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92-0325 TOLL HIGHWAY RIGHT OF WAY RESOLUTION AUTHORIZING EXECUTION OF AN APPLICATION FOR PERMIT TO USE TOLL HIGHWAY RIGHT OF WAY BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN, ILLINOIS, that George VanDeVoorde, Mayor, be and is hereby authorized and directed to execute an Application for Permit to Use Toll Highway Right of Way on behalf of the City of Elgin to permit the construction, installation, operation and maintenance of a water main, a copy of which is attached hereto and made a part hereof by reference. s/ George VanDeVoorde George VanDeVoorde, Mayor Presented: March 25, 1992 Adopted: March 25, 1992 Vote: Yeas 5 Nays 0 Recorded: Attest: s/ Dolonna Mecum Dolonna Mecum, City Clerk APPLICATION FOR PERMIT TO USE • TOLL HIGHWAY RIGHT OF WAY THE ILLINOIS STATE TOLL HIGHWAY AUTHORITY (Submit Five Copies) APPLICANT City of Elgin 150 Dexter Court Street City Elgin State Illinois 60120-5555 (1) The applicant hereby applies to The Illinois State Toll Highway Authority (hereinafter called "Authority" to grant a concession consisting of a permit to: (Briefly describe proposed use of Toll Highway Right of Way). Applicant is requesting permit approval to construct, install , operate, and maintain 290 lineal feet of 16-inch water main, encased in a 30-inch steel casing pipe augered and jacked, as shown on the attached plan and profile drawings which are made a part of this application. (2) Location of Toll Highway Right of Way to be used by Applicant: Northwest Tollway (a) Tollway Route 0-90) (e) County Kane (b) Tollway Mile 27.2 ± (f) Nearest Cross Road Randal Road (c) Tollway Station 2180+00 to the East (d) Sec. 30 Twp. 42 N., R. 8 E. (g) (3) The Applicant attaches hereto and makes a part hereof plans and specifications of structure which use Toll Highway Right of Way. Applicant agrees to furnish such additional plans and specifications of structure as the Authority may request. In the event a permit is issued, applicant agrees to construct such work in accord with the plans and specifications submitted to and approved by the Authority. (4) The applicant further agrees and understands that the concession in the form of a permit herein requested, if issued, does not sell, lease, create an easement, or otherwise dispose of or encumber the Toll Highway Right of Way, or any part thereof, and does not create any charge or lien on the revenues of the Toll Highway. (5) The applicant further agrees that, in the event a permit is granted, applicant will, before commencing work under the permit, comply with all the Utility Policy & Regulations as adopted by the Authority on August 31, 1972 as amended and the acceptance, notice, bond and insurance requirements of the Authority, as set forth in the permit. —1— 10/79 • a (6) The Authority, in issuing the permit herein applied for, may rely upon the statements made herein as true. WITNESS the signature_ and seal_ of the applicant_ this 26th day of March , A.D. 19 92 . i,-*/ 4-‘1"—k4121--. (SEAL) GeorgenDeVoorde (Mayor) ✓ (SEAL) (SEAL) (See note below for signature instructions) STATE OF ILLINOIS SS COUNTY OF KANF I,Jlnlnnna Menum,Ci ty CIerk, & a Notary Public in and for and residing in said County in the State aforesaid, do hereby certify that George VanDeVoordP . Mayor. personally known to me to be the same person_ whose name_ subscribed to the foregoing instrument, appeared before me this day in person and acknowledged that _he_ signed, sealed and deli'ered the same instrument as h i s free and voluntary act for the use and purposes set forth herein. Given under my hand and notarial seal this 26th day of March , A.D. .19 92 . Notary Pu elic OFFICIAL SEAL' DOLONNA MECUM NOTARY PUBLIC,STATE OF ILLINOIS MY COMMISSION EXPIRES 03,07f93 NOTE FOR SIGNATURES If the applicant is a corporation, have the President or other authorised officer sign the Corporate name by him as President: also bare the Secretary attest his signature as Secretary and affix the seal of the corporation. If the applicant is a partnership, have each partner sign. If the applicant is a county, city, or other municipal corporation, have the application signed by the Chairman of the County Board. Mayor. or other officer and have the proper clerk attest the same and affix the corporate seal. Also, a certified copy of the resolution or ord,nanre authorising the application must be attached. All inserts, attachments, documents or small plans which the applicant desires to have made a part of this application, or otherwise necessary. shall be securely attached. EMU.11 —2—