The petitioner/applicant hereby agrees to hold harmless, defend and to indemnify Delaware County from or against all claims, damages and expenses, including but not limited to reasonable attorney’s fees on any property arising, alleges injury and/or death to any person or damage to any property arising, or alleged to have arisen out of any act of commission or omission on part of petitioners/applicant, his/her heirs, successors or assigns regardless of whether such acts are direct result of the public right-of-way use pursuant to this permit grant. I CERITFY THAT THE INFORMATION CONTAINED ON THIS FORM IS COMPLETE AND ACCURATE.

BOND REQUIREMENTS FOR PROTECTION OF STREET FACILITIES:

• $25,000.00 SURETY POSTED BY UTILITY CONTRACTOR
• BLANKET BOND – $
• $500.00 SURETY POSTED BY OWNER (HOMEOWNER)
• PUBLIC UTILITY INDEMNIFICATION AGREEMENT

INSPECTION FEES

• INSPECTION FEE FOR NEW DRIVEWAY & MAILBOX -- $50.00
• REVIEW PLANS FOR NEW COMMERICAL DRIVEWAY/ENTRANCE -- $200.00
• INSPECTION FEE FOR SPECIAL EVENTS -- $50.00
• INSPECTION FEE FOR RIGHT-OF-WAY APPLICATION -- $100.00
• INSPECTION FEE FOR ADDITIONAL DAYS -- $50.00 PER NUMBER OF DAYS # = $