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DEPARTMENT OF PUL1C WORKS - - - It <br /> Received By: <br /> MMS AM PAVED FRONTAGES <br /> PE CATION CR#:033,407 -- <br /> APPLICAI T OFFICE USE ONLY <br /> Neese: �� <br /> l "14 VOL- A*N, al JOB# _ 11005 ISSUE DATE: <br /> ip code:L.�• W Cat 'L' fi APN /d ^/rigid--13 FEE DUE: <br /> Area Code, -T 201 46t 197,54 EXP.DATE: DRIVEWAYS: <br /> STREET: ueCAy 40, <br /> � ; INFORMATION: AREA PJASeAt QUAD 11C <br /> P0019"w TYPE: — <br /> S K FORMS: <br /> C - `� NOTES: <br /> ArCode - r �. fit- <br /> DRIVEWAY <br /> CONTRACTOR TYPE QUANTITY WIDTHS <br /> Nom; AGRICULTURE: FRONTAGE <br /> Address: COMMERCIAL: <br /> Ci r; ,Z-j Cade: INDUSTRIAL: @R1W <br /> Area Code Tellephone,t6wber RESIDENCE: <br /> PAVED FRONTAGE <br /> LENGTH: Ft X WIDTH: Ft. <br /> The undersized hereby appies for permimi to excavate,construct and/or otherwise en on County Highway Right-of-Way on the <br /> 1.5iA r side of p approximately <br /> Of A,5—e,, D. 7 by installing '' <br /> Work will <br /> commence on or about for approximately days. <br /> SKETCH(Separate sheet may be subned) <br /> WN this proiecE be 804r"W? YES NO Contractor's License <br /> 9SAVG0 DRQ U4RE A1: PELT DRNEWAY.DOC (10t0g) Page 1 a12 <br />