Item 4HItem 4H
Page 1 of 2
M E M O R A N D U M
(August 6, 2019)
To: Shana Yelverton, City Manager
From: Rob Cohen, Director of Public Works
Subject: Approve an Encroachment and Joint Use Agreement for
Moxie’s Southlake outdoor dining area within the City right of
way at 1460 Main Street and Central Avenue.
Action
Requested: Approve an Encroachment and Joint Use Agreement for Moxie’s
Southlake outdoor dining area within the City right of way at 1460
Main Street and Central Avenue.
Background
Information: The Moxie’s Southlake outdoor dining will be located at 1460 Main
Street in Southlake Town Square. The applicant is requesting to
install outdoor seating and associated fencing at the intersection of
1460 Main Street and Central Avenue, within the City right of way.
The proposed outdoor seating area will occupy approximately
2,200 square feet of City right of way. The proposed encroachment
will have a similar footprint as the existing improvements in the
public right of way at the same location. The proposed plan will
follow the approved Site Plan of ZA19-0009.
Staff is requesting Council to consider proposed right of way
encroachments along 1460 Main Street and Central Avenue’s
intersection.
Financial
Considerations: None.
Strategic Link: This item links to the City’s Strategy Map strategic focus area of
Performance Management & Service Delivery. It specifically relates
to the City’s Corporate Objective, C4: Attract & Keep Top-Tier
Businesses to Drive a Dynamic & Sustainable Economic
Environment.
Citizen Input/
Board Review: None.
Item 4H
Page 2 of 2
Legal
Review: The City Attorney has reviewed the agreement.
Alternatives: The City Council may approve or deny the agreement.
Staff
Recommendation: Approve an Encroachment and Joint Use Agreement for Moxie’s
Southlake outdoor dining area within the City right of way at 1460
Main Street and Central Avenue.
Supporting
Documents: Attachment A: Location Map
Attachment B: Encroachment Agreement Documents
Staff
Contact: Rob Cohen, Director of Public Works
Kyle D. Hogue, P.E., Deputy Director/City Engineer
Kevin Ferrer, P.E.,CFM, Civil Engineer
Text Proposed Enchroachment Location
S T A T E S T MAIN ST
DIVISION ST
W E S T W O O D D R
C EN
T R AL A VE
OWNBY LN
B L E S S E D W A Y
SOUTHVIEW TRL
WESTMONT DR
G R A N D A VE
FEDERAL WAY
E A S T W O O D D R
M I R O N D R
B R I A R W O O D D R
LAKE WOOD DR
S U M M I T A V E
FOREST HILLS DR
WOODSONG WAY
T
O
W
E
R
B
L
V
D
WESTMONT CT
OASIS CT
FOREST HILLS CT
G R A C E L N
S O U T H B E N D T R L
BURGUNDY CT
ZENA RUCKER RD
KINGS BROOK DR
C
A
R
R
O
L
L
O
A
K
S
L
N
PLAZA PL
EVERGREEN PL
WILD WOOD LN
MERLOT DR
KINGS BROOK CT
PROSPECT ST
WINDING LAKE BLVD
CASEY CT
C H E R R Y L N
L
A
K
E
S
I
D
E
C
T
S V I L L A G E C E N T E R D R
E D G E M O N T D R
B I N K L E Y C T
W
E
L
L
I
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G
T
O
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C
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U114
U114
E SOUTHLAKE BLVD
S C A R R O
L L A V E
E KIRKWOOD BLVD
N
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/
INSTRUCT¡ONS FOR COMPLETING AN ENGROACI{MENT AND JOINT USE AGREEMENT
OF A RIGHT.OF.WAY
All forms shall be signed in ink only by a property owner, legäl partner or corporate officer. An authorized agent of
the landowner must submit a Powêr of Attorney.
PLEASE SUBMIT ALL OF THE FOLLOWII.IG REQUIRED DOCUMENTS:
1. One copy of the Application with an original signature.
2' One copy of the RighÞof-Way Joint Use Agreement with an original signature, signed and notarized. Do not
submit copies of signatures and notary acknowledqments.
3. One copy of EXHIBIT NO. 1 that contains the precise metes and bounds description of the part of the right-of-
way to be used. This information is best orovided b)¿ a reoistered land survevor. Note that the City slaff is
not authorized to prèpare this informat¡on. Do not place drawings or plats on this exhibit.
4' One copy of EXHIBIT NO. 2 which shows in graphic form the naturê of the encroachment with dimensions.
Please limit the area of usage of the right-of-way to only that needed to accommodate your needs, plans or
drawings may be reduced. provided the final document is legible. Gity statf will make final decision on
legibility.
5. The Public Works Department may require an additional EXHIBIT NO. 2A which may include a detailed
drawing or cross sectional drawings of decks, signs, retaining walls, fences, driveways, piers, footings, etc. to
fully evaluate the extent of the right-of-way.
6. One copy of EXHIBIT NO. 3 with original signatures, signed by all agencies tisted regardless of whether they
have utility equipment in thê easement. This will need to be done before submitting to tne City of Southlake. '
7. After this agreement is filled out, you will need to return it to Public Works Department and pay:o The ROW Encroachment Permit Fee of $250
8. This agreement will be circulated through the Planning and Development, Building lnspection and public
Works Departments within the City of Southlake. Please allow approximately seveñ to ten working days to
complete the circulation process.
9. Then the agreement will be placed on a City Council Agenda for Council review and approval. Council
approval may take 3-4 weeks.
10. After approval by the City Gouncil and necessary Gity departments, a copy of the signed agreement is
forwarded to the Building Permit Department for retention in any pending permit files, a coþy is reiained in the
Public works Department and a copy is sent to the applicant for their records.
Submit these documents to
City of Southlake
Department of Public Works
1400 Main Street, Suite 320
Southlake, TX 76092
N:\00'Ncw N Drivc\ADMINISTRATION-PW DEPT\Fonls\Agrc-cmen¡s\Joiüt Use and Enuoachrncnt Agre.{lnìent Right-oi-Way.dcrc
N
APPLICATION FOR ENCROACHMENT AND JOINT USE AGREEMENT
OF A RIGHT.OF-WAY
Date of Submittal
To the City of Southlake:
The undersigned hereby makes applicâtion !o allow an encroachment and ioint use of the right-of-way situated on
or abutting property located at _ L0l2R,Bl0cn4Rt'Mdnst€tttndtill'årAv€n$,sd¡¡*er0sn _, and desðribêd hi mêtês and
bounds in Exhibit No. 1 of the âttåched agreement.
The reason for the encroachment and use of the right-of-way is as follows:
Patio seating and enhanced entry for new restaurant.
Town Square Ventures, L.P 972- 442- 6770
Printed Name of Property Owner
See attached
Signature of Property Owner Fax Number
2021 Spring Road, Suite 200
Address
Oak Brook lllinois 60654
City State Zip
Telèphonê
N/A
Riqht-of-Wav Joint Use Aqreement
THE STATE OF TEXAS
COUNTY OF
Be it known, that the City of Southlake, herein after referred to as "City," and its franchised Utility Companies,
$
$
herein referred to as "Utilities," do consent and âgree to_ Eatz Enterprises, D.B.A, Moxies Grllland Bar herein after referred to as "Applicant," to use an
permit the following
right-of-way, situated on or
abutting LOT_ Lot2R , BLOCK_ ¿Rr _, OF Southlake Town Square Addition Phase 1 IN THE CITY OF
SOUTHLAKE, TEXAS, as described on the attached Exhibit No, 1, depicted graphically on the attached EXHIBIT
No. 2 and consented to by the public utility companies as listed on the attached EXHIBIT No. 3, to be used for the
purposes Of Patio seating and enhanced enlry fur new reslauranl.
and being subject to the following conditions
L
That the Applicant, his successors or assigns shall maintain in good condition all of the right-of-way area and the
improvements situated thereon; and, that City and Utilities shall not become responsible for such maintenanca at
any time in the future.
That thê Applicant shall and does hereby agree to indemnify and hold harmless the City and the Utilities from any
and all damages, loss or liability of any kind whatsoever by reason of injury to property or third person occasioned
by its use of the right-of-way or act of omission, neglect or wrong doing of Applicant, his officers, agents,
employees, invitees or olher persons, with regard to the improvements and maintenance of such improvements;
ând the Applicant shall, at his own cost and expense, defend ând protêct City and Utilities agâinst any and alt
such claims and demands.
That the Applicant shall arrange for all activities and improvements in the right-of-way to be discontinued and / or
removed within thirty (30) days of written notification, at the discretion of city, for:(1) Lack of maintenance to the righÞof-way;(21 Failure to provide access to the City or its designees; or(3) Compliance with a City Council directive that use of the right-of-way by the Appticant be
discontinued and the cost associated with thê discontinuing of such activities, and the removal of
such improvements, as well as property adjacent to the right-of-way necessitâtêd by such
discontinuation of the right-of-way use, shall be borne by thê Applicant.
tv.
That the Applicant, his successors or assigns shall not seek compensation from City or Utilities for loss of the
value of the improvements made hereunder when such improvements are required to be removed by Applicant.
il
N:\00-Ncw N Drivc\ÀIJMINISTRATION-PW DEPT\F-onns\Agrecrncnts\Joi¡rt Use ¡nd Ermo¡chment Agreentent Right-of-Way.doc
This agreement shall be filed of record in the Deed Records of Tarrant County, Texas, and shall
bind all future owners of this lot and shall for all purposes be considered a covenant running with
the land.
lN TESTIMONY WHEREOF, Owner executes this Right-oÊWay Use Agreement on this
day of June, 2019.
Owner:
TOWN SQUARE VENTURES, 1.P., an lllinois limited
Partnership
By Western Town Square Ventures I GP, L.L.C., a
Delaware limited liability company, its general
By Retail Properties of America, lnc., a
Maryland corporation, its sole member
By
Name n M. Sharp
ïitle: Vice President and Secretary
STATE OF ILLINOIS
au?aanCOUNTY OF r
This instrument was ACKN
Vice President and Secretary of Retail Properties of America, lnc., a Maryland corporation, the
sole member of Western Town Square Ventures I GP, L.L.C., a Delaware limited liability
company, the general partner of Town Square Ventures, L.P., an lllinois limited partnership, on
behalf of the foregoing limited partnership
Notary Public, State of lllinois
Ætr=onao before me on June )L 2u9, byAnn M. sharp, the
A"ttllt-åonn (!L
^lt
Printed Name
ABTETTE GONZALEZ
OFFICIAL SEAL
NotarY Public, Statô
My Commission
October 05, 2
of lllinois
Expit e a
021
V.
This agroemenl shall he filed of record in the Deed Records of Tarrant County, Texâs, and shall bind alt futureowners of thls lot snd shall for all purposes be considered a covenant runnfng whtr tho land.
lN TESTIMONY WHEREOF, Applicant executes this Righl-of-Way Use Agreoment on th¡s
day or M 4Y , 2ol-4_.1f]*"
*1.>Avt- ÈPxP t-€City of Southlake
By:
Appl¡cant's signâture
NOTE: Complete the altached acknowledgements.
Mayor
Note: Only complete the appropriate acknowledgements
THE STATE OF TEXAS
COUNTY OF TARRANT
s
s
Comorate Acknowledqment
BEFORE ME, the undersigned authority, A Notary Public in and for the State of Texas. on this day personallyappeared known to me to be the person and officer whoée name ¡ésubscribed to the foregoing instrument and acknowledged to me that same was the acl of said
a corporation, and lhat he executed same for the purposes and consideration
therein expressed and in the capacity lherein stated
GIVEN UNDER MY HAND AND SEAL OF OFFTCE rhis the day of
-_,
20_
Notary Public in and for the State of Texas
My Commission Expires:
THE STATE OF TEXAS s lndividual AcknowledumentcoUNTYoFTARRANT S
BEFORE ME, the undersìgned authority, a Notary Public in and for the Slate of Texas. on this day personallyappeared , known to me to be the person whose name is subécribed to theforegoing instrument and acknowledged to me that he executed same for the purposes and consideration therein
expressed.
GIVEN UNDER MY HAND AND SEAL OF OFFTCE this the _ day of _, 20 _
My Commission Expires:
Notary Public in and for the State of Texas
THE STATE OF TEXAS
COUNTY OF TARRANT
s
s
City of Southlake Acknowledqment
BEFORE ME, the undersigned authority, a Notary Public in and for the Slale of Texas, on lhis day personallyappeared , known to me to be the person and officer whoðe name ¡åsubscribed to lhe foregoing instrument and acknowledged to me thal same was the acl of said
@.åJ:i:,Tffl"lliijjñlïL,"1lo.',.Hheexecutedsameforthepurposesand
GIVEN UNDER MY HAND AND SEAL OFFFTCE rhis rhs _ day of 20_
My Commission Expires
Notary Public in and for the State of Texas
EXHIBIT NO. 1
B."i!Q _ tha_t portion of that certain public utility easement / drainage easement situated int""3;iliiJ*l?l#1i,1'ffÅåä,iffËiliåï*" Addition/survey to the city or southlake, rarrãnt county, rexas. and being
more pantcurany oescnDeo oy meres and bounds as follows
LEGAL DESGRIPTION
BEING a tract of land situated h'r the Richard Eads Survey, Abstract No. 481, City of Southlake, Tarrant County,
Texas and being part of Main Street (an 85-foot wide right-of-way) and part of Central Avenue (an 82- foot wide
right-of-way) and being more particularly described as follows:
BEGINNING at a "X" cut in concrete found at the intersection of the north right-of-way line of said Main Street with
the northwest right-of-way line of said Central Avenue for the southeast corner of Lot 2R, Block 4R1, Southlake Town
Square Addition, an addition to the City of Southlake according to the plat recorded in lnstrument No. D206082774 ol
the Plat Records of Tarrant County, Texas from which a "X" cut in concrete found bears North 89'14'10" East, a
distance of 4.62 feet;
THENCE with said northwest right-of-way line of Central Avenue, North 29"14''10" East, a distance oÍ 70.32 feet to a
point for cotner;
THENCE departing said northwest right-of-way line of Central Avenue, the following courses and distances:
South 60'22'12" East, a distance of 4.40 feet to a point for corner;
South 29"37'48" West, a distance of 29.91 feet to a point for corner;
South 60'22'12" East, a distance of 16.62 feet to a point for corner;
South 19'14'10" West, a distance of 30.23 feet to a point for corner,
South 46'14'10" West, a distance of 30.87 feet to a point for corner;
South 89'14'10" West, a distance of 33.50 feet to a point for corner;
North 0"45'50" West, a distance of 20.50 feet to a point for corner;
South 89'14'10" West, a distance of 28,00 feet to a point for corner;
North 0'45'50" West, a distance of 4.50 feet to a point for corner in said north right-of-way line of Main Sheet;
THENCE with said north rightof-way line of Main Street, North 89"14'10" East, a distance of 56.26 feet to the POINT
OF BEGINNING and containing 2,200 square feet or 0.0505 acres of land,
Bearing system based on the Texas Coordinate System of 1983, North Central Zone l42OZ), North American Datum
of 1983.
ENCROACHMENT AGREEMENT
ICHARD EADS SURVEY, ABSTRACT NO.481
CITY OF SOUTHLAKE
TARRANT COUNTY, TEXAS
J. ANDY DOBBS
REGISTERED PROFESSIONAL
LAND SURVEYOR NO.6196
13455 NOEL ROAD
TWO GALLERIA OFFICE TOWER
sulTE 700
DALL.AS, TEXAS 75240
PH. (e72) 770-1300
ANDY,DOB KIMLEY-HORN.COM
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Bif 14'10"8
0.0505 AcRES
2,20A SQ. FT.
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4'R.O.W. DEDICATION
INST. NO. D206082774
P.R.T.C.r.
GRÀpl"llc scÀr.li tN FÊt!1 12"Ë
4.40',
LCIT2R, BLOCK4Rl
SOUTHLAKE TCIWN SOUARE ADDITION
INSï. NO t206082774
P.R.T.C.T.
1 6
P.O.B
XF
NBg'14''10"E 56.26'
s19"14''10"W
30.23'
N0"45'50"W
4.50's89"14'10"W .t0'
N0"45'50"W
20.50'
s46"14'10"W
30. 87'
s8g'14'10"W 33.50'
MAIN STREET
(AN 85' WIDE RTGHT-OF-WAY)
NOt'ES
Bearing system based ôn the 'f exâs Coordinate Systeft of
191ì3, North Central Zone (42û2), Nôdh Amèricân Dåtum of
1 983.
LEGEND
ENCROACHM ENT AGREËMENT
RICHARD EADS SURVEY, ABSTRACT NO. 481
CITY OF SOUTHLAKE
TARRANT COUNTY, TEXAS
F.O.B. = POINl'OF BEclNNlNc
XF = "X" CU'f lN CONCRETE FOUND
R.O,W. = RIGHT-OF"WAY
p.t{.T.C.ï. = PLAI RECORDS, ]'ARRANT COUNTY, TEXAS KimlevÐHorn
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EXHIBIT NO.2
The following is a drawing depicting the arEa or port¡on of the easement and property described in Exhibit No. 1,
that is subject to the encroachment and joint use agreement in lhis application showing the nalure of the
encroachment and use with dimensions.
This drawing shall includE a north arrow, legal dascdption of the subjæt property and adjoining properties.
lndicate on the drawíng whether the ancroachment is for a utlllty, dralnage, private accoas, easemant or rlght-
of.way.
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EXHIBIT NO.2A
The following is a detail and / or cross section drawing of the improvement(s) in the utility easement / drainage
easement to be subject to the encroachment and joint use agreement in this application.
SERVICE PROVIDER CONTACTS FOR
EASEMENTS IN SOUTHLAKE
AT&T/Southwestern Bell
Eric Wllllams
Manager Englneering Deslgn
1460 Round Table Drive. Room 1000
Dallas, TX75247
Office: (2141746-2964
Fax: {214} 745-823A
Westlake Area:
Sabrina Deaguero
1116 Houston St., Room 1402
Fort Worth, -fX76102
Office: (817) 338-5008
Fax: (817) 338.6781
Oncor Electric Deliverv
Randy Crella
2001 N lndustrial
Bedford, TX 76021
Office: (817)858-2679
Tri-Gounty Electric Cooperative. lnc.
Scott BaumBach, Manager
4900 Keller-Hicks Road
Fort Worth, TX76244
Offlce: {817}43f -1541
Fax: {817} 431-9680
Cell: (817)980-7152
Verizon Telephone
Paul Messenhelmer
1 132 Highway 407
Lewisville, TX 75067
Offlce: {972} 318-5186
Steve Olinsky
Office: (972) 318 - 5274
Charter Communications. INC
Brent Bascom, Construction Goordinator
15100 Trinity Blvd, Ste 500
Fort Worth, TX 76155
Office: (817) 298 - 3606
Jlm Frlske
Offlce: (817) 298-3632
¡dtmos Enerov lGasl
Anibal (Omar) Campos, ProJect Mgr.
2000 Reliance Pkwy
Bedford, TX 76021
Offlce: {817} 359-1313
Fax: (817) 369-1338
Anlbal.cam pos@atmosenergy.com
The undersigned
EXHIBIT NO.3
publlc utilily companies, using or entitled to use, u
respeclive franchise wlth the City of Southlake, do hereby consent to llp
described porlion of such drainage and / or utilÍty
joint use of a public dralnage and utility easement.
lhe lerms and provlsions of our
and joint use of the
easement requested in lh Application for encroachment and
Oncor Êlectric pelivery ComgA!ìy
By:
(Pleaee
Title:.l r Title:
(Please
Signature Signature:
Verizon Teleohone Companv
By:
(Please Pñnt)
Title:Tiile:
(Plêrse Prinl)
S¡gnalure:Signalure:
Charler Comm!¡nications. I nc.Citv of Southlake
By:By:
{Please Print)
Title:Title:
(Pleste Print)
Signature;Signature:
Atmos Enerqv
By:
(Please Print)
Title:
(Please Prht)
By
By:
Print)
Print)
Print)
Signature:
EXHIBIT NO.3
The undersigned public utility companies, using or entitled to use, under lhe terms and provisions of our
respective franchise with lhe City of Southlake, do hereby consent to the encroachment and joint use of the
described porlion of such drainage and / or utility easement requested in this Application for encroachment and
joint use of a public drainage and utility easement.
Oncor Electric Deliverv Comoanv AT&T / Southweslern Bell Teleohone Comoanv
By:By:Eric Williams
(Please Prinl)(Please Prinl)
By:
Title:
(Please Prinl)
Signature:
Verizon Teleohone Comoanv
(Please Print)
(Please Prinl)
Signature:
Charter Gommunications. lnc.
By:
(Please Prinl)
Title:
(Please Prinl)
Signature:
Atmos Energv
By:
(Pleåee Prinl)
Tiüe
(Please Pilnt)
t¡tre: -Manager Engineering Design-AT&T Texas
(Pþsse Print)
sisnature: ô;te ù"//àt,4e
Tri-Counlv Electric Companv
By:
(Please Print)
Title:
(Pbase Prinl)
Signature:
Citv of Southlake
By:
(Pþace Prinl)
Title:
(Ploaso Print)
Signature:
Title:
Signature:
EXHIBIT NO.3
The undersigned, publlc utlllty companies, using or entìtled to use, under the terms and provlslons of ourrespective franchise with the.City of Southlake., do hereby consent io ttrs encroactrmeni ãnå ¡oint usl ãf ifredescribed portion of such drainage and i or ulility easemerit requested in this Applicat¡on ioi encroachment andjoint use of a public drainage and utility easement.
Oncor Electric Deliverv Comoany AT&T, SoL¡thwestÊrn Bel[ TelÊphone C-omoanv
(Pleaso Fflnl){Pþs$e Pdnl}
Title:Title:
(Ple€se Prlnt)(Ploâ3B Prinl)
Signature: %$igneture:
By:By:
By:
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Charter Cor¡munlcatlons. I nc.
(Ple{se Pdnl)
Title:
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Siqnature:
Atmo.s Enerqv
By:
(Ptesse Prinl)
Title:
(Pleasc Prhl)
Tti-Countv Eteclric Comoanv
(PlÊðle Pr¡nt)
Title:
(Ploare Prlnt)
$ignaturc:
Citv of Southlake
By:
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Title:
(Ptoase Pftnt)
Signature:
By:
Signature:
EXHIBIT NO.3
the undersigned public utilily companies, using or entitled lo use, under lhe terms and provisions of ourrespective franchise with the City of Southlake, do hereby consent to the encroachment anå ¡oint use of ttrådescribed portion of such drainage and / or utility easement requasted in this Application for encroachment andjoint use of a public drainage and utility easement.
-O_rfqq_rJ;le_q_trç-.l)eliVS_{y_C_-o-nnp_aly
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ïitle
(Pleåse Print)
Signature
Verizon Telenhone C_ompAqy
By:
(Plëase Print)
Title
(Please Prlnt)
Signature:
Charter Communicqtions, lnc.
By;
(Fleosê Prlnt)
Title
(Please Print)
$ignature:
AtnLo_s_Fn$Sy
By,
(Please Prinl)
Tille:
(PleBse Prlnl)
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By:- -(Plea6e Prinl)
Tille:
(Plûase Print)
Signature:
'lri-Countv Ëlçctric Co!lpany
By:_pAxryt t¿J ' Se HRMeß
(Please Print)
Tiile:CFO
Signalure:
Citv of Soulhlakç
By:
(Pleas€ Print)
Title:
(Ploâsê Prlnt)
Signature
Signature:
EXHIBIT NO. 3
The undersigned public utility companies, using or entilled to use, under the terms and provisions of our
respective franchise with the City of Southlake, do hereby consent to tlìe encroachment and joint use of the
described portion of such drainage and / or utility easement requested in lhis Application for encroachment and
joint use of a public drainage and utility easement.
Oncor Electric Deliverv Comoanv AT&T / Southweslern Bell Teleohone Comoanv
By:By:
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Title:Title:
(Pleass Prinl)(Pþsse Prinì)
Signature:Signature:
Verizon Teleohone Comoanv Tri-Countv Electric Comoanv
By:By:
(Plaase Pdnt)(Pþase Prinl)
Title:Tifle:
(Please Print)(Pþase Prinl)
Signature:Signature:
Charter Communications. lnc.Citv of Southlake
By;Jeremy Eckenroth By:
(Plesse Prlnt)(Pþa¡e Prinl)
1¡1¡" Business Deve. Specialist Tiile:
(Pleese Prinl)(Ploase Prlot)
Signature:E Signature:
Atmos Enerov
By:
(Please Prinl)
Title:
(Please Print)
Signature:
I
The underdlgned publ
respective franchise w
described portion of sq
jolnt usa of a public dra
c utlllly companies, using or entítled to uae, u
th the City ol Southlake, do hereby consent to
ch drainage and / or utility easemenl requeslsd in
nage and ulility easêment.
.l ,t Title:
By:
Tilrq:
I
By:
By:
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Sigiiature:
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Verlzon Telephbne Companv
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(Pleaso Prlnll
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ITille: i
(Pl6qse Prlnt)
Slgnalure:
(Pleoee
Title:
Signalure:
Atm-os Enerqy ¿4
Tillê:
EXHIBIT NO.3
Signalure:
Title:
Signalure:
Gitv of Southlako
By:
Tltle:
Signature:
thô
lhe terms
Application
our
the
and
By:
By:
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