Fillable CITY OF YORBA LINDA TRANSPORTATION PERMIT (City of Yorba Linda)

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CITY OF YORBA LINDA TRANSPORTATION PERMIT (City of Yorba Linda)

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  • 8 check-boxes
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Country of origin: US
File type: PDF

U.S.A. forms for City of Yorba Linda

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IN COMPLIANCE WITH YOUR REQUEST AND SUBJECT TO ALL Of THE TE
RMS,
CONDITIONS AND
RESTRICTIONS
WRITTEN
BELOW
AND
THE ATTACHMENTS,
PERMISSION
IS
HEREBY
GRANTED
TO
:
PERMIT VALID BETWEEN
TRANSPORTER
CITY
LOADED DIMENSIONS DIFFERENT THAN OR WEIGHTS EXCEEDING THOSE SHOWN BELOW ARE NOT AUTHORIZED
AXLE NUMBER
1
2 3
4
5 6 7
8 9
NUMBER TIRES
AXLE SPACING
AXLE WIDTH
WEIGHT
* OTHER AGENCY PERMIT/S REQUIRED
ADDRESS
STATE ZIP CODE
PHONE NO.
EMAIL ADDRESS
HAUL
DRIVE
TOW
LOAD OR EQUIPMENT AND MODEL NO.
TYPE OF VEHICLE
KING PIN TO LAST AXLE
COMB. VEHICLE LENGTH
CITY OF YORBA LINDA REPRESENTATIVE
MAX
HEIGHT:
MAX
WIDTH:
MAX
OVERALL LENGTH:
MAX
OVERHANG:
ORIGIN: DESTINATION:
NO. OF TRIPS:
AUTHORIZED ROADS/STREETS/HIGHWAYS:
SATURDAY. . . . . . . . . . . . . . . . . .
SUNDAY. . . . . . . . . . . . . . . . . . . .
SUNSET TO SUNRISE . . . . . . . . .
MOVEMENT AUTHORIZED
YES NO
TIME:
START DATE:
TO SUNSET
CASH
CHARGE FEE
EXEMPT
PILOT CAR
YES
NONE REQUIRED
PERMITTEE AUTHORIZED AGENT SIGNATURE DATE
ATTACHMENTS
PERMIT NUMBER:
CITY OF YORBA LINDA
TRANSPORTATION PERMIT
END DATE:
PM
AM
PERMIT VALID FOR ONLY (1) VEHICLE AND FOR TIMELINE SPECIFIED
- NO STAGING IN RESIDENTIAL / COMMERCIAL AREAS PRIOR TO 7 AM
- NO TRUCKS / TRANSPORT WITHIN CITY BOUNDARIES ON OR BEFORE 7 AM
- PERMIT COVERS ONLY CITY OF YORBA LINDA JURISDICTION
- DRIVER MUST HAVE THE PERMIT PRESENT AT ALL TIMES
- NO TRANSPORT ON WEEKENDS OR ON FEDERAL HOLIDAYS
ISSUED BY
ISSUED DATE:
■
■
■
■
■
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CITY OF YORBA LINDA TRANSPORTATION PERMIT (City of Yorba Linda)

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Completed 25 March 2021

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