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23. Is there a need to upgrade the existing power source? No {if the��e is a need foi•1 cliange in the <br /> existing powe�� c•equirements, �pplicant is responsible for a11 costs associated)All utilities must be inst�lled <br /> withiil existing utility easecnents. If tliere is a ��eed fo�� a new route the City must approve tlie location of <br /> the proposed utility route. A site survey witl be necessary showing the proposed z�oute which will include a <br /> legal description of existing�nd proposed easement. <br /> 24. As a part of this project, will Applicaut be installing Fiber to set•ve its Communication's Facilities? <br /> No <br /> 25. Estiinated date of praposed installation; TBD <br /> Note: Lease Amendments Re�ui�'e Cliy Cou11C11�pproval. <br /> PLEASE IZEAD CAREFULLY B�F�RE SIGNING! <br /> 26. The unclersigned agrees and acicnowledges that in addition to the$750.00 Anle�i�ra Site Applicatrori lee <br /> for I+'reqcrency Anr�lysrs*(5�E NOTL B�LOW), the ap�licant will also bc respor�sible for the actual costs <br /> ii�.volved it�the following whieh will require an�5CI20W AGR��MENT: <br /> a) Plan Review(City Engineei•i�ig Consult�nt} <br /> b) Survey Review(if required) <br /> c) Site Meetings(Ciiy Engineer and/or City Consultiug Engineer's time&ti�avel costs) <br /> d) I�Ispection(City aild/or City's Consultant) <br /> e) Sti�actural Tower Review (City's Coiisulting Erigineer will review youz•Structui•al Analysis) <br /> fl Building&Electric�l Permit fees (not a part of this�scrow Agree�nent) <br /> g) Utility Locates (Applieant must notify existing tenants to obtaili utility locatcs,of existing <br /> uuderground telephoiie, eleccrical and coaxial transmission lines)If existing tenant ca�uiot locate <br /> tlieir utilities, Applicant is responsible to locate. City will locate its sewer,water, storm,aiid fiber <br /> via Gopher One request. <br /> li) City Attorney Fees (pi•eparatioii of Lease Amei�dment/Coriser�t&other easement documents) <br /> i} Other <br /> `) �..,' "r .. t ;l �� �; � ..,�t �' /� '.i � , `�� . �j�j 1 <br /> Telephone Number: ' v 'f � e-mail address: i�� % (., � `,/ 4 ('< 1-l. � ��,4.� <br /> != <br /> Sigiiature: 1`I� ��7L.L% ���� � �:i>-� (� t Date: C e � l.l r: � +, � <br /> (authorized signature) <br /> i7z9o9�i � <br /> 4 of S <br />