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HomeMy WebLinkAbout25-0530 Ernesto & Carla Ponce RIGHT-OF-WAY ENCROACHMENT LICENSE AGREEMENT This Right-of-Way Encroachment License Agreement (hereinafter the "Agreement") is made and entered into at Elgin, Illinois this [ ] day of [ ], 2025, by and between the City of Elgin, an Illinois municipal corporation (hereinafter the "City") and [Ernesto and Carla Ponce],a(n) [Property Owner] (hereinafter the"Licensee"). Recitals WHEREAS, Licensee is the record titleholder and responsible for the maintenance of certain real property located within the City of Elgin, County of Kane, State of Illinois, legally described on Exhibit A, attached hereto and incorporated herein by this reference, said property being commonly known as [525 Regent Street] (hereinafter referred to as "Licensee's Property");and, WHEREAS, the City is the owner of the public rights-of-way within or adjacent to the area identified as the Licensee's Property including, but not limited to, those portions of[Regent Street] located within said area(hereinafter the"City Right-Of-Way");and, WHEREAS, Licensee desires to utilize a portion of the City Right-Of-Way for the installation of[a 42-inch-high wood fence] in certain sections of said City Right-Of-Way within or adjacent to the Licensee's Property. The portion of the City Right-Of-Way to be used by Licensee is depicted on Exhibit B, which is attached to and incorporated into this Agreement by this reference(hereinafter the"Encroachment Area");and, WHEREAS, the City has agreed to grant to Licensee a temporary and non-exclusive personal privilege to use the Encroachment Area described above, all in accordance with and subject to the terms,conditions and limitations of this Agreement. NOW, THEREFORE, for and in consideration of the mutual covenants, and obligations contained herein and other good and valuable consideration received by each party, the sufficiency of which is hereby acknowledged,the parties agree as follows: 1. Incorporation of Recitals. The foregoing recitals are hereby incorporated into this Agreement in their entirety. 2. Grant of License. The City hereby grants to Licensee a temporary and non-exclusive personal privilege and permission to enter upon the City Right-Of-Way and to use the Encroachment Area described above (hereinafter the"License"), subject, however, to the terms, conditions and limitations of this Agreement. The License herein granted shall be subject to all existing utility easements, if any, located within the City Right-Of-Way, or any other easements,conditions, covenants or restrictions of record. 3. Term. This Agreement and the License granted to Licensee hereunder shall commence as of the date of this Agreement and shall continue until terminated in accordance with the terms of this Agreement. 4. Consideration. The consideration to be paid by Licensee to the City for the privilege granted by this Agreement shall be Ten Dollars ($10.00), the receipt of which is hereby acknowledged by the City. 5. No Interest in Land. Licensee understands, acknowledges and agrees that this Agreement does not create an interest or estate in Licensee's favor in the City Right-Of-Way. The City retains legal possession of the full boundaries of its right-of-way and this Agreement merely grants to Licensee the personal privilege to use the Encroachment Area described above throughout the term of this Agreement. 6. No Vested Right. Notwithstanding any expenditure of money, time and/or labor by Licensee on or within the Encroachment Area, this Agreement shall in no event be construed to create an assignment coupled with an interest or any vested rights in favor of Licensee. Licensee shall expend any time, money or labor on or in the Encroachment Area at Licensee's own risk and peril. 7. Limited Scope of License. The License granted to Licensee is limited in scope to the following use or uses: "Installation of a 42" high, wood fence in the City Right-Of-Way, specifically, those portions along Regent Street as depicted in Exhibit A, attached to and incorporated into this Agreement by reference, identified herein as the Encroachment Area. Licensee shall maintain the wood fence." Licensee shall not have the right to expand the Encroachment Area or alter or change Licensee's use of the Encroachment Area without the City's prior written consent. 8. Non-Transferability of License. The License granted to Licensee by this Agreement is a mere personal privilege granted by the City to Licensee, and is neither transferable nor assignable by Licensee without the City's prior written consent. 9 Termination This Agreement and the License herein granted to Licensee may be terminated by either party for any reason or no reason upon giving thirty (30) days written notice. In addition, this Agreement may he terminated by the City upon five (5) days written notice to Licensee of a breach of any term or condition of this Agreement. a. Recording of Notice of Termination. Upon termination of this Agreement the City may cause to be recorded with the County Recorder of Kane County, Illinois, a written Notice of Termination. h. No Compensation to Owner. In the event of termination of this Agreement, Licensee shall not be entitled to receive a refund of any portion of the consideration paid for Cny of Elgin Righi•of.way bncnwchmrnt Liccn,Agtrrnxnt Page 2 this Agreement, nor shall Licensee be entitled to any compensation or reimbursement for any costs or expenses incurred in any way arising from this Agreement or relating to the construction, installation, maintenance and/or removal of improvements in the Encroachment Area, nor any monetary damages of any kind whatsoever. 10. Permanent Removal of Encroachments Upon Termination. At such time as this Agreement and the License herein granted to Licensee is terminated, Licensee shall, at the option of the City, remove, at Licensee's sole cost and expense, any and all encroachments or improvements owned or maintained by Licensee in the City Right-Of- Way. Any other provision of this Agreement to the contrary notwithstanding, Licensee " shall immediately remove, at its sole cost and expense, any such encroachments in the event that the City determines that such removal is necessary or convenient for the installation, repair or replacement of any utilities or other public improvements in the City Right-Of-Way, or in the event that the City determines that any such encroachments interfere with pedestrian or vehicular traffic, public utilities, or constitute a safety hazard. Any replacement or repair of such encroachments shall be at the sole cost and expense of the Licensee. If the Licensee fails to exercise its duties under this paragraph, the City shall have the right to remove the encroachments or improvements and restore the City Right-Of-Way, the full and complete cost of which shall be borne by Licensee. Licensee covenants and agrees to reimburse the City its full cost and expense for any such removal and/or restoration. 11. Insurance. Licensee shall maintain at all times during the term of this Agreement, at Licensee's sole cost, a policy or policies of comprehensive general liability coverage on an occurrence basis from an insurance company licensed with the State of Illinois or other insurer approved by Licensee with at least $1,000,000.00 single limit coverage on all risks. Such policy or policies shall provide that the coverage afforded thereunder shall not be canceled, terminated or materially changed until at least thirty (30) days written notice has been given to the City. Licensee shall name the City as co-insured and shall furnish the City with duplicate policies or certificates evidencing insurance in force as required herein prior to utilizing the Encroachment Area. Evidence of payment of premiums shall be delivered to the City at least thirty (30) days prior to the expiration dates of each existing insurance policy. This insurance shall apply as primary insurance with respect to any other insurance or self-insurance programs afforded to the City. There shall be no endorsement or modification of this insurance to make it excess over other available insurance, alternatively, if the insurance states that it is excess or prorated, it shall be endorsed to be primary with respect to the City. 12. Construction and Maintenance. Licensee agrees that the improvements described herein shall be erected and maintained at all times in a safe, neat, sightly and good physical condition and in accordance with all requirements of the Elgin Municipal Code, 1976, as amended. During the term of this Agreement, Licensee shall, at Licensee's sole cost and expense, maintain the Encroachment Area and any improvements thereon in good condition and in compliance with any applicable requirements of law. The City shall be the sole judge of the quality of the construction and maintenance and, upon written notice of the City stating in general terms how and in what manner maintenance is required, City of Elgin Right-of-way Encroachment License Agreement Page 3 Licensee shall be required to perform such maintenance. if Licensee fails to do so, then the City shall have the right to perform such maintenance, the full and complete cost of which shall be borne by Licensee. Licensee covenants and agrees to reimburse the City its full cost and expense for any such maintenance. 13. Compliance with Law. Licensee shall adhere to and comply with all ordinances, laws, rules and regulations that may pertain to or apply to the Encroachment Area and the Licensee's use thereof Licensee agrees and warrants that it has procured or shall procure any licenses, permits or like permission required by law, if any, to conduct or engage in the use of the Encroachment Area described herein, that Licensee will procure all additional licenses, permits or like permission hereinafter required by law during the term of this Agreement, and that Licensee will keep the same in full force and effect during the term of this Agreement. Licensee shall perform under this Agreement in accordance with all applicable legal requirements. 14. Indemnification To the fullest extent permitted by law, Licensee agrees to indemnify, defend and save the City, its officers, agents, servants, employees, boards and commissions harmless from and against: a. Damage to Licensee's Properly. Any and all claims, loss or damage (including reasonable attorney's fees) to the Licensee's encroaching improvements or any property belonging to or rented by Licensee, its officers, servants, agents or employees, which may be stolen, destroyed, or in any way damaged, by any cause whatsoever. b. Damage to Others. Any claims, suits,judgments, costs, attorney's fees, loss, liability, damage or other relief, including but not limited to Workers' Compensation claims, to any person or property in any way resulting from or arising out of the existence of this Agreement and/or the existence, maintenance, use or location of Licensee's encroaching improvements within the City Right-Of-Way. In the event of any action against the City, its officers, agents, servants, employees, boards or commissions covered by the foregoing duty to indemnify, defend and hold harmless, such action shall be defended by legal counsel of the City's choosing. c. Mechanic's Lien. Any loss, liability, claim or suit arising from the foreclosure, or attempted foreclosure, of a mechanic's or materialmen's lien for goods delivered to Licensee or work performed by or for Licensee upon or at the Encroachment Area or Licensee's property. Such indemnification shall include the City's reasonable attorney's fees incurred in connection with any such loss, claim or suit. The provisions of this paragraph shall survive any termination and/or expiration of this Agreement. 15. Breach and Limitation on Damages. if either party violates or breaches any term of this Agreement, such violation or breach shall be deemed to constitute a default, and the other party shall have the right to seek such administrative, contractual or legal remedies as City of Elgin Right-of-way Encroachment License Agreement Page 4 may be suitable for such violation or breach; provided, however, that in no event shall the City be liable to Licensee for monetary damages of any kind relating to or arising from . any breach of this Agreement, and that no action of any kind shall be commenced by Licensee against the City for monetary damages. In the event any legal action is brought by the City for the enforcement of any of the obligations of Licensee related to or arising from this Agreement and the City is the prevailing party in such action, the City shall be entitled to recover from Licensee reasonable interest and attorney's fees. 16. Notices Any notice required or permitted under this Agreement shall he in writing and shall be sufficient if personally delivered or mailed by certified mail, return receipt requested, addressed as follows: To the City: To the Owner: City Engineer [Ernesto and Carla Ponce] City of Elgin 525 Regent Street 150 Dexter Court Elgin, IL 60120 Elgin, IL 60120-5555 With a copy to: With a copy to Corporation Counsel [Ernesto and Carla Ponce] City of Elgin 525 regent Street 150 Dexter Court Elgin, IL 60120 Elgin, IL 60120-5555 Notices mailed in accordance with the provisions of this paragraph shall be deemed to have been given on the third business day following mailing. Notices personally delivered shall be deemed to have been given upon delivery. 17. No Joint Venture or Partnership. This Agreement shall not be construed so as to create a joint venture, partnership, employment, or other agency relationship between the parties hereto. 18. No Personal Liability. No official, director, officer, agent or employee of the City shall be charged personally or held contractually liable under any term or provision of this Agreement, or because of their execution, approval or attempted execution of this Agreement. 19. Joint and Collective Work Product. This Agreement is and shall he deemed and construed to be a joint and collective work product of the City and Licensee, and as such, this Agreement shall not be construed against any other party as the otherwise purported drafter of the same by any court of competent jurisdiction in order to resolve any inconsistency, ambiguity, vagueness or conflict, if any, in the terms or provisions contained herein. City of Elgin Right-of-way Encroachment License Agreement Page 5 20. Seyerability. The terms of this Agreement shall be severable. In the event any of the terms or provisions of this Agreement arc deemed to be void or otherwise unenforceable, for any reason, the remainder of this Agreement shall remain in full force and effect. 21. Governing Law. This Agreement shall be subject to and governed by the laws of the State of Illinois. Venue for the resolution of any disputes or the enforcement of any rights arising out of or in connection with this License agreement shall he in the Circuit Court for the Sixteenth Judicial Circuit, Kane County, Illinois. 22. References in Agreement. All references in this Agreement to the singular shall include the plural where applicable, and all reference to the masculine shall include the feminine and vice versa. If either reference shall be declared invalid, such decision shall not affect the validity of any remaining portion that shall remain in lull force and effect. 23. Multiple Counterparts. This Agreement may be executed in multiple counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument. 24. Paragraph Headings. Paragraph headings are inserted for convenience only and in no way limit or define the interpretation to be placed upon this Agreement. 25. Binding Agreement on Parties. This Agreement shall be binding on the parties hereto and their respective successors and permitted assigns. 26. Assignment. This Agreement and the obligations herein may not be assigned without the express written consent of each of the parties hereto. The License granted herein is personal to Licensee. Any attempt to assign this License will automatically terminate the license privileges granted to Licensee hereunder. 27. Entire Agreement. This Agreement and its exhibits constitute the entire agreement and understanding between the parties and supersedes any prior agreement or understanding relating to the subject matter of this Agreement. 28. Modification. This Agreement may be changed, modified or amended only by a duly authorized written instrument executed by the parties hereto. Each party agrees that no representations or warranties shall be binding upon the other party unless expressed in or writing herein or in a duly authorized and executed amendment hereof. 29. Authority of the City. This Agreement is authorized pursuant to section 13.04.130 of the Elgin Municipal Code, 1976 as amended. SIGNATURE PAGE TO FOLLOW City of Elgin ittgln•ul-way Encrnaclunent License Agreement Page 6 IN WITNESS WHEREOF, each of the parties hereto has caused this Agreement to be executed by its duly authorized representative as of the day and year first above written. CITY OF ELGIN B> 176( City Manager ATTEST: City Clcr Ernesto Ponce and Carla Ponce By: ALLYSON VILLA f,� OFFICIAL SFAL Y ` 1� PCB • '';;,, Notary auw�c Stale Of Iwnas Name: t� v w • l�v-, • My Commission Expires November 09.2026 Its: V 't, Ot Attest: City of Elgin Right-of-way Encroachment License Agreement Payee 7 ..---m4 — AnRa CERTIFICATE OF LIABILITY INSURANCE GATE IMMIDWrrrvl 06/16/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policylies) must have ADDITIONAL INSURED provisions or he endorsed If SUBROGATION IS WAIVED subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PR000CFR I CONTACT Jacob Coleman State Farm ltNlno Insurance&FrnanCial Services rillitt_ajth; (630)587-0200 FAX _Ne. (630)587-0400 O'O 525 Tyler Rd Suite B , Jacob Coleman vabibwCStateFarm.com _---1 IN$URIRts)AFFORDING COVERAGE NAIC a St Charles IL 60174 MOM A: State Farm Firs and Casualty Company _ 25143 wsuREo INEDIBLE a• Carla R Ponce INSURER C INSURER 0 525 REGENT ST MSUMRE • ELGIN IL 80120 INSURER F. 1 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMSMR— _ _ LI& ` WPM OP INSURANCE ayD LyyD/ - — POLICY NUMB �j AWCIONYYlrt ISEWOOnrwt� METE ` {�RCIAL GENERAL LMIBLITY f EACHOCCURRE^.CE $ i. CLAIMS-MADE i 1 OCCUR a • • • •. -ES lEa olx4aratral s . t — — — — MEO EXP(Any one person) S ----PERSONAL A ADV ewer $ GENL AGGREGATE U APPLIES PER GENERAL AGGREGATE S n -� I POIICY �,LOC 1PROOUCTS�COMPAP AGO $ -- OTHER I $ AUTOMOSLE UASIUTY i 'COMBINED SINGLE LIMIT IIIANNV AUTO tEa moons S.,. BODILY INJURY(Per Person) $ . OWNEAUTOS — SCHEDAUTOS LED 'BODLY INJURY(Per eoadenp S AUTOS ONLY AUTOS ■ AUTOS ONLY AUIOS ONLY ,fir alagN00�—- s - - 11 win A Mg )< OCCUR L EACH OCCURRENCE $ 1,000.000_ A — EXaa LIAa CLJUMs•MADE 13-PP•2292.8 08/09/2025 08/09/2028(r AGGREGATE $ 2.000.000 DE0 RE'ENTION s f WORKERS COMPENSATION PER I �H $ AND EIAPLOYlRS'LAS1UTY --- ANYPROE'OW9ARTNER+EXECUHVE YIN PR� .E: EACH ACCIDENT $ OFFICER.AIEMSERESCLUOED'I pi NIA(Mandatory In NNl E L DISEASE•EA EMPLOYEE,$ 0 rS aKnW OF O E L DISEASE•POLICY LIMIT DESCRIPTION OPERATIONS bNow $ DESCRIPTION OF O►ERAPONS I LOCATIONS I VEHICLES IACORO 101.Additional Ramaha Schedule,may De attached if mon apace N.Ruindl Additional Insured City of Elgin We will endeavor to notify the certificate holder 30 days in advance in the events of cancellation CERTIFICATE HOLDER CANCELLATION._ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN City of Elgin ACCORDANCE WITH THE POLICY PROVISIONS AUTHORIZED REPRESENTATIVE ---ietf 150 Dexter Court Elgin IL 60120 I�1 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD '.u'aw. '4)fi49 is J4-•320:2 Stale Farm Fire and Casualty Company Applicant Name PONCE.CARLA R Effective Date 06-09.2025 IL Personal Liability UmbrellaApplication 1 Customer 13-PP•Z292-8 F Copy APPLICANT: PONCE,CARLA R MAILING ADDRESS: 525 REGENT ST ELGIN, IL 60120-6739 BILLING: ---- — - - -- ---- Put application on SFPP: Yes COVERAGES/PREMIUM SECTION: Policy Coverage Limit Premium t Personal Liability 1.000.000 260 00 • Discounts: Total Premium: $ 260.00 Amount Paid. $ 0 00 Credit Amount: $ 0 00 Balance Due: $ 0 00 APPLICANT(S)ACKNOWLEDGEMENT: By submission of this application,you agree that. (1)You have read this application,(2)your statements on this application are correct,(3)the minimum policy limits are in force.(4i all vehicles are insured.(5)the premium charged must comply with State Farm's rules and rates and may be revised,and(6) traffic violation reports may be obtained by the company named hereon on arty person named as a driver of the insured motor vehicle at any time. AGENT INFORMATION: App date and time 06-09-2025 03.51 PM Agent. Larry Laino Agent/AFO Code 13-3688.01 FB50 Agent Phone' (630)587-0200 Location Address 525 Tyler Rd Ste B Mailing Address 525 Tyler Rd Ste B St Charles, IL 60174-3360 IMPORTANT NOTICES REGARDING CONSUMER REPORTS... Consumer reports may be ordered in conjunction with this application. These reports provide information that assists with determining your eligibility for insurance REGARDING THE ILLINOIS CIVIL UNION ACT... The Illinois Heligious Freedom Protection and Civil Union Act("the Act,"750 ILCS 75/1 et seq.)became effective June 1,2011 This Act provides that under the laws of I linois,parties to a civil union have the same legal obligations.responsibilities,protections.and benefits as spouses.As required by this Act,parties in a civil union have the same coverage benefits and are subject to the same duties and terms under your State Farm policy as spouses REGARDING PERSONAL,FAMILY OR HOUSEHOLD INSURANCE TRANSACTIONS... We may collect personal information from persons other than trio individual or individuals applying for coverage.Such personal information as well as other personal or privileged information subsequently collected may in certain circumstances.be disclosed to third parties without your authorization as permitted by law.I'you would like additional information about the collection and disclosure of personal information.please contact your State Farm agent You may also act upon your right to see and correct any personal information in your State Farm files by writing your State Farm agent to request this access For information or assistance with any insurance problem,be sure to contact your State Farm agent first Your"good neighbor"agent will he happy to help you. Section 143c of the Illinois Insurance Code requires notification of the following addresses State Farm Insurance Companiesillinois Office2702 Ireland Grove RoadBloomington,Illinois 61709-00011-800-424-1162(within Illinois)Office Hours 8 a m to 4 p m.Monday-Fridayorlllinois Department of • InsuranceConsumer Services Section320 West Washington StSpringfield.Illinois 62767orlllinois Department of InsuranceConsumer Services Section115 S.LaSalle Street, 13th FloorChicago. Illinois 60603 This message is provided by State Farm in compliance with Illinois law EC 2606 IL 5 Rev.03-2025 Page 1 of 1 1001386 2009 137197 209 0517.2021 EXHIBIT A 525 REGENT STREET Property legally described as follows: THE EASTERLY 57 FEET OF LOT 15 OF JULIA E. BOWEN'S SUBDIVISION OF PART OF BLOCK III, BOWEN HEIGHTS ADDITION TO THE CITY OF ELGIN, IN THE CITY OF ELGIN, KANE COUNTY, ILLINOIS. COMMON ADDRESS: 525 REGENT STREET, ELGIN, ILLINOIS 60120 PERMANENT INDEX NUMBER: 06-24-208-002 EXHIBIT B Area of Row REGENT ST proposed to be used • . 57.00 0..3 24 4 g n n .35. i o +X Q <D � -' 1=� f1.46 •9.16 -"'— 2'8 • 0 Cr I'll' Q �' 9RI CIORi c "� �/ R S I DENCE a• GARAGE Z coA V N r 0.80' V f G 3' E - o /79/4 VD FENCE Q 06 E 4 12 . "LI r) at a�,b BRICK c/0!a%VD FENCE , � �- GARAGE 0.2' S� PATIO tg f 081. V BRICK.1 57.00 ON LINE NE CORNER Vp FEN 023' V I ON LINE REGENT ST 42" High Wood Fence, Dog-eared picket fence (3 ) a - ' • • . ' ( inch space, 3 inch picket) b . 1 57.00 . ('��n.J, 0:n f'99' 16.2" 2o`' v,I rGO m n n `u3s' a' Q 45 'et . / .1.46 •9 i6 --0 M M.( 0 •4 A . 0 ' 1 SIOR1' n• 0 o/ BRIGK o V' / REDENCE a'' GARAGE \, 'I0.80' v 0 03' E— 29 •4 — x \ VD FENCE Q 06 E f 41.12 Wn CE VD FENCE , 1 BRICK q�u_0' :,ARAGE 02' S-..\j PAT10 _ ,0 , ;81' V BRICK 1 57.00 ON LINE NE CORNER VD FEN 023' V L ON LINE APPLICANT INFORMATION PROPERTY ADDRESS — — — c Et � 5 —. ----— -- -- APPLICANT 4OWNFR ❑ CONTRACTOR ❑ TENANT 0 OTHER „ (\ L�1q(�. — C � "1 aO 'lQ to 0 NAME• �C �t � _ PHONE ADDRESS: � � ` e_ k_ EMAIL - J �C— C'r C '.C D✓1-) CITY,STATE,ZIP• E 111 Vl L C0 O '(1 O PROPERTY OWNER INFORMATION(if different than above) NAME PHONE. ADDRESS EMAIL: CITY,STATE,ZIP. DESCRIPTION OF WORK — \vtLL1 Sty c be -e_sn) -- -- rat - _ f--r o -k-- cz_t--c - - PLEASE NOTE: 1. All work must conform to the regulations set forth in the t, ,.; . and the adopted Illinois Codes and City Ordinances. 2. The Certificate of Appropriateness(COA) is provided at no cost. Building Permit(s) may be required in addition to a COA All COA approvals expire 6 months from approval date. 3 Extensions of a COA may be granted upon submission of proper documentation. 4 On completion of work, I/We agree to notify the Historic Preservation Planner at (847) 931-6004 to schedule on inspection of the property.Any changes to approved work must seek prior approval before work begins and materials purchased or created S. The undersigned owner or occupant of the dwelling referenced above has read and understands the content of this notice and voluntarily consents to on exterior inspection of the dwelling by the Historic Preservation Planner for the purpose of verifying existing conditions and taking photographic evidence, and/or measurements to confirm those conditions. po PRINT NAME . •ATURE OF APPLICANT DATI Submit application to the Community Dev• ipment Department,150 Dexter Court, Elgin, IL 60120 or email it to permits@cityofelgin.org. For assistance completing this application,please contact 311. _-_ _ -- -- OFFICE USE ONLY --- COA APPROVAL for: INSTALLATION OF A 42 INCH HIGH,WOOD PICKET STYLE (DOG EARED) FENCE (3 INCH PICKET 3 INCH SPACE) PER LOCATION ON APPROVED SITE PLAN HISTORIC PILL SFRVATIONPIANNFR/OFSIGNEf• e41.044__ 6/2/2025 25-06-002 25-110262 APPROVAL DATE COA NUMBER PERMIT NUMBER • Submit application to the Community Development Department, 150 Dexter Court, Elgin, II. 60120 or email it to permits@cityofelgm.org For assistance completing this application,please contact 311.