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} Y <br /> :PERMIT-APPUCATION rx " <br /> DRIVE. ►A'Y P.ERMIT:APPL,I,CA't7ON <br /> iCONSTRUC:6I0N WITHIN,.P.UB1:-IC'RIGHT--OF=WAX <br /> Ali information-must.be-fliled-In completely <br /> :City.ofdZelphyrhilis <br /> "5335*e Street,Zephyrhills,"FL 33542 <br /> 7elephone.813.780.0000 Fax 813.780.0005 <br /> 'it :ta•3."' ..is Y'" ma`s, fdy'i x'i7 •.{ ,<i'___ ••ta^.^M-'fiFS•,T' f_r.!d:^S C•u4 ^'*fif�n4 -,l'I Y.i'•` ,ly' <br /> ,i'�`e" �'i _ E�:,.N�; i- ;f- aa.,,,a���l;«•:t�`.,=(ER;-,"zs.7" <br /> P. .`w _ OW <br /> h <br /> P1103ECT 3013 SITE: -PROPERTY'OWNER <br /> Address: 3X S"Sd /3 fh name: i u r -ld Y,� ej C42--t- c . <br /> Unit#: Address:3 !.�- »)b e-'] & .Unit: <br /> Parcel Identification'Number: Ci State Zi ,�• 4 �� 3 3 S2 <br /> fl-ZG�-Z 1-D7 ' -U.3 960-0 R�� Phone: i3J9�. -S�SaFax: " <br /> CONTRACTOR. <br /> Company: —. i-el/7 _ nVre)Tm e.0-h /✓I r <br /> Name: <br /> Contractor's License#: C-R C E-Mail:bu -te,,-- i e)oe r`r"evi f.� �, �:/'"a7 <br /> -Phone: Q13 -J 73-52 S D 'Cell: u/3-� 5=JCS Fax: <br /> ARCHITECT/ENGINEER: <br /> Name: Firm Name: <br /> Address: City: State: Zip: <br /> State License#: Phone: Cell: Fax: <br /> Description at Proiect <br /> TYPPrOF DR VVE AY ` ,LENGTH OF-DRIVEWAY GU6 M'NEEDED <br /> V.RESIDENTIAL DRIVEWAY 2;!j t WIDTH OF DRNEWAY ( }REINFORCED CONCRETE. <br /> COMMERCIAL DRIVEWAY R.O.W. 1ICCA'VATI011 ( )CORRUGATED MATERIAL <br /> PUBLIC ACCESS DRIVEWAY a' DEPTH LINEAR FEET ( }BOX CULVERT <br /> ( }OTHER(EXPLAIN) <br /> CQNUWUfQTION ATE,RIAL CURB CUT REQUIRED <br /> —ASPHALT YES <br /> CONCRETE <br /> HEADt44tALL REQUIRED? YES .I CIO <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. <br /> Page 1 of 3 <br />