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:PERMnAPPIICATION <br /> �sDRIVEWA (PERMI'd'�74PPLICA ION <br /> CONS mucu. , ON WITHIN-PUBLIC AIGHT-OF-wAy, <br /> A11 khrmationmidtelleft completely <br /> ' cCity,of:Zephyrhllls <br /> 3335;8"'.Street,Zephyrhilis,1133542. <br /> Telephone W- .760.0000 Fax 813.780.0005 <br /> •+gi."..i-.pp.��1 �_ �i };.-.h3!." --a+P,r:p:y� ., :y-..yam.tir.:}xi,''4=T�y;r}:•, t� � �i,Yr ..s,:� ..v�Y.;r"',,•f:R:C i,7f:,' .•:�',,:,i,!:,'-._ :: <br /> -:rzthbt:�l' ,•;r ::'e..={=x''~`-': :::�"-r7:,:'s;:�.,�i, - - ` .}f" rF"t-{j r��,.:rr ,;''e.;'t�!;:�• <br /> '.:�� :vr-r?:�sZ �r r,..�': y}•a.-SC'-_ ��.:i.`x! :i: y/ RS'dTt31S.;0s�•t'st!?i �Z 3':,.,..�. .y �:L>•,. <br /> t��4�. 1�.• •1( .3 y._''...i':;`ti a•1..J.:i'3.: =:"�:� 'f •T'�i• '�•�Y q'—�—." +•v.5a.,.���": .`.: i .. .J/•ti.;l'r_'``j . <br /> xF19d{f!f) ' < <br /> jar 1 @ C C�,?,r,•n.:`ryr..2S ir.;`: *a:=:,`,- 'r;.r,F,;ii� iy +.. ,•,a t.':K+a'=�.:r�,�: Y ? •'Y. <br /> 3 taw m .Y'.'_>txxr �n 2IIR1 A <br /> PROaECT .IOSW E: YPROPERT—VOWNER . <br /> Address• CaLivtA - ksie, 4D§Y- -Name: <br /> •Unit#: Addis: Q Unit, <br /> Parcel Identificatlon'Numben State Zip K 6'2 <br /> C93 0 D- oo& OLogo one: : `'u(v dkoZ Fax: <br /> . .:CONTRACTOR: <br /> Com n : rj L : c S' <br /> Name: WaF4, XN1 <br /> Contracbor.'s License#: ZH- EMail: <br /> -Phone: - Cell: S Fax:: <br /> -�.ILa- . <br /> ARCHI I ECII9NMNEER: <br /> iyame:. N Firm Name: - <br /> Address: City: .Stabs: _ Zip: <br /> State Ucense#: Phone: Cell: Fax: <br /> Q lion of P till <br /> '40 LENWH OF DRIVEWAY CULVERT NE.EQED <br /> RESIDENnAL DRIVEWAY JA WIDTH OF DRIVEWAY. ( )REINFORCED CONCRETE: <br /> CbMMERCWL DRIVEWAY $LO ,,f DCCA�YA 0N_ ( ).CORRUGATE MATERIAL <br /> PUBLIC AOGESS DRIVEWAY OEM LINEAR FEET ( )BOX CULVERT. <br /> ( )OTHER(MAIN). <br /> CONSTRUCTION MATERIAL CURB CUT REQUIRED <br /> _ASPHALT: YES _ENO <br /> _CONCRETE <br /> HEADWALL REOUI -- YES • L-NO <br /> NOTICE TO APPLICANT: If actual work exceeds scope of this-description..additional permits car drawings <br /> -will be requuu md. <br /> UTILITY LOCATIONS REQUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 <br /> Page I of 3 <br />