Laserfiche WebLink
<br /> <br /> <br /> 15 First Amendment to SL Dark Fiber License Agreement <br /> <br /> <br />EXHIBIT 6 <br />CONSENT TO ALTER PROPERTY <br /> <br /> <br />The Applicant requests a modification to the “Property” as defined in the License Agreement <br />between San Leandro Dark Fiber and the City of San Leandro dated October 17, 2011 (Agreement). <br />The requested modification to the Property is as follows (Summary Description): <br />_________________________________________________________________________________ <br />_________________________________________________________________________________ <br />_________________________________________________________________________________ <br /> <br />The work will be constructed in accordance with the following (in order of precedence): <br /> <br /> <br />Fiber Conduit Construction (attached) <br /> <br /> <br />Applicant: <br />San Leandro Dark Fiber Contact: ____________________________ <br />303 W. Joaquin Ave., #100 Phone: _____________________________ <br />San Leandro CA 94577 Email: _____________________________ <br />Signed: _______________________________ Date:_________________ <br /> <br />City Department Review: <br />E/T By____________________ Date______ PWS By_______________ Date______ <br />IS By____________________ Date______ CIO By_______________ Date______ <br />Comments:________________________________________________________________________ <br />_________________________________________________________________________________ <br />_________________________________________________________________________________ <br /> <br />( ) Approved: Signed:_________________________ Date:__________ <br />The requested work has been approved as a modification to the Property as defined in the <br />Agreement. <br />Plan Title_________________________________________________________ Dated:_________ <br />Encroachment Permit Number _______________________ Issued Date________________ <br />Agreement Modification Number _______________ Added Conduit Length:_______ feet <br /> <br />( ) Rejected: Signed:_________________________ Date:__________ <br />The requested work is not approved for inclusion into the Property as defined in the Agreement. <br />Comments:________________________________________________________________________ <br />_________________________________________________________________________________ <br />_____ <br /> <br />