UTILITIES LICENSE (3)
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COUNTY OF PINELLAS. STATE OF FLORIDA
UTILITIES LICENSE
THE COUNTY OF PINELLAS, a political subdivision of the State of Florida, hereinafter called the Licensor.
hereby grants to ____ _'Ih~ _g~ty _ Qf _gl~~;rlig.1>~;r... _lUffitI1lG..i"pJl_l.. _c_Q;Q2cu:.ati.Qn. - - --- - - - - ------- -- - -----.
of ____________________________________. hereinafter called the Licensee, a license to construct. operate, main-
tain, renew and remove __ ___ __~!?__~!:l~~!'.9f3P}Q!'_p~.!1j.j;1i;ry _ S&~&!'_ --- ---- --- - ---------- -- ------------
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as shown on the attached sketch, along, across, beneath, and over the right of way and/or property of the Licensor at
the following location:
28/(Druid ~d.) 13 . 20 Ie E
County Road No. ______. Section ______, Township ___L____ South. Range --,,;.:>------
East, situated between ~~~~~!.l~~~!.l J?!'!~~_______, Florida, and ~f_ J.~Df~_).Y~~_, Florida,
su b ject to the following terms, provisions, and conditions:
1. The Construction, operation and maintenance of such utility shall not interfere with the propeity and rights
of a prior occupant.
2. The construction, operation and maintenance of such utility shall not create obstructions or conditions
which are or may become dangerous to the traveling public.
3. All work must be done in keeping with standards of the County Road Department and under supervision
of the County Engineer,
4. All materials and equipment shall be subject to Inspection by the County Engineer.
5, The Licensee shall hold the Board of County Commissibners, and members thereof, harmless from the payment
of :my compensation or damages resulting from the exercise of :my of the privileges granted in this license.
6, The Licensee shall repair any damage or injury to the road or highway or other county property by reason
of the exercise of any of the privileges,granted in this License. and shall repair the same promptly, restoring it to i
condition at least equal to that which existed immediately prior to the infliction of such damage or injury.
7, All overhead installations shall conform to clearance standards of the State Road Department, and all under-
ground crossing installations shall be laid at a minimum depth of 24 inches below the pavement, or at such greater
depth as the Licensor may require.
8. In the event of widening. repair or reconstruction of said road, the Licensee shall move or remove said utility
installations at no cost to the Licensor,
9. The attached sketch. covering details of this installation. shall be a part of this license.
10. This license creates a permissive use only and the placing of facilities upon County property pursuant here-
to shall not operate to create or to vest any property rights in said Licensee, and is granted in perpetuity, subject to
termination by the Licensor upon the giving of thirty days' notice in writing to the Licensee,
11. The Licensee shall furnish the Licensor with a survey showin~ the exact locations of all facilities to be in-
stalled pursuant to this license. said survey to be sufficiently detailed to allow location of said installation by reference
thereto,
___~/1~LfZ/l~--
}f~~~tie, City Enginoer
___Q~~I_Q~_~~~~T~____________
(Licensee)
Approved
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Coul):y Engineer
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PINELLAS COUNTY, FLORIDA,
Acting by and through its Board
of County Commissioners
By
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ATTEST:
A VERY W. GILKERSON, Clerk
Chairman
By _____________________________________
Deputy Clerk
(NOTE: SEE REVERSE SIDE FOR INSTRUCTIONS)
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DIRECTIONS FOR FILLING IN PERMIT SHEETS:
1. Description and nature of the proposed installation shall be outlined in the four blank lines on Sheet 1.
2. The bottom of Sheet 1 shall be signed by applicant as well as County Engineer or the Assistant County Engineer,
3. On the sketch sheet the following data shall be supplied:
a. The plan sketch shall be filled in showing changes in the right of way lines and the widths of right of way
The offset distance from the centerline to the proposed installation shall be shown.
b, Typical cross section shall be filled in showing width of pavement, width of right of way on each side, offset
distance from centerline to proposed installation, and any pertinent data to sidewalks, curbs and gutter, etc,
c. Indicate type of installation on both typical cross section and plan view,
d. In special cases if typical cross section shown is not applicable. then show an applicable cross section on back
side. of Sheet 2.
4. This form is to be made out in triplicate.
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~. I USE PERMIT I
It) SKETCH SHOWING PROPOSED UTIL.ITY CONSTRUCTION
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elL COUNTY ROAD NO. M- ~
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PLAN SKETCH OF INSTAllATION
(not to scole)
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TYPICAL RURAL CROSS SECTION
(not to scale)
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TYPICAL CURB AND GUTTER CROSS SECTION
(not to seal e)
(IF ABOVE TYPICAL SECTIONS ARE NOT APPLICABLE. THEN .HOW APPLICABLE ONE ON
BACK SIDlE OF THI8 8HIEET)
Sheet 2 of 2
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