ORDINANCE
NORTHWESTERN MEMEORIAL HOSPITAL Acct. No. 85392- 12 Permit No. 1059692
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 construct, install, maintain and use one (1) Storm Sewer(s) on the public right-of-way adjacent to its premises known as 259 E. Erie St
Said Sewer(s) at E. HURON measure(s):
One (1) at fourteen (14) feet in length, and point eight (.8) feet in width for a total of eleven point two (11.2) 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 #1059692 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.
Alderman
Page 1
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Northwestern
Memorial
Hospital
Redevelopment
HURON STREET
LEGEND
O £HSTWC CATCH BASN
® ensmc CATCH sasn to be removed
PROPOSED CATCH BASW (5) COUUU0M»CAiTH EDISON CO. MANHOLE © CITY ELECTRIC UANHOLE B D05TWC R*£T ^ EHSTWG MLET TO BE REMOVtO PROPOSED (KLET Xf ORE HYDRANT © CAS VALVE 0 CAS UANHOLE 0 PROPOSED MANHOLE A0 DOS UNC MANHOLE TO BE ADJUSTED 0 EXISTING MANHOLE X METAL SIGN © PARKWG METER <l) TELEPHONE MANHOLE
^l^TTtee 4 SIZE W WCHES
(£ WATER UANHOLE 8 PROPOSED WATER VALVE
n-o PROPOSED UCHT POLE
D-EXISTING LIGHT POLE
CAS INE
EMSTBVC SEWER LtNE
PROPOSED SEWEB UK UNDERGROUND TELEPHONE UNE UNDERGROUND ELECTRIC CABLE OR CONDUIT WATER UNE
WESTERN WOH CA8LE
APPROXIMATE LOCATION OT UN0ERCROUN0 TRENCH (PB PLANS SUPPLIED BY POWER/CRSS} CA.I.V. CONDUIT
uu tc TOP OT CURS ELEVATION
ii.ii n. flow une elevation
(il.H) GXlSTINC ELEVATION
APPLICATK >N TO USE THE PUBLIC RIGHT OF WAY
City of Chicago Department of Business Affairs and Licensing Public Way Use Unit 333 S. State Street, Suite 310 Chicago, IL 60604-3977 Stan Adams (312)747-9035
or
Lisa Pusateri (312)747-9034
FAX
(312)745-2958
APPLICANT INFORMATION
legal Nj .me of entity: Northwestern Memorial Hospital_
permit n [ailing address : 259 E. Erie Street Suite 448_
city Chicago_state IL_zip code: 60611
contact person: Bud Vance
title System Engineer
PHONE;312-926-2917 FAX:312-926-7316 email:Pvance@ nwh.org
USE OF J HE PUBLIC WAY
1. List th< proposed or existing use below and complete the attached worksheet. Only use one applicatio: tpcr public way use type.
How many?
Building Address
1
y 2. Pleasf enclose one sketch of proposed use of the public way, which maps to scale
the propo :ed use and its relationship to surrounding right-of-way. All measurements must be indicated.
The print should also accurately depict the location of the property line and public facilities ( meters, 1; ght poles, sidewalks).
y 3. Pleasi provide a full sized 80 Acre map, with the adjacent property and portion of the public w y clearly outlined.
The 80 A ere is available at Maps and Plat in Room 905 City Hall w/$5.00 fee. APPLIC UNIT CERTIFICATION:
I hereby certify that all statements made as part of the application and the attachments herein, a id true to the best of knowledge and belief.
By
_Title:_/l^/?^^ fa~*>
316 -96bL'\'?r) ' o -
F.E.I.N. ir Social Security Number: ALDERi dAN'S APPROVAL :
As part o I this application process, you are required to notify/obtain approval from the Alderman
GERMAN'S SIGNAT
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