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Okaloosa County BOCC — April 27, 2013 — Road Permit EOD — reading text
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03/01/2613 18:12
Rule 14-65.0035(1)(c), F.A.C.
Date: I & |
TEMPORARY CLOSING OF STATE ROAD PERMIT
8588821695
NAVY EOD
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
Governmental Entity
Permit
PAGE 1/01
850-040-65
MAINTENANCE
12/11
No.
Approving Local Government
Address
‘Contact Person
Email
Telephone
Organization Requesting Special Eve
Name of Organization NAVSCOLEOO
KLPOA
Address _ 304 N. MCCARTHY
Suireé Hi]? EGLUN AFB YE
Contact Person
RoBERT ALrRwWSM ITH
32542~- 5630
Telephone (850)882-YUY13
Email _robec+ . arrows mith
navy. mil
Description of Special Event
Event Title Bol > Meamdatia
Start Time @Y OS End Time
Event Route (attach map)
7 ol pee “ & Date
bf Event J+ Aged |3
Detour Route (attach map)
Law Enfprcement Agency Responsible for Traffic Control
Name of Agency OK ALGSA
S Nel it Department
US Coagt Guard Approval for Controlling Mov:
le Bridge
Not Applicable ae
Copy of USCG Approval Letter Attachad []
Bridge Location
The Permittee will assume all risk of =
0:
and against any and all loss, damage,
The Permittee shall be responsible to fj
of litter and providing a safe environme
st or expense arising in any manner on
nt to the public.
Signatures of Authorization/|
|
indemnify, defend and save harmless the State of Florida and the FDOT from
laccount of the exercise of this event.
haintain the portion of the state road it ocdupies for the duration of this event, free
Event Coordinator 2oQERT ARLOWSMITH Signature } Date 3/1/13
Law Enforcement
Name/Title Signature Date
Government Official
Name/Title Signature Date
FDOT Special Conditions
FDOT Authorization
Name/Title Signature Date