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DEPARTMENT OF PUBLIC WORKS ReMvea by <br /> DRIVEWAY AND PAVED FRONTAGES CR# eg/?�— <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> Name �S�- f 2_c,0-�_ FEE DUE <br /> DATE DRIVEWAYS: <br /> Address STREET S/arI'�r' ST <br /> ©• ?�cs� QUAD'...- <br /> city"State-Zip Code TYPE <br /> S�(Am fie)Telep m6 <br /> SITE INFORMATION <br /> Parcel OwndsJajama ' <br /> Al <br /> ite Address <br /> pZ 5/ s/SC7 57— DRrvfEWAY <br /> city State-Zip code TYPE QUAN=. WIDTHS <br /> AIf GRICULTURE @ FRONTAGE <br /> (Area Codd)Telophoao COMIAMCL4L <br /> r� QUSTRIAL RM <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> GTIi Ft. X WIDTH: Ft. <br /> Nsme <br /> Address The unda-signed hereby applies for permission to eneroaeh an County Highway <br /> Right-of-Way on the 0side of –5/3rr+! 'e <br /> City,State-Zip Code aPPa'oximawY 'e SrXT.�r!►' of <br /> 4,. .by' �W <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 beself-installed? NO YES ContraoWs License <br /> aocess\Per AMkFamlDdwmyNved fmotage <br /> G <br />