <br />lz T1- FROM <br />n <br />SEFCRE BEGINNING ANY WORK THE SIGNAL <br />MAINTA!NING AGENCY <br />CY MUST BE NOTIFIED <br />To' 2� <br />ESTA�SH FIE LOCATION OF ANY <br />SIGMA LO-Z,�S wi?,cs SYSTO,% COMMUNI• <br />CATIONS E -,C' <br />that uuiiti:s may <br />A (;UPY OF THIS PERMIT AND PLANZ <br />WiLL BE DN THE JOB SITE AT AL& <br />TIMES DuRiNG THE GONSIRUCMM <br />(0 DU6 FACIUIT- <br />PART 61 PERMITTEL1, CERTIFICATION AND SIGNA" <br />Titis permit is hereby signed and all provisions agreed to on date: <br />I certify Ilim I have read and undersand the in(mmaiinn and provisions contained in this permit. 1 ruriller certify that I possess the aulhotily <br />let undertake ilia proposl activities, <br />wrMESSED BY: Signed: <br />4AN6.4 <br />PRINT OR TYPE: Geoffy eq K. Barkett PRINT ORTYPE: Patrick S. Valthers P -9 - <br />Project Massager <br />1708 21st Street T1TLE:A,,tb0rJZPA Rgyreseatative— Carter Associatei <br />Inc. <br />Vero Beach. VL 32960 Vero Beach VL 32960 <br />11-v <br />DATE: <br />Itrcrtsro rArn (D <br />