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- <br /> Rmdved by G <br /> DEPARTMENT OF PUBLIC WORKS CR# <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> Name _%q_%q -;y�-C FEE DUE /BCS <br /> DATE DRIVEWAYS: <br /> 1 s STREET / MAM4.5 rCoAa ' <br /> AREAT&A +/ _QUAD <br /> �Z <br /> city's TYPE w s <br /> e- P. <br /> ORMS <br /> ( Code)Tel }Lone OTE <br /> SITE INFORMATION <br /> Parasl Oivnds Name <br /> RIVEWAY <br /> TYPE QUANTITY. WIDTHS <br /> City,Stet -Z- Coda AGRICULTURE> @ FRONTAGE <br /> h✓J-tea �1vIIv�RCIAL <br /> (Ates Code)Telephone USTRiAL �._— R/W <br /> IDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> GTH Ft. X WIDTH: <br /> 'Name <br /> Address The g�hereby applies for permission to encroach on Highway <br /> Right-of-Way on the side of /_A#jA16 S J404w <br /> City,State-Zip Code Hwy 0 2'sell _of�/i9l�GO <br /> QAV' ,by installing ��•� <br /> � <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 /> AooessTar ApplFormXDdvewayPaved 8notape <br />