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., � <br /> C�8. 23/2��1F 11 '3A F4iS i�?jii�i�jiip'3 <br /> t <br /> P RMIT APPLiC/ATION <br /> DRIVEIA�A PERMIT APPLICATIot� <br /> �t1N�TRUCTICgi� M�IV PUBLIC RIGMT-�P-�IV�#V <br /> Afl informa fon must be fl!!ed-tn comptetely <br /> ICy OP ZephyrPtllfs ' <br /> • 5335 8�' treet, Zephyrhllis, Fl 33542 � <br /> Telephone 8 3,780.OQQ0 Fax 813.780.Oa05 , <br /> c. L� 0 '+ .� . 4 ` _ <br /> � �+a,: d �'"- �,., 'h��. �� ,ti�: ... <br /> _ '�' � k�, fs <br /> �;a7 <br /> REtQ7ECT ]OB SITE: PRQPERTY 4WNI�R <br /> A ress: I Name' i li • <br /> Un t#: � i � Address. Unit: <br /> Pa' I Ident�ftcation Number;F - - - ci State zt y, . ' �r.� :� <br /> Phone: �$-5a a Fax: • <br /> :f <br /> i' <br /> n <br /> ���0� I , <br /> ;`l <br /> Ca' an I <br /> Na f �i� <br /> � <br /> Co t�act�vrS Licer�e�: (�CC! ! I E-Mail: <br /> Ph�ne: 3-"�1�- Cell: �- FaX: ,� <br /> f <br /> A CHITECT/ENGIW�ER: � � <br /> t <br /> Na e: E 5 Fir Namc;l� w. � -�` <br /> A :1 G St,�te; �� Zi : <br /> 5 t�e Litense�; Pho Ceil: Fax: - � -3 <br /> � <br /> :� <br /> �bscrinNon af Pt��t , . <br /> 4� <br /> �LHVG"f}i OF DRYVEWAY ��ii ycoT,e ueen�n : <br /> RESIDEN7IAL DRIVEINAY �' VN�D'TN OF ORIVEINAY ( )REiNPpR[ED CONCRETE '� <br /> coM�ERau.D�v�roaY �g�'1,� ( )CORRUGATED MATERIAL ,' <br /> PUBIIC ACCESS dRIVEWAY � �3' LfNEAR FEET ( )BOX CUIVERT r; <br /> � t )arH�a cFxau►zM <br /> �� <br /> _���Y ���� , <br /> CONCRE�E ' <br /> i' <br /> YES �NO <br /> NQ1fICE_ APPLIC�N4: Tf'eetaal work e� ds seope of this dersuiption,addPtlon�l ponr�i��r drawtnqr . <br /> will be raqulrod. � <br /> CALL BEFOR�YOU DIC,: 1.�00.43Z.4774 <br /> r�. . - <br /> Peye I of 3 <br /> �: <br /> 4� I <br /> { <br />