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DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# a Z)ql <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> X APP ANT OFFICE USE ONLY <br /> X�5'i(�i C- .c�v�r� FAPN <br /> #11005 ISSUE DATE <br /> Name , <br /> CL_- ow- 48 FEE DUEDATE DRIVEWAYS:Address EET F �� T <br /> Z3 �' AREA <br /> sT,ei►, QUAD— -- t <br /> C}'ty,State-Zip.Code TYPE ?5,t.J <br /> (Ana Code)Telephone OTE <br /> SUE INFORMATION <br /> parcel Owam's Name <br /> Sits Address RIV.EWAY <br /> 6 Lk' aCa "U TYPE QUANTITY. WIDTHS <br /> City,State-Zip Code AGRICULTURE @ COMMERCIAL FRONTAGE <br /> (Area Coda)Telephone COMMERCIAL <br /> R/W <br /> tRRSIDENCE <br /> \" <br /> CONTRACTOR' PAVED FRONTAGE <br /> L/.' �rl�` GTIi Ft. X WIDTH Ft <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on County Flighway <br /> Right-of-Way on the SASr side of f <br /> 577 <br /> City,State-Zip Code aPP�y f /MR* ,v�Tr/ of �31�wf9� <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 /> Aoo mTer AWTmm0&c wayNved&outage <br />