15th & Lincoln St
PE~~IT TO MOVE BUILDING OR DEMOLISH STRUCTURE
Fee Paid: $15.00
Date:
P') ! \/':..-' C/'/
,.....5 "- 0 -- t .:J
Owner:
('0 (J ~
Name: Qj~~ If '7"""<jP-4~"'?'L.J
(
Address: IPr I .f3/) ><- q.;"5 R.
D-AU\- ?v.
Contractor:
Name: Or~7 J/eJu~-4..I.i~Lj~~
Address: 00 Od >C-
../ <;;
Zu.;dJ.c.~
111"3
/-i 0 cS~J?f'(j i
The above described person is hereby granted a pennit to (~Mov~)' or
r~
/ <'~,
(Demolish) a building ...:f <.; _feet long, and'
now located on l....ra rJ. (~'-i: ,City of Blair,
finally located on. -::t??-vl 'w., On ALe:/, '1[. The
(Demolition) is to be done on ---.C~/l..o.t. C}OA. ;,r and shall take
I.
hours. The route to be taken in the removal thereof is as
'c I
Lo
feet high,
;Z-
follows:
(Here designate the names and numbers of th~ streets, alleys,
grounds to' be 'crossed): ..' 7/)... ()7~ c~~/~ 'Jd~ L?J :< (j Z7/ ~
.,.
II / fL' KL r C; I i:'t7t.~ <'h f "
I
;:=) ~~L--
or public
~~ N$
.
The removal thereof shall be under the direction of the Street Commissioner
and the Director of Public Works. "The building is to be used for
f2~ /-
, --rvl..
purposes.
A statement that all taxes and special assessments on the building to be
moved or demolished and on the land from which it is to be moved or demolished
have been fully paid was received
t . 'r-, i I
'-f(,tf H L,~ r
~ ff \ /-', '
" . l" i l,!
"-"'"t
and is attached.
A corporate surety bond or two personal sureties to pay all damages that
may be sustained to any property, public or private and including curbs,
or demolishing such building was received on
paving,manholes, public utility lines and pipes, by reason of the moving
j'
Ii
j~' ;
//
,.
1"'"
and is attached.
;;:1;7 . ., C) ..' I,
L(tlt'..{, ; f.:j 'L,(L. c:ll.l,.c/!t(Le' 1- c.>
City, Clerk
ii',' ~./ /':. .",<,;1;;;'"
City Adm}~istrator
CITY OF BLAIR, NEBRASKA
Phone 402-426-4191
RECEIVED OF:
ADDRESS
CITY, STATE, ZIP CODE
THANK YOU
KEEP THIS COpy FOR YOUR RECORDS.
RECEIVED BY
EMANUEL PRItHlf,G, FREMONT, NE 68025
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::::::::::::::::::::7~:~:~ti::~:::}~:~:~:~:l~,~:~:lW~:~:~~r?'~~f~:~:~:~}~:m:::mr~:t~~~@~::'~mf~:~'~'~~::~::::i.':'~':'~~::~~F~P:::~':J:~:~::r:~::~f~::::::::'::{::::::::~:m)f::ffI:11:mH:::l:::fff))f::::m:::l::m::mNl::::::lm:mmf::::;~:S::;U:::::E::::::D::::A::::T::::E:;::::(::M::::::M/:::::::D:::g/vy:::::::::::):::::::::::::::::::::::::::
Dmlr:I~:~1[:!rlI"."nr:"'II(1CUtIJ~IA:::ld=mI""""""""'"................"..,.........,...........................,
,.....:m:i:I::i::::::II:~:::II:i:!:i:i::::;;;~;;:I!i:i1:li::::::::::I~:Ii_::II!:I~I:,:::;:;:;::!!i!!!!!!!:!::!!!:!!!!!:!!:!!!:!::::!:::::!::::!::::!:!:::!!:!!!j!~!~!:!j:jj!!!!j!j!!jj!:!!~!!~:!!!!:!!!!!!:!!!::!j!!!!!!!!!!!!!!:!!!!!I!!!!!:!!!!!! 03/22/93
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
.....................................
... .
.........................................
PRODUCER
The Maguire Agency
1935 West Co Road B-2, #241
P. O. Box 64316
St. Paul, MN 55164-0316
COMPANIES AFFORDING COVERAGE
f~-rlE~NY A
Milwaukee Mutual Ins Co
BJB
f~T~~NY B
INSURED
O'Neil Company Inc.
P. O. Box 1113
Williston, ND 58801
f~T~~NY C
f~T~~NY D
f~T~~NY E
JmyjR~p.I.$.:::::1:ffff::::iIm:::l:t::::f:::r:::::t:::mmt:::::::::::::::::::::l:t::::::l:r:::flt::titt::nr::::::::::::r::r::::::::1:n:::t::::::j:tfnt:::::::::':I:::::t::::1:1:j:::~:::::::t::::::l:::j:::::t:::rr::::rr:t::::::::::lir:::::mrr:::f:t:::ji:::t::::::'n:tt:::::::1mj:::::j::r:::::tjr:t::t:::r:tm:::::~::r:t::l:::r
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
DATE (MM/DD/VY) DATE (MM/DDIYY)
GENERAL AGGREGATE $
PRODUCTS-COMP/OP AGG. $
22C029935 06/01/92 06/01/93 PERSONAL & ADV. INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED. EXPENSE (Anyone person) $
COMBINED SINGLE $
LIMIT
BODILY INJURY $
CAC22C029935 06/01/92 06/01/93 (Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
EACH OCCURRENCE $
UMC22C029935 06/01/92 06/01/93 AGGREGATE $
TYPE OF INSURANCE
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
A CLAIMS MADE W OCCUR.
OWNER'S & CONTRACTOR'S PROT
X C&U
AUTOMOBILE LIABILITY
X ANY AUTO
i ALL OWNED AUTOS
A . SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
A X
1,000,000
1,000,000
1,000,000
1,000,000
50,000
5,000
1,000,000
1,000,000
1,000,000
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
STATUTORY LIMITS
EACH ACCIDENT $
DISEASE-POLICY L1M IT $
DISEASE-EACH EMPLOYEE $
OTHER
A CARGO
06/01/93
SPECIAL FORM - $500 DED.
$50,000-MAXIMUM PER ITEM
22C029935
06/01/92
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESlSPECIAL ITEMS
~:~~tlt@I'tgl@~jt:::r::tltttt:::::;:tt:::t:::m::m::m:H:lttttt:::::::::H::t:::::::::::::::::::::jjjj::::::::t::jM1l@'N~@'MI@tjmt;rr:t::::t:tttt:t:m:::l:t::t:::tt:::'::ttt:lm::Jt::::~:m::::~:::::::::::::::::m:l:::::::t111tmm:::::1:m:::::::::::::;:J:;::~::::::::~:t::,t:::t
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
CITY OF BLAIR MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
BUILDING INSPECTOR'S OFFICE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
218 SOUTH 16TH STREET LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES,
BLAIR,NE 68008 IIIII AUTHORIZEDRE~~::~NTATIVE ,'",'" .\') i(\:\, (;
~A~aj;W~~lt@t.J.lqtt:::::::::::::11t::::::1::1~::::::m:;:::::::@j::::::::::::::::::::t:::::1~::::::::~:::::::::JH:J~:::::::m:l:t:::::;:::~:::~::ft::::::t:::::::t::::t::::t:l@j::::::t:f::::::ttl::::::::::@jWLr:::mm:::fft:::::::t:::::~~::::::::::::::::::::::m::::ttlum'AqqRP.::::C.Qijeqfl.;MM~fiH:M@::::
PRODUCER
The Maguire Agency
1935 West Co Road B-2, #241
P. O. Box 64316
St. Paul, MN 55164-0316
COMPANIES AFFORDING COVERAGE
COMPANY A
LETTER
Milwaukee Mutual Ins Co
BJB
COMPANY B
LETTER
INSURED
O'Neil Company Inc.
P. O. Box 1113
Williston, ND 58801
COMPANY C
LETTER
COMPANY D
LETTER
COMPANY E
LETTER
JiQygBA9.!$.~~:t:::rlil~1~i~iilrtfiilii~~ii:::ttliM~lfl~ttt:::ti~t1m~tl:i;r:t1i1fii1:1:~:tt:imtlNi1r:::::~:rirnrlt~ttt:rWll:l:t;tttit1t:i1t1~:tti:~~ttt:rfl:::1:t;t11Htft:tlHlttlt:1ltt;:11111:1:WW:lt:t::lr:t:~:tf:::t1it:::ttlfftiI
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE iNSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
DA TE (MM/DDIYY) DATE (MM/DDIYY)
GENERAL AGGREGATE $
PRODUCTS.COMP/OP AGG. $
22C029935 06/01/93 06/01/94 PERSONAL & ADV. INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone lire) $
MED. EXPENSE (Anyone person) $
COMBINED SINGLE $
LIMIT
BODILY INJURY $
CAC22C029935 06/01/93 06/01/94 (Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
EACH OCCURRENCE $
UMC22C029935 06/01/93 06/01/94 AGGREGATE $
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
A CLAIMS MADEW OCCUR.
OWNER'S & CONTRACTOR'S PROT
X:, C&U
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
A SCHEDULED AUTOS
X HIRED AUTOS
X NON-OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
A X
1,000,000
1,000,000
1,000,000
1,000,000
50,000
5,000
1,000,000
1,000,000
1,000,000
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
STATUTORY LIMITS
EACH ACCIDENT $
DISEASE-POLICY LIMIT $
DISEASE-EACH EMPLOYEE $
OTHER
A CARGO
22C029935
06/01/93
06/01/94
SPECIAL FORM - $500 DED.
$50,000-MAXIMUM PER ITEM
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlSPECIAL ITEMS
CITY OF BLAIR
BUILDING INSPECTOR'S OFFICE
218 SOUTH 16TH STREET
BLAIR, NE 68008
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
111:1 AUTHORIZED REPRESENTATIVE
n: ';\J'j ./~
:WQQ.RP.1~~W~;11w.mp.fJ1tt11t11:tJt1ttttt1~1t~:tt~1ttt~~ttlr1ttttrtr~tt;1~:;:1t11~1it:::t1:t:ttt~t1rirttiJlrittttttrt;Htt:i~it:;:~:~:~;~;t..:~.;~:~nn~:~~~~:~~~~~~tt~~:ti:t~:rttrtrnm~<<&a.Qre.p.fU~p'ij\~;Jlp.N;:bij@:~~~
Fidelity and Deposit Company
OF MARYLAND
HOME OFFICE
BALTIMORE, MD. 21203
License and/or Pell"mit BlOnd
KNOW ALL MEN BY THESE PRESENTS:
Tha t we, .... _?.~_N.~A:JJ m~. 2.~E'?:n-YJm..:.I)?:~.9.~E~ ~.9.:t:.~.g..__ _..m ...... ...... .m.' _.____ ..m. __ m_ ..m_" m__m__m... m_..m___.m_.'
as Principal, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, incorporated under the laws of the
State of Maryland, with principal office in Baltimore, Maryland, as Surety, are ,held and firmly bound unto
.....~.~.:t:.y.___9.i...~.~.9A:E.I....~.~.~.._.~...1.~.:t:.l}....~:t:r:.~_~.~.!....~.~.~.~E.!_._.~.~....?~.Q.Q.~.............___............, as Obligee,
in penal sum of ..__-=: .-::Qn_.~....'r h.9.:y.~.~.IJ.?:.__~D.9___N gjJ.Q.Q.::..:'.:'.:::.:::::::.::::.-:-..:'.:'.:::.:::: .::::.:::: .:'.:'..:'.:'.::::_::.:::: :::.-:-. .:'.:'.::.::::::::.-:"..__._.. Dollars,
lawful money of theunited States, for which payment, well and truly to be made, we bind ourselves, our heirs,
executors, administrators, successors and assigns, jointly and severally, firmly, by these presents.
WHEREAS, the above bounden Principal has obtained or is about to obtain from the said Obligee a
license or permi t for. .m..... ~_2.Y._~. n-g__ ..Ii.~~.~.~.~...9. ~____!=l.":_!.L!:.9. ~_n_g__?__...______ m... __ m. ___.m..m ____..m__.______ __ ____ m__...__..__..
...._m......m..mm__mm.mm_...__..________m..m..mm..mmm.__._____; and the term of said license or permit is as indicated
opposi te the block checked below:
D Beginning the..__m..mm____......__.___..___.___day oL...__m__m______________.__....mm.m.19.m.__.' and
ending the.m__..m__m__m.__...m___....___da y of ...m..__...__......m.___m...____.. __..___.19 __..m.'
[ZJ Continuous, beginning the_.____m.3..X:gmmmm........__da y of ...__J:'Lc;W..m___m______.___.__mm__.199.J__..
WHEREAS, the Principal is required by law to file with..___City___.of...Bl.a.Lr:.,.___Nehr:a.s.kam.m.._______
..._.._.__.. _~~~_~.~.~.t::9..__;J;_l!:_~P~~.~.?E.~.~.__.s>.~.~.~~_~...__. ......m_.....__.._..._..._........ ......_...._._._.........._...._._._..._._..._._.......--..-.-
a bond for the above indicated term and conditioned as hereinafter set forth.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if the above
bounden Principal as such licensee or permittee shall indemnify said Obligee against all loss, costs, expenses
or damage to it caused by said Principal's non-compliance with or breach of any laws, statutes, ordinances,
rules or regulations pertaining to such license or permit issued to the Principal, which said breach or non-
compliance shall occur during the term of this bond, then this obligation shall be void, otherwise to remain in
full force and effect.
PROVIDED, that if this bond is for a fixed term, it may be continued by Certificate executed by the
Surety hereon; and
PROVIDED FURTHER, that regardless of the number of years this bond shall continue or be continued
in force and of the number of premiums that shall be payable or paid the Surety shall not be liable hereunder
for a larger amount, in the aggregate, than the amount of this bond, and
PROVIDED FURTHER, that if this is a continuous bond and the Surety shall so elect, this bond may
be cancelled by the Surety as to subsequent liability by giving thirty (30) days notice in writing to said Obligee.
Signed, sealed and da ted the..___m....m_}_~_~m____.___________mmmmda y of .__.___~.~X..m_..._._.._____m__.___________m.19_'?_~__
J519-
.._.._Q_~.N~_~JJ.._~_g.l}} P.?0.Y_.L__..~D~_9X.P..Q.t.i?:t~.g..___
I' iF"",. Principal
'\' j '. \' }
1 -. .
,. ,(t- ,/r.f --,', "Ji
") '-d -.,___:;,,r '~1(f:;,-'-...,--=~
. -.::1 - - - - - - ~ - - -. - -.. ~ - -. ~ \:J - - - - - - - - - - - - - :;:: ?~;J,'~~r~~ (;;;-\:(~ [;'.-'4
NY OF MARYLAND'- - I
~'''~~.:;._~~';;"~";'',,.,.-,'',w,--~"-'-''':::
Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
HOME OFFICE, BALTIMORE, MD
KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation of the
State of Maryland, by C. M. PECOT, JR. , Vice-President, and C. W. ROBBINS ,
Assistant Secretary, in pursuance of authority granted by Article VI, Section 2, of the By-Laws of said Company, which are set
forth on the reverse side h~reof and are hereby ~ertified to be ip full ,force and effect on the date hereof, does hereby nominate,
constitute and appoint Mlchael J. Magulre of Rapld lty, Sout Dakota.................
~" '"
I true and lawful agent and Attorney-in-Fact, to make, execute,~d delive~~~~d on its behaH as surety, and as its act and deed:
any and all bonds and undertakings, ea~va pe~ not to exceed the sum of TWO
MILLION DOLLARS ($2,000,000)......... . . . . . . . . .. ....................
Aii e execution 0 suc bonds or undertakings in ~ of the nts, shall be as binding upon said Company, as fully
and amply, to all intents and purposes, as if they h duly e and acknowledged by the regularly elected officers of
the Company at its office in Baltimore, Md., in t ir n prope~ ns. This power of attorney revokes that
issued on behalf of Michael J. '" re, d~, December 17, 1990.
The said Assistant Secretary does hereby at the ex~':{et forth on the reverse side hereof is a true copy of Article VI,
Section 2, of the By-Laws of said Company, is no~wrce.
IN WITNESS WHEREOF, the said Vic~ident and t Secretary have hereunto subscribed their names and affixed the
Corporate Seal of the said FIDELI-rr~~"'15EPOSIT ANY OF MARYLAND, this 11 th day of
February, A.D. 19~ ~
~ FIDELITY AND~~HT COMPANY OF MARYLAND
A~T, ..~.~~~!__......~;J~--_. By ..___.....__.._..y;~:~~~_..........
STATE OF MARYLAND I ~
CITY OF BALTIMORE \ ss:
On this 11 th day of February , A.D. 19 91, before the subscriber, a Notary Public of the State of
Maryland, in and for the City of Baltimore, duly commissioned and qualified, came the above-named Vice-President and Assistant
Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers
described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being by
me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid, and
that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal and their
signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal, at the City of Baltimore, the day and
year first above written.
&;'I'~~
(~f/MOl. ,,;,..~,)
.::. - i*, Notary Publi
~;'..~u.lIc:.""~1
~~.:,f.:~:::"/ CERTIFICATE
I, the undersigned, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that
the original Power of Attorney of which the foregoing is a full, true and correct copy, is in full force and effect on the date of this
certificate; and I do further certify that the Vice-President who executed the said Power of Attorney was one of the additional Vice-
Presidents specially authorized by the Board of Directors to appoint any Attorney-in-Fact as provided in Article VI, Section 2, of
the By-Laws of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND.
This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 16th day of July, 1969.
RESOLVED: "That the facsimile or mechanically reproduced signature of any Assistant Secretary of the Company, whether made
heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid
and binding upon the Company with the same force and effect as though manually affixed." 3 d
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the said Company, this ~
day of May , 19 93.
CAROL J. FADER
088-5214
~"= AU ~ ~J>--
. 0 Q ssistant Secretary