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DEPARTMENT OF PUBLIC WORKS Flew ved. Iv <br /> M <br /> • c <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APP ANT OFFICE USE ONLY <br /> d JOB#11045 ISSUE DATE, <br /> Named- 01c,-.00 FEE DUE <br /> EXP.DATE DRIVEWAYS: <br /> ss STREET - <br /> City,State-Zi Code rOR <br /> r <br /> a2 — �l S 5 tv u/ -/(Area Code)Telephone <br /> S INFO ON <br /> Parcel Owner's Name <br /> xso/o 4:51 <0429 <br /> ite Address Z . <br /> �/ RIVEWAY <br /> C'ty S Zi Code TYPE QUANTITY- WIDTHS <br /> S r t rS- AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COIvIIv1ERCIAL <br /> VNDUSTRLAL R/W <br /> IDENCE <br /> CTO PAVED FRONTAGE <br /> GTI Ft. X WIDTH: Ft. <br /> N A <br /> Address The undersigned hereby applies for permission W encroach On Countyway <br /> Right of-Way on the A-)y^M side of fi 1ZM to k�V5 <br /> C' State-Zi Code appr ly 7�?fed/mile E ,57 of 6&:;:F:conk <br /> -bye <br /> (Area Code)Telephone <br /> Wort: <br /> will commence an or about for approximately days. <br /> SKETCH(Separate sheet may be submitt4 <br /> Will this project beself-installed? _ NO YES Contractot's License <br /> Ao umTer ApplFoimUNavayNvei fiw tage <br />