Laserfiche WebLink
CUUN-1-Y UP aAN JURkZUIN - <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> CR# .FL j 3 Y--P 3 5 <br /> DRIVEWAY AND PAVED FRONTAGES <br /> PERMIT APPLICATION <br /> PIICNOCE USE ONLY <br /> JOB#11005 ISSUE DATE <br /> Name APNof39 - / - ,rte FEE DUE <br /> f3�d I3PPG Li i' EXP.DATE DRIVEWAYS: <br /> Address STREET--8 eF-CNcjO- ' <br /> 1 ,2 f SToc To.y _QUAD Ne <br /> /V_ City,State-Zip Code TYPE 7.,)c:i y <br /> �O u?— <br /> (Area Code)Telephone OTE <br /> CALL-HE'cJ�1N7s 7o PaK VP ' r- <br /> SITE RV RMATION t4D jloo/low' <br /> Parcel ownpfs Name <br /> Sg00 eee-ems 2 <br /> Site ss l f, DRIVEWAY <br /> r` TYPE QUAN'111 . WIDTHS <br /> City,State-Zip Code AGRICULTURE @ FRONTAGE <br /> (Area Codd)Telephone colvIlvlERCIALINDUSTRIAL @ R/W <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH:- Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> Right-of-Way on the 5gsl side of tech o <br /> City,State-Zip Code approximately /mile ,Iou1-4 of <br /> by installing <br /> (Area Code)Telephone <br /> .. Wank <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 /> A==\Per AppTorm\DtivewayPaved fiodage <br /> i <br />