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.......... <br /> ... ........ <br /> -PERMIT-APKICATION <br /> DRIVEUVA":Y' PERMIT.APPLICA'IION <br /> �CONSTRUC7I0N .W.1THIN 1PUBLIC=RIGHT OF-WAY <br /> All information-must-be-filled-in completely <br /> iCity.ofZephyrhills <br /> '5335 Sth 5treet,Zephyrhilis,"FL 33542 <br /> Telephone.813.780.0000 Fax 813.780.0005 <br /> G +a^n:�•Y'.e =:".!. -.:r++sa3xs�x,;.s,4ii'°='�:. _ �::4.,rd`.::..y;�:.;sA!.a �u '4, .i"'.:_ `7;6tw,,. 'r;7r::+,'s:�^ a=1::.;-"di`'.s�'�: _ .,. ". <br /> ;F�,! <br /> .t{74������. N1•!!r. r*� &�'.F �.Y1 s.5�._t_la �-Gl.'�GY ti.� D•+.t.,£•���"�gf',N�Na4J�NCkrt✓.'FX',^•�h�.� ^l t"il.'S=''�f"..`L,���.,.iS�;J.�.; <br /> ,.�t'�.y� t ���'r '?'F�.s:"'��yo�.�:����t � �s �.r a. 1:,{ x'""° S.y"..3{:�'rnv `x. }s�"`E` �•• �.5'.ca� +=3.+f..... <br /> i;-� ""`�.S:�rg�st� _ 7' •`;tj�yyy����€�'.•*�,'�(,,��t�t :��{,� ,riw3`+� .._ .i,,; r. 4.s-f ?��,�[.. �.?y��..,.y�. �.i., Y�•-,, - <br /> {.r-•t:��:£�Y-fin,T.!'�5��:;^.'P.'.'t #. �Y!i�/".+D�� Ca!�'��.w�i': x�)^,;:.}c�,:�1Hi��/.:rTd���.'4`:ti'`'.r�,i:i.tt}:.•i'`J'';��is.n::Lw °.f+411r/��ly Y.VLf1:?��.t `�.t'.:; i' ;.'i`�Y;,XY.{:i <br /> PROJ T .SOB{SITE: ��PROPERWOWNER <br /> Address: a Name: C o 'r-a to 'i'ec, ^cf <br /> Unit#: Address: 6&&crels Unit: <br /> Parcel Identification Number: ( city,State zip e V b Y 1' S -L y <br /> 'Phone:3 2 Fax: <br /> -,CONTRACTOR: <br /> Company: <br /> Name: <br /> Contractor's License#: E-Mail: <br /> Phone: "Cell: Fax: <br /> ARCHITECT/ENGINEER: <br /> Name: Firm Name: <br /> Address: City: State: Zip: <br /> State License#: Phone: Cell: Fax: <br /> Aescri0on of Project <br /> TYPE QF DRIV AY LENGTH OF DRIVEWAY CULVE'M'NEEDED <br /> ti tESIDENTIAL DRIVEWAY ,WIDTH OF DRIVEWAY ( )REINFORCED CONCRETE• <br /> COMMERCIAL DRIVEWAY R.O.W. EXCAVATION t )CORRUGATED MATERIAL <br /> PUBLIC ACCESS DRIVEWAY —DEPTH, LINEAR FEET ( )BOX CULVERT <br /> COW STRUCTION MATERIAL CURB CUT REQUIRED ( )OTHER(EXPLAIN) <br /> ASPHALT YES --NO <br /> _J,,CCONCREIE <br /> HEADWALL REOUIRED? YES J NO <br /> NOTICE TO APPLICANT: If actual work exceeds scope of this description,additional permits or drawings <br /> will be required. <br /> UTILITY LOCATIONS REQUIRED: CALL BEFORE YOU DIG: 1.800.432.4770, 1 <br /> Page I of 3 <br />