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Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2012_DRIVEWAY PERMITS_PS-12000501 thru PS-12001000_ - PS-12-00738
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Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2012_DRIVEWAY PERMITS_PS-12000501 thru PS-12001000_ - PS-12-00738
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Entry Properties
Last modified
6/15/2021 4:03:00 PM
Creation date
12/30/2015 3:23:55 PM
Metadata
Fields
Template:
Permits_Development
DocName
PS-12-00738
Category07
Encroachment(EP)/Driveway(DW) Permits
SubCategory07
2012\DRIVEWAY PERMITS\PS-12000501 thru PS-12001000
Year2
2012
Supplemental fields
Applicant
YOUNNEL REIGHTON
Contracts
CrossReference
Description
ENCROACHMENT PERMIT
DocCategory
Permit Applications (PA)
Notes
Owners
CHRIS SCHRIMPL ARCH
Parcel Address
3137 FAIRWAY DR.
Primary Parcel
Type (2)
PS-12-00738
Tags
Permits_Development
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THE APPLICANT HEREBY CERTIFIES: <br /> 1. That he/she has read all the provisions of this application,and that the description included in this application are correct to the best <br /> his/her knowledge;and <br /> 2. That he/she is the owner of the respective property,or is qualified to represent the owner;and <br /> 3. That he/she will assume full responsibility for all liability for persona;injury or damage to property which may arise out of the work <br /> described above,or which may arise out of his/her failure to do the work provided herein;and <br /> 4. the <br /> shalltdefend,indemnify liability <br /> ndlh Id them anis made d eachainst the of them County mess forof San asuch claim;anuin or any da�ment,official or employee <br /> 5. That <br /> work <br /> si hall bh performed valid by <br /> the applicant <br /> County Encroachmentd/ any <br /> r sentativ d f the application in the County Right-of-Way at the above <br /> cated <br /> 6. That if permission is granted as requested,he agrees to do the work described in accordance with all terms,condition and restriction <br /> of this and any attached sheet,included as general or special III provisions. <br /> X - Y Date <br /> 5Z�ii�dnatitle <br /> »»»»»»»»»>>>>> >/»»»»»»»FIELDISE CON COI MENTS««««««««««««««««««««« <br /> ING <br /> NS <br /> 1. DRIVEWAY: None T(Dirt ❑ Gravel ❑ Aggregate Base ❑ Paved(poor) ❑ Paved(good) ❑ <br /> 2. SLOPING: Away from Pavement ❑ Towards Pavement//.�Flat <br /> 11 Z ❑ <br /> 3. PIPES: None ©� Existing—Type Cu'7<t`� �'`I �lvu''�rG e. <br /> Other pipes in neighborhood: Yes N Approaches oss Drain Size <br /> 4. HEADWALL: Yes EJNo Eli <br /> 5. ASPHALT CONCRETE DIKE: Yes ❑ NoEl 6604 E <br /> 6. BARRIERS: along Right-of-Way <br /> 1;116 14 Z <br /> 7. DITCH: Yes ❑ No [t]/If Yes: V Style ❑ <br /> 2 Point ❑ Other ❑ Width Depth <br /> »»»»»»»»»»»»»»»»»»»»»»»»PERMITS REQUIREM ENT S««««««««««««««««««««< <br /> 1. DRIVEWAY: SFR E]/ Commercial ❑ Agriculture ❑ Industrial ❑ <br /> Paved with �` "Min Depth A.C.over "Min Depth'/<"A.B.over <br /> Notes: <br /> 2. PIPES: Length of Pipe Required <br /> Ft.and Diameter of Pipe �j`� inch(e; <br /> To be connected to any adjacent driveway pipe Yes ❑ No <br /> ET <br /> Drainage Inlet Required Yes ❑ No <br /> Total Length: (with proposed) Total Number of Storm Drain Inlets: <br /> 4 <br /> - <br /> Notes: <br /> L <br /> 3. HEADWALL: Yes ❑ No <br /> "Min Depth A.C.over "Min Depth'/<"A.B. <br /> 4. PAVED FRONTAGE: Paved with length and Feet in width Feet in len <br /> Measuring g <br /> »»»»»»»»»»»»»»»»»»»»»»»»»»»FEES«««««««««««««««««««««««««« <br /> Driveway Encroachment Permit base fee $125.00 <br /> Field Ins ection110.00 H <br /> Paved Frontage <br /> Driveway w/box Culvert $116.00+0.53/ft. <br /> Driveway w/or w/o pipe $179.00 Curb,Gutter,Sidewalk $113.00+1.08/ft. <br /> $ <br /> 11SJPWGOV.ORGISHARESICENTRALSERVICESICLERICALIPUB-SV.WKIMASTER.PSIENCROACHMENTPERMITDRIV WAY.DOC (10/09) <br /> Page 2 0(2 <br />
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