Loading...
HomeMy WebLinkAboutSAGE CREEK - Filed DCP-DEV. CONSTRUCTION PERMIT - 2005-06-22Citv of Fort Collins Transportation Services Fngineering Department DEVELOPMENT CONSTRUCTION PERMIT Permit Number: 01-15 Issuance Date: `' l t'I Project Name: Sage Creek, PDP, Phase 4 (T-if"T>,It�)) Project Location: A tract of land located in the East Half of Section 5, Township 6 North, Rangc 68 West of the 6`' P.M., City of Fort Collins, County of Larimer, State of Colorado. Permittee: The James Company, Inc., a Colorado Corporation City and developer contacts: See attached Exhibit 'A "for names and phone numbers of all contact persons for this project. Fees: Permit Application Fee (paid for Phase 4) $(300.00) 1?rosion Control Deposit (Paid 08/07/00, Rec. 92107) S(66,300.00) Construction Inspection Fee Phase 4 $13,029.00 Total $13,029.00 Development Bond or other approved security: Amount of security deposited with the City to guarantee the completion of all public improvements to be constructed as shown on the approved plans for the development. S377,393.50 (for Phase 4) Form of security deposited with the City: Development Bond PERFORMANCE REQUIREMENTS OF THIS PERMIT: 1. The Permittee shall be responsible to require their Project Engineer to incorporate into all design drawings and specifications the certification of all materials testing by an Engineer. The Permittee shall have an Engineer prepare revised design drawings and secure City approval for all revisions to the utility Plans and related documents. The Permittee shall have an Engineer represent, as required by the City in the Development Agreement, that the improvements are constructed in conformance with the approved Utility Plans and the standards and specifications of the City. The Permittee shall provide "as -constructed" plans prepared by an Engineer prior to the City's acceptance of the constructed public improvements. (All references above to the terns "Project Engineer" and 281 tirrth C:.,ll �� ^ -enu_ • CC7. Bps Hsu EXHIBIT "A" DEVELOPMENT PROJECT CONTACT PERSONS Project Name: Sage Creek, PDP City Staff Contact Persons: Development Engineer: Mark McCallum, City of Fort Collins, 281 N. College Avenue, Fort Collins, CO 80522 970/221.6605 ext.7656 Construction Inspector: Lance Newlin, City of Fort Collins, 281 N. College Avenue, Fort Collins, CO 80522 970/221.6605 Current Planner: Cameron Gloss, City of Fort Collins, 281 N. College Avenue, Fort Collins, CO 80522 970/221.6750 Water Utilities Engineer: Roger Buffington, 700 Wood Street, Fort Collins, CO 80521 970/221.6854 Stormwater Engineer: Jay Barber, 700 Wood Street, City of Fort Collins, CO 80521 970/221.6063 Erosion Control Inspector: Bob Zakely, 700 Wood Street, City of Fort Collins, CO 80521 970/221.6063 Natural Resources: Kim Kreimeyer, City of Fort Collins, 281 N. College Avenue, Fort Collins, CO 80522 970/221.6750 ext. 6641 Traffic Operations: Ward Stanford, 700 Wood Street, City of Fort Collins, CO 80521 970/221.6820 Transportation Planning: Kathleen Reavis, 210 East Olive Street, City of Fort Collins, CO 80524 970/224.6140 Forestry: Tim Buchanan, City of Fort Collins, 281 N. College Avenue, Fort Collins, CO 80522 970/221.6361 Light and Power: Doug Martine, 700 Wood Street, City of Fort Collins, CO 80521 9701224.6152 Developer's Contact Persons: Project Manager: Merle Bush, James Company, 2919 Valmont Rd., Ste. 204, Boulder, CO 80301 Office: 303/443.6666 Mobile: 303/588.7429 fax: 970/223.2786 Developer: Jim Postle, James Company, 2919 Valmont Rd., Ste. 204, Boulder, CO 80301 Office: 303/443.6666 Fax: 303/443.6777 Architect/Planner: Eldon Ward, Cityscape Design, 3555 Standford Rd., Fort Collins, CO 80525 Office: 970/226.4074 Project Engineer: Stan Meyers, The Sear -Brown Group, 209 South Meldrum Street, Fort Collins, CO 80521 Office: 970/482.5922 fax: 970/482.6368 e-mail: stan-meyers@searbrown.com PE Lis. #: 18060 General Contractor: Merle Bush, James Company, 2919 Valmont Rd., Ste. 204, Boulder, CO 80301 Office: 303/443.6666 Mobile: 303/588.7429 fax: 970/223.2786 City of Fort Collins Transportation Services Fn;;inieerin., Dehsrhn2ri`---- — Development Construction Permit, Page 1/6 DEVELOPMENT CONSTRUCTION PERMIT Permit Number: 00-19 Issuance Date: ! t Project Name: Sage Creek, PDP, Phases I & 2 Project Location: A tract of land located in the East Half of Section 5, Township 6 North, Range 68 West of the 6t" P.M., City of Fort Collins, County of Larimer, State of Colorado. Permittee. The James Company, Inc., a Colorado Corporation City and developer contacts: See attached Exhibit `A "for names and phone numbers of all contact persons for this project. Fees: Permit Application Fee (paid for Phase 1) $(300.00) (paid for Phase 2) $(300.00) Erosion Control Deposit (Paid 08/07/00, Rec. #2107) $(66,300.00) Construction Inspection Fee Phase 1 $9,665.40 Phase 2 $18,368.10 Excavation Permit Fee $25.00 Total $28,058.50 Development Bond or other approved security: Amount of security deposited with the City to guarantee the completion of all public improvements to be constructed as shown on the approved plans for the development. $756,662.10 (for Phases 1 & 2) Form of security deposited with the City: Letter of Credit Letter of Credit overview: Letter of Credit: $756,662.10 (Phase 1, $305,695.00; Phase 2, $450,967.10) Account for: The James Construction Company Irrevocable Letter of Credit #3175 From: First National Bank HI ADrib Coll: ^c AN cn,u Coain,, CO9f 53 = IFS I (0711) °.2 t (-of F Development Construction Permit, Page 2/6 PERFORMANCE REQUIREMENTS OF THIS PERMIT: 1. The Permittee shall be responsible to require their Project Engineer to incorporate into all design drawings and specifications the certification of all materials testing by an Engineer. The Pennittee shall have an Engineer prepare revised design drawings and secure City approval for all revisions to the Utility Plans and related documents. The Permittee shall have an Engineer represent, as required by the City in the Development Agreement, that the improvements are constructed in conformance with the approved Utility Plans and the standards and specifications of the City. The Permittee shall provide "as -constructed" plans prepared by an Engineer prior to the City's acceptance of the constructed public improvements. (All references above to the terns "Project Engineer" and "Engineer" shall mean a Professional Engineer licensed in Colorado.) 2. All contractors who perform work on this project must be bonded and licensed in conformance with City requirements. 3. Construction tine restrictions: Regular Construction Hours 4. The applicant understands that additional permits may be required for this development project and the applicant shall secure those permits directly from the issuing departments. 5. This permit, along with a complete set of all approved plans and documents for this project (utility plans, site plan, landscape plan, development agreement, soils report, pavement design, traffic study, drainage report, plat easements and any other official documents), shall be kept on the development site available for use by City staff doing inspections. 6. Permit Expiration (in accordance with Section 29-12 of the Transitional Land Use Regulations or Section 2.6.3(K) of the Land Use Code, whichever is applicable): a. If construction has not begun within sixty (60) days from the date of issuance of this permit, this permit shall expire and the applicant will forfeit the permit fee paid for this permit, whereupon the applicant must re -apply for a new permit. b. In addition, this permit shall expire one year from the date of issuance. The applicant may apply for an extension by reapplication at least two weeks prior to the expiration date. Such application shall contain information sufficient to justify the granting of the extension. An extension may be granted for up to six months. 7. Building permits and certificates of occupancy will only be issued when all conditions contained in the Development Agreement and Sections 3.3.2(C) and (D) of the Land Use Code or Sections 29- 678 and 29-679 of the Transitional Land Use Regulations, whichever is applicable, are met. If the Development Agreement does not specify times for completion of public improvements, or if there is no Development Agreement, then the improvement requirements specified in Section 24-95 of the City Code shall apply, which provides that construction of all improvements shall be required prior to the time of issuance ofthe first building permit. Development Construction Permit, Page 3/6 8. Acceptance by the City of the public improvements shall be after (1) final inspection has been conducted by the City; (2) punch list items from the final inspection are completed and accepted by the City; and (3) required certifications from the licensed professional engineer that improvements are completed to City standards, specifications and approved Utility Plans; and the "as -constructed" plans have been received and accepted by the City. 9. The warranty on street improvements is for five (5) years from the date of acceptance by the City of the completed improvements, in accordance with Sections 29-13 and 29-14 of the Transitional Land Use Regulations and/or Sections 2.2.3(C)(3)(g), 3.3.1(C)(2), and 3.3.2(C) of the Land Use Code, as applicable. 10. The City Erosion Control Inspector must be notified at least twenty-four (24) hours prior to any planned construction on this project. All required perimeter silt fencing and other erosion/sediment control best management practices (BMP's) that can be installed prior to construction must be in place and inspected by the City Erosion Control Inspector before any land disturbing activity begins. 11. No work (including grading) shall be started in State Highway right-of-way until a permit is issued by the Colorado Department of Transportation to allow such work to begin. 12. At the time that Ziegler Road is constructed all construction traffic related to this development shall use Ziegler Road as opposed to Kecther Road. If a situation should arise that does not make it practical for construction traffic to use Ziegler Road, then the City Inspector shall use discretion In authorizing the use of Kechter Road for construction traffic for this development. Permittee's acknowledgment signature: By signing this permit I acknowledges that I am acting with the knowledge, consent, and authority of the owners of the property (including all owners having legal or equitable interest in the real property, as defined in Section 1-2 of the City Code; and including common areas legally connected to or associated with the property which is the subject of this application) without whose consent and authority the requested action could not lawfully be accomplished. Pursuant to said authority, I hereby permit City officials to enter upon the property for purposes of inspection and, if necessary, to enter upon such property to perform work required of the applicant if the applicant were to fail to perform the required work. I also acknowledge that I have read this permit document with all its requirements and conditions, and I agree to all of the terms and conditions so stated in this permit. Applicant Project Manager's Signature: -o Date: PrintN me:% _ flif:l:;;<t Approva/for issuance: City Engineer Approval: c "kja_� Date: T Cam McNai (Permit Issuance Date) Development Construction Permit, Page 4/6 I�cuar�_vi DEVELOPMENT PROJECT CONTACT PERSONS Project Name: Sage Creek, PDP City Staff Contact Persons: Development Engineer: Mark McCallum, City of Fort Collins, 281 N. College Avenue, Fort Collins, CO 80522 970/221.6605 ext. 7656 Construction Inspector: Jeff Baldwin, City of Fort Collins, 281 N. College Avenue, Fort Collins, CO 80522 970/217, 8901 Current Planner: Ron Fuchs, City of Fort Collins, 281 N. College Avenue, Fort Collins, CO 80522 970/221.6750 ext. 2138 Water Utilities Engineer: Roger Buffington, 700 Wood Street, Fort Collins, CO 80521 970/221,6854 Stormwater Engineer: Jay Barber, 700 Wood Street, City of Fort Collins, CO 80521 970/221.6063 Erosion Control Inspector: Bob Zakely, 700 Wood Street, City of Fort Collins, CO 80521 970/221.6063 Natural Resources: Kim Kreimeyer, City of Fort Collins, 281 N. College Avenue, Fort Collins, CO 80522 9701221.6750 ext. 6641 Traffic Operations: Ward Stanford, 700 Wood Street, City of Fort Collins, CO 80521 970/221.6820 Street closures: Syl Mireles Transportation Planning: Kathleen Reavis, 210 East Olive Street, City of Fort Collins, CO 80524 970/224.6140 Development Construction Permit, Page 5/6 Forestry: Tim Buchanan, City of Fort Collins, 281 N. College Avenue, Fort Collins, CO 80522 970/221.6361 Light and Power: Doug Martine, 700 Wood Street, City of Fort Collins, CO 80521 970/224.6152 Developer's Contact Persons: Project Manager: Merle Bush, James Company, 2919 Valmont Rd., Ste. 204, Boulder, CO 80301 Office: 303/443.6666 Mobile: 303/588.7429 fax: 970/223.2786 Developer: Jim Postle, James Company, 2919 Valmont Rd., Ste. 204, Boulder, CO 80301 Office: 303/443.6666 Fax: 303/443.6777 Architect/Planner: Eldon Ward, Cityscape Design, 3555 Standford Rd., Fort Collins, CO 80525 Office: 970/226.4074 Project Engineer: Stan Meyers, The Sear -Brown Group, 209 South Meldrum Street, Fort Collins, CO 80521 Office: 970/482.5922 fax: 970/482.6368 e-mail: stan-meyers@searbrown.com PE Lis. #: 18060 General Contractor: Merle Bush, James Company, 2919 Valmont Rd., Ste. 204, Boulder, CO 80301 Office: 303/443.6666 Mobile: 303/588.7429 fax: 970/223.2786 Outside Contact Persons: U.S. West Janine Harris, 3351 Eastbrook Drive, Fort Collins, CO 80525 970/377.6408 TCI of Fort Collins Dennis Greenwalt, 1201 University Avenue, Fort Collins, CO 80521 970/226.3104 Development Construction Permit, Page 6/6 Public Service Company Jim Slagle, 1901 East Horsetooth Road, Fort Collins, CO 80525 970/225.7843 Poudre Fire Authority Ron Gonzales, 102 Remington Street, Fort Collins, CO 80524 970/221.6570 "Engineer" shall mean a Professional Engineer licensed in Colorado.) 2. All contractors who perform work on this project must be bonded and licensed in conformance with City requirements. 3. Construction time restrictions: Regular Construction Hours 4. 1'hc applicant understands that additional permits may be required for this development project and the applicant shall secure those permits directly from the issuing departments. 5. This permit, along with a complete set of all approved plans and documents for this project (utility plans, site plan, landscape plan, development agreement, soils report, pavement design, traffic study, drainage report, plat easements and any other official documents), shall be kept on the development site available for use by City staff doing inspections. 6. Permit Expiration (in accordance with Section 29-12 of the Transitional Land Use Regulations or Section 2.63(K) of the Land Use Code, whichever is applicable): a. If construction has not begun within sixty (60) days from the date of issuance of this permit, this permit shall expire and the applicant will forfeit the permit fee paid for this permit, whereupon the applicant mist re -apply for a new permit. b. In addition, this permit shall expire one year from the date of issuance. The applicant may apply for an extension by reapplication at least two weeks prior to the expiration date. Such application shall contain information sufficient to justify the granting of the extension. An extension may be granted for up to six months. 7. Building permits and certificates of occupancy will only be issued when all conditions contained in the Development Agreement and Sections 3.3.2(C) and (D) of the Land Use Code or Sections 29- 678 and 29-679 of the Transitional Land Use Regulations. whichever is applicable, are met. If the Development Agreement does not specify times for completion of public improvements, or if there is no Development Agreement, then the improvement requirements specified in Section 24-95 of the City Code shall apply, which provides that construction of all improvements shall be required prior to the time of issuance of the first building permit. 8. Acceptance by the City of the public improvements shall be after (1) final inspection has been conducted by the City; (2) punch list items from the final inspection are completed and accepted by the City:. and (_3) required certifications from the licensed professional engineer that improvements are completed to City, standards, specifications and approved Utility Plans; and the "as -constructed" plans have been received and accepted by the City. 9. The warranty on street improvements is for five (5) years from the date of acceptance by the City of the completed improvements, in accordance with Sections 29-13 and 29-14 of the Transitional Land Use Regulations and/or Sections 2.2.3(C)(3)(g), 3.3.1(C)(2), and 3.3.2(C) of the Land Use Code, as applicable. 10. The City Erosion Control Inspector must be notified at least twenty-four (24) hours prior to any planned construction on this project. All required perimeter silt fencing and other erosion/sediment control best management practices (BMP's) that can be installed prior to construction must be in place and inspected by the City Erosion Control Inspector before any land disturbing activity begins. I I. No work (including grading) shall be started in State Highway right-of-way until a permit is issued by the Colorado Department of Transportation to allow such work to begin. Permittee's acknowledgment signature: By signing this permit I acknowledges that I am acting with the knowledge, consent, and authority of the owners of the property (including all owners having legal or equitable interest in the real property, as defined in Section 1-2 of the City Code: and including common areas legally connected to or associated with the property which is the subject of this application) without whose consent and authority the requested action could not lawfully be accomplished. Pursuant to said authority, I hereby permit City officials to enter upon the property for purposes of inspection and, if necessary, to enter upon such property to perform work required of the applicant if the applicant were to fail to perform the required work. I also acknowledge that I have read this permit document with all its requirements and conditions, and I agree to all of the terms and conditions so staled in this permit. Applicant/Project Manager's Signature: Date: �/ ✓i Print Name: H ppro va! for issuance: City Engineer Approval: �� cti� Date: f Cam McNair I (Permit Issuance Date) EXHIBIT "A" DEVELOPMENT PROJECT CONTACT PERSONS Project Name: Sage Creek, PDP City Staff Contact Persons: Development Engineer: Mark McCallum, City of Fort Collins, 281 N. College Avenue, Fort Collins, CO 80522 970/221.6605 ext. 7656 Construction Inspector: Lance Newlin, City of Fort Collins, 281 N. College Avenue, Fort Collins, CO 80522 970/221.6605 Current Planner: Cameron Gloss, City of Fort Collins, 281 N. College Avenue, Fort Collins, CO 80522 970/221.6750 Water Utilities Engineer: Roger Buffington, 700 Wood Street, Fort Collins, CO 80521 970/221.6854 Stormwater Engineer: Jay Barber, 700 Wood Street, City of Fort Collins, CO 80521 970/221.6063 Erosion Control Inspector: Bob Zakely, 700 Wood Street, City of Fort Collins, CO 80521 9701221.6063 Natural Resources: Kim Kreimeyer, City of Fort Collins, 281 N. College Avenue, Fort Collins, CO 80522 970/221.6750 ext. 6641 Traffic Operations: Ward Stanford, 700 Wood Street, City of Fort Collins, CO 80521 970/221.6820 Transportation Planning: Kathleen Reavis, 210 East Olive Street, City of Fort Collins, CO 80524 970/224.6140 Forestry: Tim Buchanan, City of Fort Collins, 281 N. College Avenue, Fort Collins, CO 80522 970/221.6361 Light and Power: Doug Martine, 700 Wood Street, City of Fort Collins, CO 80521 970/224.6152 Developer's Contact Persons Project Manager: Merle Bush, James Company, 2919 Valmont Rd., Ste. 204, Boulder, CO 80301 Office: 303/443.6666 Mobile: 303/588.7429 fax: 970/223.2786 Developer: Jim Postle, James Company, 2919 Valmont Rd., Ste. 204, Boulder, CO 80301 Office: 303/443.6666 Fax: 303/443.6777 Architect/Planner: Eldon Ward, Cityscape Design, 3555 Standford Rd., Fort Collins, CO 80525 Office: 970/226.4074 Project Engineer: Stan Meyers, The Sear -Brown Group, 209 South Meldrum Street, Fort Collins, CO 80521 Office: 970/482.5922 fax: 970/482.6368 e-mail: stan-meyers a searbrown.com PE Lis. #: 18060 General Contractor: Merle Bush, James Company, 2919 Valmont Rd., Ste. 204, Boulder, CO 80301 Office: 303/443.6666 Mobile: 303/588.7429 fax: 970/223.2786 Cite of Fort Collins Transportation Services Fngineering Department DEVELOPMENT CONSTRUCTION PERMIT Permit Number: 01-11 Issuance Date: 3I 11l t Project Name: Sage Creek, PDP, Phase 3 Project Location: A tract of land located in the East Half of Section 5, Township 6 North, Range 68 West of the 6m P.M., City of Port Collins, County of Larimer, State of Colorado. Permittee: The James Company, Inc., a Colorado Corporation City and developer contacts. See attached Exhibit 'A "for names and phone numbers of all contact persons for this project. Fees: Permit Application Fee (paid for Phase 3) $(300.00) Erosion Control Deposit (Paid 08/07/00, Rec. 92107) $(66,300.00) Construction Inspection Fee Phase 3 $9,997.10 Total $9,997.10 Development Bond or other approved security: Amount of security deposited with the City to guarantee the completion of all public improvements to be constructed as shown on the approved plans for the development. $433, 687.20 (for Phase 3) Form of security deposited with the City: Cash PERFORMANCE REQUIREMENTS OF THIS PERMIT: 1. The Permittee shall be responsible to require their Project Engineer to incorporate into all design drawings and specifications the certification of all materials testing by an Engineer. The Permittee shall have an Engineer prepare revised design drawings and secure City approval for all revisions to the Utility Plans and related documents. The Permittee shall have an Engineer represent, as required by the City in the Development Agreement, that the improvements are constructed in conformance with the approved Utility Plans and the standards and specifications of the City. The Permittee shall provide "as -constructed" plans prepared by an Engineer prior to the City's acceptance of the constructed public improvements. (All references above to the terms "Project Engineer" and 0 CID --t- m cm N � U � O F � C ¢ * �6 * * m � * S1 N `o v p x t0 ,� 0o O i I� p x cn Z? mm N m I Y � � O � O N � M N � N w � ❑ SI � ro O �4 W U H a) 44 o Z c N N � N p m o Ul ri JJ Z O a) O S O F U m +4 ro m fn a Z°�M* w a) x o O,�1 O U O U V z07L G W (n�¢m* CO W >oZ* UGa a4v Q �0* MOT, J N Q1 4 y ��.• r�w aom o �M "Engineer" shall mean a Professional Engineer licensed in Colorado.) 2. All contractors who perform work on this project must be bonded and licensed in conformance with City requirements. 3. Construction time restrictions: Regular Construction Hours 4. The applicant understands that additional permits maybe required for this development project and the applicant shall secure those permits directly from the issuing departments. 5. This permit, along with a complete set of all approved plans and documents for this project (utility plans, site plan, landscape plan, development agreement, soils report, pavement design, traffic study, drainage report, plat easements and any other official documents), shall be kept on the development site available for use by City staff doing inspections. 6. Permit Expiration (in accordance with Section 29-12 of the Transitional Land Use Regulations or Section 2.6.3(K) of the Land Use Code, whichever is applicable): a. If construction has not begun within sixty (60) days from the date of issuance of this permit, this permit shall expire and the applicant will forfeit the permit fee paid for this permit, whereupon the applicant must re -apply for a new permit. b. In addition, this permit shall expire one year from the date of issuance. The applicant may apply for an extension by reapplication at least two weeks prior to the expiration date. Such application shall contain information sufficient to justify the granting of the extension. An extension may be granted for up to six months. 7. Building permits and certificates of occupancy will only be issued when all conditions contained in the Development Agreement and Sections 3.3 2(C) and (D) of the Land Use Code or Sections 29- 678 and 29-679 of the Transitional Land Use Regulations, whichever is applicable, are met. If the Development Agreement does not specify times for completion of public improvements, or if there is no Development Agreement, then the improvement requirements specified in Section 24-95 of the City Code shall apply, which provides that construction of all improvements shall be required prior to the time of issuance of the first building permit. 8. Acceptance by the City of the public improvements shall be after (1) final inspection has been conducted by the City; (2) punch list items from the final inspection are completed and accepted by the City; and (3) required certifications from the licensed professional engineer that improvements are completed to City standards, specifications and approved Utility Plans; and the "as -constructed" plans have been received and accepted by the City. 9. The warranty on street improvements is for five (5) years from the date of acceptance by the City of the completed improvements, in accordance with Sections 29-13 and 29-14 of the Transitional Land Use Regulations and/or Sections 2.2.3(C)(3)(g), 3.3.1(C)(2), and 3.3.2(C) of the Land Use Code, as applicable. 10. The City Erosion Control Inspector must be notified at least twenty-four (24) hours prior to any planned construction on this project. All required perimeter silt fencing and other erosion/sediment control best management practices (BMP's) that can be installed prior to construction must be in place and inspected 'by the City Erosion Control Inspector before any land disturbing activity begins. 11. No work (including grading) shall be started in State Highway right-of-way until a permit is issued by the Colorado Department of Transportation to allow such work to begin. Permittee's acknowledgment signature: By signing this permit I acknowledges that I am acting with the knowledge, consent, and authority of the owners of the property (including all owners having legal or equitable interest in the real property, as defined in Section 1-2 of the City Code; and including common areas legally connected to or associated with the property which is the subject of this application) without whose consent and authority the requested action could not lawfully be accomplished. Pursuant to said authority, I hereby permit City officials to enter upon the property for purposes of inspection and, if necessary, to enter upon such property to perform work required of the applicant if the applicant were to fail to perform the required work. I also acknowledge that I have read this permit document with all its requirements and conditions, and I agree to all of the terms and conditions so stated in this permit. Applicant/Project Manager's Signature: _ f ! /z. Date: Print 'ame: N\-YaLF L, Approval for issuance: r\ q City Engineer Approval: Date: Cam McNair (Permit Issuance Date)