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2. Applicant Name*
3. Company Name*
5. Company Address*
7. City*
8. State*
9. Zip Code*
11. Company Phone Number*
12. Company Fax Number
13. Email Address*
15. Date for Permit (must enter and leave site before 10 a.m.)*
    Date for Permit (must enter and leave site before 10 a.m.) Start Date

    Date for Permit (must enter and leave site before 10 a.m.) Start Time

    —

    Date for Permit (must enter and leave site before 10 a.m.) End Date

    Date for Permit (must enter and leave site before 10 a.m.) End Time
17. Site Location*
18. Type of Vehicle/Equipment (Allowable weight: 5 tons per axle)*
20. The above named company and/or person has permission to operate on the following route while hauling to the above-mentioned address.
22. Route*
24. WHEREAS
    for the public safety and welfare, it is necessary to protect and preserve the public’s investment in the streets and roads of the City of Hopkins from premature deterioration and break-up occasioned by the alternate thawing and freezing cycle experienced in the late winter and early spring, and
26. WHEREAS
    in order to minimize the aforementioned damage to our streets and roads, and pursuant to the authority contained in Section 169.87, the City posts load limits on certain of its streets and roads, and
28. WHEREAS
    in order to facilitate the movement of goods and materials, particularly those delivered to construction sites, it may be necessary to permit overweight vehicles on certain streets and roads.
30. NOW, THEREFORE, BE IT HEREBY RESOLVED
    by the City Council of the City of Hopkins that it is the policy of the City of Hopkins that load limits shall be established at such times and on such streets and roads throughout the City of Hopkins as shall be determined by the Public Works Director or their designee.
32. BE IT FURTHER RESOLVED
    that in the event private parties desire to exceed these load limits, they shall obtain a permit from the Public Works Director or their designee, and they shall be required to submit to the City cash or a certified check in an amount to be determined by the Public Works Director or their designee; such amount to be based upon the anticipated potential damage which could be occasioned by such hauling, and
34. BE IT FURTHER RESOLVED
    that the Public Works Director or their designee shall be authorized to revoke any such overweight permits when, in his judgment, substantial damage is being caused to the street or road, and
36. BE IT FURTHER RESOLVED
    that the Public Works Director or their designee shall be authorized to deduct from paid cash deposit, any sums necessary to restore the street to its design standards in the event of damage, following the expiration or revocation of an overload permit, or the lifting of load limits, and
38. BE IT FURTHER RESOLVED
    that it shall be the policy of the City of Hopkins to presume that any damages occurring on any street or road over which vehicles have permission to travel overweight, shall have been caused by said vehicles.
40. I have read the above and agree with all provisions therein:*

    1. I agree
42. Your request for an overload permit will not be complete until you receive an approval from the City of Hopkins via email. *

    1. I understand
44. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
46. Electronic Signature*
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit Submit and Print

* indicates a required field