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1. That hekhe has all,i rct i 1I aft a "I #he;be`stf <br /> hisser tnee��d ;.., ,.. , , , <br /> 2. That he she is#*,,oww#wOf the respectift <br /> 3. That ha w� <br /> mWasune, .r llk r for 'I tar d tar Vd" <br /> dem*o**vMchr� .a � e alrl <br /> 4. yT�hatintheev .aay ofso .is 90*'t a <br /> thereof,he �;� ?° <br /> 5. Thatmork <br /> Indicatedte" . <br /> 6. at : t r d. to(u WoUd in a0000*1+or . <br /> . _ <br /> >>>>>> <br /> 1. DRIVEWAY: Notre p Irt p + gI p � � p <br /> 2. sLOPING: Away fra Pave lent p To,+r Pay f .� :� 0d <br /> 3. PIPES: Dene <br /> DIS't -Type. Yes U No <br /> bRiji 0 ee . <br /> 4. HEADWALL: Yes p NO <br /> 5. ASPHALT CONCRETE DACE: Yes p No <br /> 6.. BARRIERS: along Right-of-Way Abw <br /> 7. olrcH: Yes pNo VIfY, VS* 0 2 p 'C3 Wkm' D00 <br /> �. <br /> »»»>>>>>>»»s»» »> > » »»PST y <br /> 1. DRIVEWAY; SFR p Corrmio ial Agftfte p` Indts I p <br /> Parte with "fit Dom►A.C.oyer "I n Dep# Y4 ABx over <br /> }Votes: 49,/4 Luze� '-' Z" <br /> 2. PIPES: Length of PipeRegced IV114 Ft.and Dim of Pipe <br /> To be connected to any admit driveway pipe Yes d No <br /> Dfainage Wet Required Yes p No [ <br /> Total Length: """� ^04A PrOP064 TOW ftlW of Std Drab Inlets: <br /> Notes: <br /> 3. HEADWALL: Yes p No <br /> 4. PAVED FRONTAGE: Paved with lin Depth AC,over <br /> Measuring Feet h lenqM aW Feet iat" <br /> »»»»»»»»»»>>>>> <br /> Driveway EmoaoNymo Pontit;base fee $125.(* 60 <br /> F' !� <br /> Driveway Yd or w/o pipe $1100 Paved Mage 17 8:4 <br /> Driveway w tox Curt, `$17306 $1 : <br /> t1SJPWGOV.ORG�SF{At E W1 3 Sv, P9FWr1DRNMY=M" NO2af2 <br />