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DEPARTMENT OF PUBLIC WORKS DUMPSTER ENCROACHMENT PERMIT Applicant’s Name: Applicant’s Phone: Applicant’s Address: City: Zip: Proposed Location: Purpose: Please list any other permits associated with the proposed location. Provide permit/project number(s): Waste Hauler: EFFECTIVE DATES: * From: * Dumpsters permitted by the City, may be placed in the public right-of-way for a maximum of seven calendar days. CONDITIONS OF APPROVAL 1. Permittee agrees to defend, indemnify and save harmless the CITY, its officers, agents and employees from any and all claims, demands, damages, costs, expenses (including attorney's fees), judgments or liabilities arising out of this Agreement or occasioned by the performance or attempted performance of the provisions hereof; including, but not limited to, any act or omission to act on the part of the or his agents or employees or other ---PAGE BREAK--- independent directly responsible to him; except those claims, demands, damages, costs, expenses (including attorney's fees), judgments or liabilities resulting solely from the negligence or willful misconduct of the CITY. 2. Permittee agrees to, at his/her own expense, restore to original or better condition any and all damages caused to public or private property resulting from the permitted activity. 3. Permittee agrees to place bin immediately adjacent to the curbside in front or as close to the work address as possible. 4. Permittee agrees to secure and maintain the dumpster and dumpster area in a clean and safe condition. 5. Material and equipment related to dumpster service, other than the dumpster itself, is not to be stored on public property or obstruct free and convenient approach to and use of any fire hydrant, fire or police alarm. 6. A walkway of not less than 4 feet wide shall be maintained in good order on the sidewalk in front of the site at all times and for the entire length of time that work is being done. 7. Permittee is to guide, direct, and assure safe passage of pedestrians on the sidewalk at all times. 8. Permittee is to park all vehicles away from the dumpster location to allow for parking access by other residents in the area. 9. Permittee agrees not to place dumpster within 6 feet of a driveway apron, 25 feet of an intersection, and in any location where it obstructs a driver or pedestrian’s ability to see clearly, or as directed by the Public Works Director or designee. 10. No dumpster shall be placed in the public right-of-way that will not allow for a 12-foot driving lane. 11. If placed in the City right-of-way, reflective materials or traffic delineators shall be placed around the dumpster at the discretion of the Department of Public Works. 12. This permit may be revoked at any time without cause, when determined to be a public safety hazard by the Public Works Director or designee. 13. The Permittee agrees to immediately move any dumpster, at their own expense, determined to be a public hazard or public safety concern by the Public Works Director or designee. 14. Further requirements, if necessary, shall be administrated by the building inspector in accordance with the Millcreek Municipal Code. 15. Permittee agrees to contact the City Department of Public Works ([PHONE REDACTED]) 24- hours ahead of delivery of dumpster to verify the location of the unit. The unit shall be placed to the satisfaction of the Public Works Director or designee. I HAVE READ AND AGREE TO THE ABOVE CONDITIONS. Applicant Signature: Date: Date Issued: Approved by: Fee: