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Banner Permit 2015Nebraska #60'R partment of Roads . y 1111111�- Applicant: (Name and Address) F r 21'� S, ►�'rhs� L and BannerPermi Date: Z Z 3� 1 S Phone: b2 -Llu,-L,19q Fax No.: bo 42t- L/ 1 9,5 _J Email: brwhydc'OC I . Ucii(.ncLAS Purpose of Application: It is the City or Village's desire to obtain permission from the Nebraska Department of Roads (NDOR) to install banners within the state highway right of way during calendar year 24)4. The banners erected will be for the following purposes:, 1. to announce plans for upcoming events, or, 2. to promote community pride and spirit, or, 3. to serve as a non -message decoration. NDOR Authority: Neb. Rev. Stat. 39-1359 provides the Department authority to control the use or occupancy of state highway right-of- way. Section 39-1359 states as follows: "The rights-of-way acquired by the department shall be held inviolate for state highway and departmental purposes and no physical or functional encroachments, structures, or uses shall be permitted within such right-of-way limits, except by written consent of the department." Criteria for Placement, Restrictions and Limitations, and Permit Requirements: The City or Village affirms and declares that they accept and will abide by the NDOR Banner Policy, dated July 1, 2005. The NDOR, by approving the City or Village's application, does so on the basis of the City or Village's affirmation and declaration. Cancellation/Revocation of Permit: The permit issued by the NDOR may be cancelled or revoked when the NDOR has actual knowledge that the City or Village has failed to comply with the provisions of this permit. In the event that the City or Village has failed to remove any banners upon request by the NDOR, the NDOR reserves the right to remove any or all banners at the expense of the Village or City. i� c �-c,► Of h1 c r'r City or Village C1 �c1 CterX Title of Representative Zftrid� INheJe( By (Printed Name) 1-,64 An5_�_7 Signature DR Form 207, November 2011 Nebraska Department of Roads District Engineer Approval Date Pete Ricketts Governor December 3, 2015 Brenda R. Wheeler Blair City Clerk 218 S 16th St Blair NE 68008-1674 Re: Banner Permit DEPARTMENT OF ROADS Kyle Schneweis, P.E., Director 1500 Highway 2 • PO Box 94759 • Lincoln NE 68509-4759 Phone (402) 471-4567 • FAX (402) 479-4325 • www.roads,nebraska.gov Your 2015 Banner Permit will expire December 31, and should be renewed through the District Office. PLEASE SEND YOUR BANNER PERMIT THERE. Enclosed is a map of the Districts with contact information and application. It is very important to look at the Nebraska Map included and determine what District your county falls in. Do not send back to this office. Please disregard if: • You do not have a highway going through your city/village • You do not use banners We encourage you to review the policy for the requirements and procedures to follow in applying for a Banner Permit. The web address is www.dor.state.ne.us/rowan/permits.htm. Any questions may be directed to the appropriate District Office. Sincerely, Todd Wicken Property Management Supervisor Right of Way Division TW/ROW 1-za Enclosures An Equal Opportunity Employer 00 w Ln I N zl pI N O 00IXIL- f..�! I, NF^ �a Q0 LLJ Nc�W Z fin � � `� �I. W� coZO � � � wl z� YNZ� S �WZ00QN Wd-J� ��,�'-- ;l w, _J-_sF-mom~ L` U p� NW M ) ��fuj X ODM '� u $ -- ---1---�---z Q0 UO 0 Z coz I NOZO< 00�O ° l-.� m�-- F' a mlII E5�I-QV- w B o ti J L °' — — rn UJ Ln I z r _ Op z -�- ; z O � � { m �' z' a' �I � W 2 CO O W N! ^-- al gI ---�--- wOfWV- �w0z00 o r -- , ' I �d' z D�1 M�SZV F) ;I � M J-U-Yp x S ` __ ,- o ---t-- � U UN -J p- ZOM �Z m z' al NW( UO DOl0�M ~ Q oO W Num NWoOo 1. O i I f - -- I I 0 m M o - f-�--- __�-- ----° --J m ' I I c ' w F I S; 0 0-) N V(ON p - Ff.-.�_-.�._.� r w O N - O O I zI "'� Ld ~ ZX CD N L" � V- I 1' a a ai ' i V' W N W _ z2COo0� D LO-r�O mt_ -. _�' t -•--f.-_� err 0 LC) J� Zo�ZWiJ I- UWNX Off' iII I �', yl j a� F-WwX° Ln -M VO 0L - -i U-) ._-'�-._- `-'L..- °• 1 - I N�NDIrr 00 ® O O O D�MSZM D�V Q OV I 91 �Ii , r Ln II k I ' m I ar. I Q - , f I- N XU) J M Ln a� N L--------------- •---�--- m' ------ J W C0 (• J O p 00 JOtOp -� Ma2NW� W W 00 Z F- Z t0 01 I- p W U�SZti U N p U T �V) caI Fr (nJV PJM X00 O 25:2 W �WC.Dn NON N W O z 0 DYMJV'