P - 42206From: unknown Page: 1/1 Date: 4/28/2011 9:52:32 AM
Eng��.eering LOAD X,�MIT
Department �j��I���,�TION A,�.'��.,ICAT 0�1
763-572-355 � ���Y OF FR�D�,EY
763-57�-�287 fax FFFECTTVE 1/1/2ot1
,A,P��.ICATION DATE: S� YOUR E-�#�. ,A,D�R�SS:
THIS .a�z.�ca,Nr Zs: �aux.��t a PitoPEltrr aw�r��
�a�e��nr vvv��x:��G��,�„ct� rF�c►rrE: �1��
EK
70� ADDRESS: �l sz/'3 2�t �- ��R46./ �,1 S �
MATERlAL TQ B.E �IJI.�A: � � D (�
DA'�',ES 'I'O $E �IAULED (UP TO 3 DAXS)� ��'g ��
TH1S PE�T �S �SSUEp TO ALL4W ,A,N �TC�EASE QF AXLE WE�
A��,E TO ��VE (5) TONS PE� ,A,�,� pVER THE FOLLOW�NG �f�Sa
�ipx�CE: This permit is vaIid a�.ly �a� vehic�es cnroute ta construetion
5:00 pm. See Resalutxo� #0�-2004 and State Statute Sect�oz� 169.87
P��i,MTI' MUST �E IN VE�CL� W��,� HAULING ON
NUMB�,�t U�' LO,A�i)S
PERMIT ���
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$25
$�
THI$ IS A�1,APkL�C.A�'�ON k'QR A, ��W►��'�'•I�OT YALID UNTII.
I hereby a�ly for a load timit modificacion pamit and Z ackn,owledge tb.at t�e im�o�aatiio�
work will be in eonfarrnance with the ordinances a�9,d codes Q�tkae C�ty of k'ridley. I un�dezs
applic8tion for a pem�it and hauling on �res 'cted roads is not to start without a�Sermit.
SIGN,A,'�'[J� Q� A���,�CA,"N7C �`�- V�!`- PRiNT NAME=
APPROVED BY
� CQQ�S G��T 'I'O- ❑ �O�.IC� ❑ �NG][NEERING
City af Fridley
�ng��ae�e�ring Department
6431 Univ�rsity Avenue NE, Fridley, MN
763-572-35S1
'� k',A,X: ?63-57 ] -� 2$7
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