Transcription of REQUEST FOR FULL ROADWAY CLOSURE - New …
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REQUEST FOR FULL ROADWAY CLOSURE - New …
Rev. 9/15/10 8. Type of Pavement: a. Roadway_____ b. Sidewalk_____Date:(Authorized Representative of Applicant) 16. Submitted by:_____17. Tel #:(_____)_____-_____(Please Print) 18. Signed by:_____19. Date:_____/_____/_____ SECTION E: Acknowledgements and Agreements by Authorized Representative of the ApplicantTHIS IS NOT A PERMIT. The Applicant/Permittee is required to send written notice to Police, Fire, EMS, Community Board, affected NYC Transit or private bus companies and property owners on the segment of the street in which the permit applies a minimum of seven (7) days prior to the full ROADWAY CLOSURE . A copy of this notification must be presented to OCMC with the necessary permit application before the above permit stipulations will be approved. Required Notification Signage: _____Variable Message Sign (VMS) _____Fixed Orange Construction SignOCMC Approval by: / /Special Stipulations: SECTION D: Proposed Permit Stipulations (For Official Use Only) 14.
INSTRUCTIONS FOR COMPLETING FULL ROADWAY CLOSURE APPLICATION PROPERLY . To ensure the proper processing of your application, please print all information CLEARLY.. SECTION A: Applicant Information
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