Agreement No. ________________________ State Route No. ________________________ Project No. ________________________ County ________________________ Type of Surety ________________________ Bond / Check No. ________________________Utility Use and Occupancy Agreement • January 8th, 2020
Contract Type FiledJanuary 8th, 2020Application is hereby made by (Applicant/Utility Name): ___________________________________________________ Address: ________________________________________________________________________________________ for permission to install and maintain the following described utility facilities on the right-of-way of State Highway No. _________________ in _____________________________________________________ County Description: ____________________________________________________________________________________ At the following described location __________________________________________________________________ Location: GPS = N ______________ E ______________ Log Mile = Start ______________ End ______________