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HC 5137 (4-84) HENNEPIN COUNTY , �.a`; .,� ,«i <br /> - - DEPARTMENT OF TRANSPORTATION NO. .:.. : '> ;. <br /> 320 Washington Avenue South <br /> Hopkins, Minnesota 55343 <br /> UTILITY PERMIT and SPECIAL PROVISIONS <br /> SPECIAL PROVISIONS <br /> 1. RESTORATION <br /> BASE SURFACE SHOULDER BOULEVARD - Ditch <br /> Type Type Type Topsoil <br /> Depth Depth Depth Sod <br /> Prime Joint Width Seed <br /> Tack Cure <br /> 2. TRAFFIC DIRECTION <br /> AS PER ATTACHED PLATE NO. <br /> 3. REMARKS <br /> NO WORK PERMITTED WITHIN ROADWAY SURFACE DURING WINTER, UNLESS "SPECIAL PERMISSION" tS OBTAINED. <br /> NO WORK WILL BE PERMITTED ON SATURDAYS, SUNDAYS OR HOLIDAYS, UNLESS "SPECIAL PERMISSION" IS OB- <br /> TAINED FROM THIS OFFICE. <br /> It is expressly understood that this permit is conditioned upon replacement or restoration of the roadway to its original or to a satis- <br /> factory condition. <br /> ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON ATTACHED "SPECIAL PROVISIONS"TO BE COMPLIED <br /> WITH. THE DATE WHEN WORK IS CO�qPLETED MUST BE REPORTED TO HENNEPIN COUNTY DEPARTMENT OF TRANS- <br /> PORTATION PERMIT SECTION. TELEPHONE: 935-3381, Extension 311. <br /> LIMITATIONS <br /> If the County shall make any improvement or change on all or any part of its right of way upon,over,under or along a county road, <br /> and such change or improvement requires the moving or changing of public utility facilities in such right of way,then, in that event, <br /> the applicant herein shall, after notice in writing by the County,alter,change,vacate or remove from the county road that part of its <br /> facilities necessary to conform to the improvement at its own cost and without any cost to the County. <br /> APPROVED: HENNEPIN COUN7Y HIGHWAY DEPARTMENT <br /> By <br /> Date <br /> NOTICE OF COMPLETION OF THE WORK <br /> HENNEPIN COUNTY DEPARTMENT OF TRANSPORTATION DATE <br /> MAINTENANCE DIVISION-PERMIT SECTION <br /> 320 WASHINGTON AVENUE SOUTH <br /> HOPKINS, MINNESOTA 55343 <br /> Dear Sir: Please be advised that the work authorized under Permit No. <br /> issued to for work in <br /> the City,Township or Village on Road <br /> was completed and is ready for inspection. <br /> By <br /> (Please complete this form and return it within 24 hours after completion of the work) <br />