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j�Y..RYG(1 Vy ( ?3a J <br /> DEPARTMENT OF PUBLIC WORKS CR# ©2890�— <br /> DRIVEWAY AND PAVED FRONTAGES <br /> _ PERMIT APPLICATION <br /> OFFICE USE ONLY <br /> d JOB#11005 ISSUE DATE / 1 <br /> ------ _.ado - 1.4 FEE DUE )6/ <br /> 0107 <br /> Ila DATE DRIVEWAYS: <br /> STREET '�i'y�-iN' .gyp ' <br /> 9522,0 QUAD NE « <br /> State-Zip Code TYPE �� « <br /> RMS t-J / <br /> (Arca Code)Telephone NOTE A 44 <br /> ZCR zoo-2524 <br /> Sr�wdv <br /> Parcel trots <br /> Site s �cJ2�� DRIVEWAY <br /> TYPE QUANTITY_ WIDTHS <br /> :=:City,State-Zip Code QRICULTURE @ FRONTAGE <br /> (Area Coda)Telephone COMMERCIAL <br /> rUSTRL4 L R/OV <br /> 2oct 6 Lt `- W2t ! RESIDENCE <br /> CONTRACTOR PAVED FRONTA0E <br /> W, G- v QTIi Ft X WIDTH: Ft. <br /> Name <br /> rn Z The undersigned hereby applies for permission toon Highway <br /> Address Right-of-Way on the ��_side of = n , ' - 7 <br /> of <br /> City,State-Zip Code �Y y� indalFmg D <br /> by � om` <br /> - Os C'QxA- <br /> (Area Code)Telephone <br /> Work <br /> will commence 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 /> Access\Per App\Fomi\Drlvemayfaved mage <br /> l <br />