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WUN I-Y ur 5tuN rurnwuv <br /> DEPARTNENT OF PUBLIC WORKS Received by <br /> . cR# 0a8 q L47– <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE, <br /> Name APN f%3 -1_-�_ FEE DUE ,:5/ , <br /> (// hJ L M.DATE DRIVEWAYS: <br /> Address so 13 STREET SA Y L�! QUAD ME i <br /> AREA City,State-Zip Code TYPE rAJ <br /> D c 96-2' 0 FORMS f,1-7 <br /> Area Code)Telephone OTE <br /> 2 0 i2— 13 <br /> OR � <br /> SITE MATION <br /> Parcel Ownds Name <br /> -7763 E <br /> Site s DRIVEWAY <br /> r <br /> City,State-Zip Code TYPE QUANTTI`Y WIDTHS <br /> - <br /> AGRICULTURE @ FRONTAGE <br /> (Area Codd)Telephcna COMMERCIAL <br /> USTRIAL R/W <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> QTH Ft. X WIDTH: Ft. <br /> Name <br /> The b ereby applies far permission.to on Highway <br /> Address <br /> Right-of-Way on the side of Hrye/Wy Z <br /> City,State-Zip Code gyro ly r CFA of /off <br /> 7-,e -- by installing <br /> (Area Code)Telephone <br /> Work <br /> will cue on or about for approximately days- <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? NO YES Contractor's License <br /> AccroslPer App\Focm\DrivewayEaved$notage <br /> r� <br />