ORDINANCE
NORTHWESTERN MEMEORIAL HOSPITAL Acct. No. 85392- 12 Permit No. 1065524
Be It Ordained by the City Council of the City of Chicago:
SECTION 1. Permission and authority are hereby given and granted to NORTHWESTERN MEMEORIAL HOSPITAL, upon the terms and subject to the conditions of this ordinance to maintain and use, as now constructed, one (1) Drain Tile(s) on the public right-of-way adjacent to its premises known as 259 E. Erie St
Said Drain Tile(s) at E. Huron measure(s):
One (1) at six (6) feet in length, and point six six (.66) feet in width for a total of three point nine six (3.96) square feet.
The location of said privilege shall be as shown on prints kept on file with the Department of Business Affairs and Consumer Protection and the Office of the City Clerk.
Said privilege shall be constructed in accordance with plans and specifications approved by the Department of Transportation (Office of Underground Coordination) and Department of Water Management.
This grant of privilege in the public way shall be subject to the provisions of Section 10-28-015 and all other required provisions of the Municipal Code of Chicago.
The grantee shall pay to the City of Chicago as compensation for the privilege #1065524 herein granted the sum of four hundred ($400.00) per annum in advance.
A 25% penalty will be added for payments received after due date.
The permit holder agrees to hold the City of Chicago harmless for any damage, relocation or replacement costs associated with damage, relocation or removal of private property caused by the City performing work in the public way.
Authority herein given and granted for a period of five (5) years from and after Date of Passage.
Page 1
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Northwestern
Memorial
Hospital
HURON STREET
LEGEND
COSTING CATCH BASH EXISTWC CATCH BASH TO BE REMOVED PROPOSED CATCH BASH CCMMONHALTH EWSON CO. MANHOLE
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OQ5TNC INLET
tMSTKC WLET TO BE RCUOVtO
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CAS VALW
CAS UANHOU
PROPOSED UANHOU
EHSTWC MANHOLE TO BE AO JUSTED
EWST1NG UANHOU .
METAL SCM
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tOJEPHOKE MANHOLE
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a-& EUSTIMG UCMt POLE
CAS UNE
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PROPOSED SCWt UNC LMCRCftOUNO TELEPHONE UNE UNOOOTOLMO ELECTRIC CABLE Oft CONDUIT WATER UNE
UCSTEfW UWON CABLE
APPROBUATE LOCATON Of UNOCRCROUNO TRENCH (PER PUNS SUPPUEW BY POWER/CRSSJ C.AT.V. CONOWT
TOP Of CURB ELEVATION FLOW LIKE ELEVATION
(13,») EXISTWC ELEVATION
APPLICATION TO USE THE PUBLIC RIGHT OF WAY
City of Chicago Department of Business Affairs and Licensing Public Way Use Unit 333 S. State Street, Snite 310 Chicago, IL 60604-3977 Stan Adams 1 (312)747-9035 or
Lisa Pusateri (312)747-9034
FAX
(312)745-2958
APPLICANT INFORMATION
legal name of entity: Northwestern Memorial Hospital
permit mailing address : 259 E. Erie Street Suite 448_
city Chicago_state IL_zip code: 60611
contact person.- Bud Vance
title System Engineer
USE OF THE PUBLIC WAY
1. List the proposed or existing use below anil complete the attached worksheet. Only use one application per public way use type.
Type
How many?
Building Address
y2. Please enclose one sketch of proposed use of the public way, which maps to scale the proposed use and its relationship to surrounding right-of-way. All measurements must be indicated.
The prints should also accurately depict the location of the property line and public facilities ( meters, light poles, sidewalks).
Jl. Please provide a full sized 80 Acre map, with the adjacent property and portion of the public way clearly outlined.
The 80 Acre is available at Maps and Plat in Room 905 City Hall w/$5.00 fee. APPLICANT CERTIFICATION:
I hereby certify that all statements made as part of the application and the attachments herein, and true to the best of knowledge and belief.
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F.E.I.N. or Social Security Number: 370-960-t JO ALDERMAN'S APPROVAL:
As part of this application process, you are required to notify/obtain approval from the Alderman in whose ward your proposed use of the public way is located.
W
GERMAN'S SIGNATUl
WARD
DATE'
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