ContractEncroachment Removal Agreement • December 29th, 2011
Contract Type FiledDecember 29th, 2011ENCROACHMENT REMOVAL AGREEMENT APPLICATIONCITY OF OCEANSIDE ENGINEERING DIVISION COMPLETE THE INFORMATION BELOW Project Address: Owner/Applicant Phone: Mailing Address: Fax: City/State/Zip E-Mail: Contact: Phone: Address: E-Mail: Explain the reason for encroachment: Encroachment is located on: Street/Right-Of-Way width Easement Type Easement width Is this encroachment associated with a project? □ Yes □ No List Project File No: Project Plan No: Detailed description of encroachment: Encroachment Constructed Yes No NOTE: Any construction performed in the right-of-way or easement requires submittal of a Construction Certificate and Traffic Control Plan to Engineering Divison and approval by Engineering and Transportation Divisions Construction Certificate Permit N0. Traffic Control Permit No. Submittal Check List:□ Preliminary Title Report/Vesting Deed □ Deeds/Reference Maps□ Assessor's Map □ Site Map (Exhibit A) Provide 5 copies.□ Photograph □ Signature Authority□ Transmittal Lett