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PERMIT APPLICATION <br /> :DRIVEt�l:A'X:P.ERM: ; :R ,PLICIKTIQ[ <br /> =CONSTRUMON 1N►ITHXN�-.USLIC=ttIGHT"-O.F-�i AY <br /> All infb'Ration,=-b"lled-ln completely <br /> 77 <br /> :City.of:Z+e ftrhills <br /> 53350 Street,ZephyrhlUs,'EL 33542 <br /> Tele0one.813?80.0000 Fax 813.780«0005 . <br /> 'atieiaTa' !Glf1011:- "�"� ' vvw'Ef dSi�%"tT.: rf:�ti:a�ia'=`- ie,il,�s+.,. y :;lilir••.r,: _ yt, <br /> _- , <br /> i"}•��17...1'tti.-. .�S':7-k, ."t�.T•i..- <br /> L- f fe:-v i ::Zi..:ys•.�,. +i.ri�"tL'•.: _ .1: —'S�:t:1 <br /> AyB�i♦1 11�,,,,1,�� ' ..f:.] .'y J..0 ]i:.•...Yt'-'.i.ti-�:[t�'.' <br /> ePaiimeiit:,PR03EC-r.30BSWIM �PROPERTY'OWNER . <br /> Address Name: oS1 �' _ .. s►c�;ri :SIC <br /> -Unit*:' . : Address: :. = c <br /> Parcel Identtficadan Nulr►tier:.. <br /> State Zi <br /> Phone: t3 c " ' . Fait: <br /> ;CONTRACTOR; <br /> CoMpany: - <br /> Name: <br /> 'Conhactors U etise E-Mill: . <br /> Phone: Faxi. <br /> ARCHITECT/ENGINEER; <br /> Name: Firm Name: <br /> 'Addrm:: .. . . <br /> :City: :State: ziac <br /> State License#c Phone: Cell::. Fax:. <br /> pescription'of Project <br /> 1 ' <br /> TYPEOF Jymmy LENNGTM OFDRIVEWAY CULVERTS'NEEDED <br /> RESIDENTIAL DRIVEWAY _ WID7N.OF DRIVEWAY . . I")REINFORCE6CONCREi'E- <br /> CbMMERCiALDRIVEWAY. M.W. MMAM ON , ( )ComuGATED MATERIAL <br /> PUBLIC-Access DRIVEWAY --DEPTH. _UNEAR FEET ( )BOX CULVERT <br /> cONFINU-0114 F+IMITER3tAl CURB CUT REO ( )OTHER�ocaLArn) <br /> _;ASPHALT :--YES <br /> �j,,;CONCRETE <br /> HEADWA .REOIiE= YES --?2—NO <br /> NONCE TO APPL'iCANTI If actual work xceeds soope'of this description,Additianal perrtnits bt drawings <br /> Vill be'regaired« <br /> UTILITY LOCATIONS REQUIRED: CALL BEFORE YOU DIG.'LOOOA32A77O <br /> Page 1 of 3 <br />