HomeMy WebLinkAbout4.5 Banner Install American Cancer Society t.
CITY OF DUBLIN
AGENDA STATEMENT
City Council Meeting Date: March 9, 1987
SUBJECT: Banner Installation - American Cancer Society
EXHIBITS ATTACHED: Encroachment Permit Application from Dublin Chairman
dated 2/25/87
RECOMMENDATION: Approve installation of banner, consistent with City
policy, from April 20 through May 2, on the San Ramon
Road banner poles.
FINANCIAL STATEMENT: Minimal cost; a few hours of Staff time will be
required to issue the permit, assist with
installation, and provide followup inspection.
DESCRIPTION:
The American Cancer Society, a non-profit organization, is conducting a
county-wide door-to-door campaign from April 20 through May 2,, during which
time volunteers will distribute educational material and solicit funds.
Though technically not a locally-based organization the volunteer drive in
Dublin will be under the direction of a local chairman who is a Dublin
resident. The City Council approved the Society's request to use the banner
poles in 1986. A certificate of liability insurance in the amount of
$1,000,000 will be provided prior to installation. The banner poles are
available during the requested period.
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ITEM NO. o COPIES TO: Virginia Woy, ACS
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' ,.CITY. OF:..DU_BLIN " . • • _
•" ', 6500 :Dublin:.Blvd. ..- -
,Dublin;' California _94568 _ _ -� A •
•DATE ! :46—/�fl
PHONE: :829-49 27 ,. ,�,:, '� Y , J
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l APPLICATION for •PERMIT.TO DO 1 WORK -
(IN ACCORDANCE WITH CHAPTER 1 OF TITLE 5 OF THE ALAMEDA COUNTY ORDINANCE CODE _ _
• as adopted- by the City. .of Dublin) - .
An ordinance providing for the protection of public highways and rights of way thereof;regulating the use thereof and the manner in
which the same may be altered, excavated under, obstructed or encroached upon; and providing penalties For the violation of the provi-
sions thereof. . ,
Thu undersigned hereby applies for permission to �e-0 e__.., .�V_� "" � '�""e�'.1� ) '
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Length of Excavation Lin. Ft. .Width Ft. Depth Ft. Permit valid until
ROAD NAME 40 -'
List other permits required by law., -
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V i R.CINiA Woy - A-I,4 E i e ni (-A4nrrr=le .S�-+r_i4 ry -11J-t Li fV / (, g
NAME OF APPLICANT - CITY / ZIP c os
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AOOAESS TELEPHONE NUMSER S NATL PE OF APPLICANT , )
Investigated By Date
Remarks:
•. , LIST OF CHARGES
Permit Fee `''r Each Permit 510.00 .
Where a field investigation is necessary before issuance of pen-nit,
a minimum charge of 520.00
For inspection of work after permit is Issued,where such in-
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. Inspection Fee . • spection is necessary,a minimum charge of 520.00
9�/ Where the charge for inspection exceeds the minimum amounts
Bond Required��`�-+t Q'4'�Q' shown, the charge shall cover all the necessary expenses of the
Inspection. _
TOTAL . • ' Receipt No.. -
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Where no maps or plats are furnished with this_application, o sketch of the proposed work, sha.+■ng location,name of road and other
necessary information, must be made on a separate sheet, in triplicate. _ n� L V. a
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APPROVED FOR ISSUANCE - _ -
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