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�• • �_ •� , <br /> ' , � <br /> . ' � <br /> PERMIT APPLICATION ^��� � <br /> :,�-^►� � <br /> �,�,.,� <br /> �;�,,,--.=;.�»� <br /> DItIVEW�4Y PERMIT i4PPLICATION <br /> CONSTRUCTIOIV WITHIN PUBLIC RIGHT-OF-WAY <br /> All information must be�filled-in completely <br /> City of Zephyrhills <br /> 5335 8"'Street, Zepliyrhills, FL 33542 <br /> Telephone 813.780.0000 Fax 813.780.0005 <br /> . <br /> � _ _ - . _ �. . _ . - - - - - <br /> ... ._ . . � . . <br /> lication: - <br /> . .. <br /> �Date:of aPP. _ , - _ ; . - ,Processed.By:�_ -:t'� � _ _ '-..Rermit#::� ,- ; - -- - -:;. <br /> r, -.. : - - --' (9r?y area fir staFf use orih'),' -_ _ �- . -.- , <br /> ,. _ , � . . <br /> . :. . , <br /> . . -. � •_ ;� <br /> - - ' - , ._ <br /> _. <br /> ,. :, <br /> f-: .:�z� .c:r.. �ra:�;�Copy,toBuilding;Departrnent� -- - - -,t,[�CoPY.to:R�itilic.Works - _ -- - <br /> �.J.: <br /> PRO) CT/70B , E: PRO E TY OWNER <br /> Address: ' ^ ' ^ Name: <br /> Unit#: ' ` ' Address: A i <br /> Parcel Identi ication Number: �? -2(4� - -��� Ci State Zi <br /> (�O Fhone: p3 Fax: - -Z <br /> CONTRACTOR: � <br /> r <br /> Com an : � � <br /> Name: � , <br /> Contra or's License #: - " � E-Mail: � � �'C� <br /> Phone: - - Cell: - - , Fax: J <br /> � <br /> ARCHITECT/ENGIIIIEER: <br /> Name: � 1�(, � j�-�' Firm IVame: � � � <br /> Address: j Ci State: Zi <br /> State License #: Phone: � Cell: Fax: <br /> Description of Proiect <br /> TYPE OF DRNEWAY ����LENGTH oF D I EWAY CULVERTS NEEDED <br /> RESIDENTIAL DRNEWAY �WIDTH OF DRIVEWAY O REINFORCED CONCRETE <br /> COMMERCL4L DRIVEWAY R.O.W. IEXCAVATION O CORRUGATED MATERIAL <br /> PUBLIC ACCESS DRIVEWAY DEPTH I LINEAR FEET O BOX CULVERT <br /> CONSTRUCTION MATERIAL CURB CUT RE U I ED O OTHER(EXPLAIN) <br /> ASPHALT YES � NO <br /> �CONCREfE <br /> HEADWALL REOUIRED? YES �NO <br /> NOTICE YO APPLICANT: If actual work exceeds scope I f this description,additional perenits or drawings <br /> will be required. <br /> UTILITY LOCATIONS REOUIRED: CALL �EFORE YOU DIG: 1.800.432.4770 <br /> I <br /> Page 1�of 3 <br /> I <br />