Contact CENTRAL DISPATCH 30 minutes out of city limits to request

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PLANNING AND ZONING:

(505) 747-6064 / (505) 747-6084 FAX

City of Española

CENTRAL DISPATCH (505) 753-5555

POLICE DEPARTMENT (505) 747-6002

PERMIT TO MOVE EXTRA WIDE OR HAZARDOUS LOADS

City of Española Ordinance Number 2011-02 provides for police escort for extra wide and hazardous loads on City streets.

Fee Schedule

Moving hours for moving are:

$30.00 PER POLICE ESCORT OR $1,200 FOR YEARLY FEE

09:00 to

13:00 to

17:30 to

11:00

16:00

DUSK

INSURANCE COVERAGE REQUIRED OF APPLICANT

1 Bodily injury to or death of one person………………………………………

2 Bodily injury to or death of two or more persons………………………… $300,000.00

3 Damage to property…………………………………………………………………

$50,000.00

$100,000.00

Application must be submitted at least forty eight (48) hours prior to scheduled move.

Escort Requirements:

10 feet wide or greater:

14 feet high or greater:

80,000 pounds or greater:

1 Police Escort ($30)

1 Police Escort ($30)

1 Police Escort ($30)

COMPANY NAME: _______________________________________DATE:_____________________________________

CONTACT PERSON: ____________________________________ PHONE NO. __________________________________

E-MAIL:_______________________________________________________FAX NO.____________________________

ADDRESS:________________________________________________________________________________________

(Street) (City) (State) (Zip)

ITEM TO BE MOVED_______________________________________________________________________________

LENGTH_______________WIDTH_______________HEIGHT__________________POUNDS______________

STREETS TO BE USED__________________________________MOVER'S LICENSE # ___________________________

DATE OF MOVEMENT:_________________________________TIME OF MOVEMENT___________________________

CERTIFICATE OF INSURANCE:___________________________ INSURED BY:__________________________________

POLICY NO. __________________________________________AGENT:______________________________________

AGENT ADDRESS: _____________________________________ EXPIRATION DATE:____________________________

I hereby certify or affirm that the above is true and correct and proof of insurance coverage is in full compliance with requirements.

________________________________________________________ ___________________________________________

Credit Card Number & Exp. Date (Signature of Applicant - Title)

POLICE/PLANNING ( ) APPROVAL ( ) DISAPPROVAL

NO. OF POLICE ESCORT UNITS REQUIRED FOR THIS MOVEMENT ($30 PER POLICE ESCORT)________________________

REMARKS:_______________________________________________________________________________________________

________________________________________________ _______________________________________________

(Signature of Police/Planning Department Official) (Title) ( Date and Time Approved )

BUSINESS OFFICE

FEE (Based on Number of Police Escort Units) AMOUNT ( $) _______________________

RECEIPT NO.____________________________________ DATE ISSUED___________________________

________________________________________________

(Cashier signature)

Contact CENTRAL DISPATCH 30 minutes out of city limits to request the police escort at (505) 753-5555 Option 7

THIS APPLICATION TOGETHER WITH RECIEPT, MUST ACCOMPANY LOAD

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