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i ��� <br /> .h <br /> ��''r��d4�! ';.�t•. <br /> PERMIT�APPI:ICATION " `��:.-� • <br /> -�:;� <br /> _�......., •+; <br /> DRNEW/4Y:P.ERivM�IT.A�P.PLICAT:IQN <br /> aCO�lSTRU.CT:I�N 1NITM�N>PUBLIC�RI�H�'--O.F=WAY <br /> A� Infiormatlon�be-fllled-In completely <br /> :Ci�y.of:Zephyrhills <br /> 'S335 8�'Stree�Zephyrhlll�,'F.L 33542 <br /> Z'elephone.813.780.000Q . Fax 813.780.�Q05 <br /> �:`!!��!+�6�0�1:j;;..�4,.,��.i•;�Iv:?,�-�, : tY•: �. �� .�}::� ' .j�• '� ..s, .� •.i �. :i;,-� - <br /> •jy,. _ ::t;r':'ii�: ;;_,1:;;• -3L��++JL�.`•:•�f.; :��`jr•" `-i•t S�.'- c,�f eYttt�l'�".;#:�:y::::;�= <br /> - -;= - :C. •-,.. ,;;;: ;.;::;� .,r,' .'��h�rati!'C+ae�e:' .,, _ ',�_,,,.e�:rrs�',,.;.;;i:�~:�4,`�;e:. •,i�,;�-�'-;_�,: <br /> ': .`` /,'�tlD�Y%��7t?4f�i�:� �-; �:- �! c+��+ � 4• _ . <br /> '�• ' �'." - `�C�'Y#��'6�-1�o'r'fis�`� ��. <br /> __ =�RO�ECT.70B{ ITE: �PR�PERTY'OWNER <br /> Address: - Name: / v • SOd• • Y. ��,c � fy tS L •�i�c�'s'"" <br /> �Unit#: - � Addressc - - ! ; r" _ Uni . <br />, . Parcel Identffiratiori Number: --: - - Ci State �"i �, :Z�a:,; „- 1�Ll t ` <br /> - - - - _ - ; �Phonec � -- > • Fax: � <br /> •�ONTRAGTOR:� - _- - - - _ <br /> ComRanY� fn�.z.� +.t bG-� �✓�llf L-��� <br /> =Name: .2.�` � <br /> ContractaCs lloense#: - � I !y�' - ,-,.. E-Mall: ra .t� Le� 1."� - ��� C".a�� <br />' .Phone:- .�"�I�-- Cell: 2�- IGl f� Fax: <br /> �� - - _ - L� ,r,•, <br /> . <br /> ARCHITECT/6NGINEER: <br /> 'Name: '{� ��' Rrm Name• 1�� {�. � - -- - - <br /> Addrn.ss• Gtv' - Sta�� - - _Z'ip• <br /> State Uoense#• Phone: _ Celh Fax: � � <br /> Deserintion of proiect - - <br /> K �l.EN6fH OF DRIVEWAY CULVERT'5�NEEDED <br /> RESIDENT7AL bRNEWAY „j�_WIDTH OF DRNEWAY � )RQNFpRC�CapICRETE <br /> CbMM�3tQA1.DftIVEWAY R.d.W. �7CGAVATIdN ( )�p{�J�,p'�p'�47�q� <br /> PUBLIC ACCE'S DRIVEWAY DEPTH LINEAR FEEf ( )BmC dJLVERT <br /> � )O7HER(ACPi11IN)�` <br /> CONSTRUCTxON MAT�RIA4 CURB CUTRE UIREb <br /> ASPNALT YES Np -- <br /> �_CONCRETE <br /> JIEADW�.�REOUIRED2 YES �` NO <br /> NOTICE Tg,gPP�NT: If actual woric exceeds scope af this slescription,additional permits or drawings � <br /> will be required. <br /> UTILiN LOCATIONS REOUIRED: CAIeL BEFORE YOU DIG: 1.800.432.477D �, <br /> Page 1 of 3 <br /> I <br />