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9699OEZm <br />Please return to: <br />Catrina DeLosh <br />Public Works Department <br />PO Box 1968 <br />Grand Island, NE 68802 <br />RWEI-23-90 3032 STOLLEY PARK RD W <br />REC <br />HALL <br />CASH (ol-"I 00 <br />CHECK <br />REFUNDS: <br />CASH <br />CHECK <br />'TY NE <br />1ST 2123 0b5g5 1023 EEC H A 01 <br />'v,/ O_ D <br />REGISTER Cl DEEu <br />This Space Reserved for Register of Deed <br />Right-of-Way/Easement Utility Permit <br />(9� <br />This Right-of-Way/Easement Utility Permit is granted by the CITY OF GRAND ISLAND, NEBRASKA, a <br />municipal Corporation, herein referred to as the "Permitor" and QWEST CORPORATION d/b/a CENTURYLINK <br />/LUMEN QC, hereinafter referred to as the "Permittee". <br />1. STATEMENT OF PURPOSE. The purpose of this Permit is to set forth the terms and conditions, under which <br />the Permittee may construct, maintain, repair, and utilize the following described installation/improvement which <br />will infringe upon a public utility easement: <br />To access the City's public right-of-way and easement areas for installation of communication facilities to serve <br />3032 W Stolley Park Road, Project No. R169030, per the attached exhibit "A", dated 2023/11/24 and <br />consisting of six (6) pages. <br />2. DESCRIPTION OF PERMITEE'S UTILITY LOCATION. The Permittee owns the infrastructure within the <br />Permitor's public utility easement to which this Right-of-Way/Easement Utility Permit shall apply: <br />LOTS ONE (1) AND TWO (2), BLOCK ONE (1) TRAFALGAR SQUARE SUBDIVISION IN THE CITY OF <br />GRAND ISLAND, HALL COUNTY, NEBRASKA. <br />3. PERMITEE'S DUTIES AND RISKS. It is understood and agreed that the Permittee may construct, maintain, <br />repair and utilize the above described installation/improvement at the Permittee's sole risk. The Permittee hereby <br />waives any claim for damages against the Permitor, its officers, employee, agents and independent contractors for <br />any damage or injury that may result to said installation/improvement. If the Permitor, in its sole discretion, <br />determines that any part or all of the installation/improvement must be removed or is damaged by the Permitor, its <br />employees, agents or independent contractors working for the Permitor during the course of their employment or <br />