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  • Row Permit Application - Garden Grove California - Ci Garden-grove Ca

Get Row Permit Application - Garden Grove California - Ci Garden-grove Ca

PUBLIC WORKS ENGINEERING ENCROACHMENT PERMIT APPLICATION 11222 ACACIA PRKWY GARDEN GROVE, CA 92840 (714) 7415887 TEL / FAX (714) 7415578 ATTN: ENGINEERING rjacot gardengrove.org PERMIT#(City use).

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How to fill out the ROW permit application - Garden Grove California - Ci Garden-grove Ca online

Filling out the ROW permit application is an essential step for individuals or businesses looking to perform work in the public right of way in Garden Grove, California. This guide will provide you with clear instructions to navigate the application process effectively.

Follow the steps to complete your application correctly.

  1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
  2. Fill in the 'Job Address' section with the complete address where the work is to be performed. Ensure accuracy to avoid delays.
  3. Enter your name in the 'Applicant' field along with your contact information in the respective fields for 'Contact', 'Address', 'Zip Code', 'Phone', and 'Email Address'. This information is crucial for communication regarding your application.
  4. Specify the intersecting streets by filling in the 'North/South x street' and 'East/West x street' fields. This will help define the location of your project.
  5. Provide your California State Contractor License number and the Garden Grove Business License number. These are necessary for verification purposes.
  6. Ensure that certificates of insurance are on file in the office for all work performed in the public right of way. Familiarize yourself with city requirements for insurance types: general liability, automobile, and workers' compensation.
  7. In the 'Description of Work to be Performed' field, clearly describe the nature of the work you plan to undertake. This description will help city officials assess your permit request.
  8. Once all fields are completed accurately, review the form for any errors or omissions. This is a critical step to ensure a smooth application process.
  9. After confirming that all information is correct, save your changes, then download, print, or share the completed form as required.

For an efficient application process, complete your ROW permit application online today.

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I do hereby attest that this information is true, accurate and complete to the best of my knowledge and I understand that any falsification, omission, or concealment of material fact may subject me to administrative, civil, or criminal liability.”

I do hereby attest that this information is true, accurate and complete to the best of my knowledge and I understand that any falsification, omission, or concealment of material fact may subject me to administrative, civil, or criminal liability.”

Attestation is the act of witnessing the signing of a formal document and then also signing it to verify that it was properly signed by those bound by its contents. Attestation is a legal acknowledgment of the authenticity of a document and a verification that proper processes were followed.

“I _(print full name of the physician/practitioner)___ , hereby attest that the medical record entry for ___(date of service)__accurately reflects signature/notations that I made in my capacity as ___(insert provider credentials, e.g. M.D.)__ when I treated /diagnosed the above listed Medicare beneficiary.

Attestation is a kind of testimony or confirmation. It is customary to sign a deed, make a will or sign other written documents in the presence of a witness who also signs the document to attest to its contents and the authenticity of the party's signature.

“I, (print full name of the physician/practitioner), hereby attest that the medical record entry for (date of service) accurately reflects signatures/notations that I made in my capacity as (insert provider credentials, e.g., M.D.) when I treated/diagnosed the above listed Medicare beneficiary.

Certain types of signatures (e.g., illegible signatures, initials) may require the addition of a “signature attestation statement” or a signature log to the documentation to ensure the signature's authentication.

In order to be considered valid for Medicare medical review purposes, an attestation statement must be signed and dated by the author of the medical record entry and must contain sufficient information to identify the beneficiary.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232