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<br />:PERMIT;APRIJ:CAlION <br /> <br /> <br />'~:~~~~,~::X:C~:2~:~:~'~ ..:~~"t:-'~=~~_c~""___"; <br /> <br />nRIVEWA.Y ;PERMrr.,APP~CAnON <br />~CONSJRUcn:ON~wrrHIN ;P.tJBllC :RIGHir....OF..:WAY <br />:A11 information~. be-flllecHn completely <br />.{City.of~phyrhills <br />-5335 :Sthstreet, :Zephyrhills,.R '33542 <br />Telephone ,813.780.0000. Fax 813.780.0005 <br /> <br /> <br />''cONTRACTOR: <br /> <br /> <br />ARCHITECT IENGINEER: <br /> <br />Name: ~ <br />Address: <br />StateUcense :It: <br /> <br />. Firm Name: <br />CIty: <br />Phone: <br /> <br />State: <br />Cell: <br /> <br />Zip: <br />Fax: <br /> <br />DescriDtion of Proiect <br /> <br />:JL> LENGTH OF DRIVEWAY <br />2Q...;WIDTH OF DRIVEWAY <br />&QJ!!l,. EXCAVATION .. <br />2Q...DEPTH ~UNEARFEET <br /> <br />'cURBcUT'RE~ <br />_YES . . 0 <br /> <br />CULVERTS NEEDED <br />( ) REINFORCED CONCRETE <br />( )'CORRUGATED MATERIAL <br />( ) BOX QJLVERT <br />( ) OTHER (EXPLAIN) <br />~ <br /> <br />TYPE OF DRIVEWAY <br />~DENTIAL DRIVEWAY <br />_COMMEROAL DRIVEWAY <br />_PUBUC ACCESS DRIVEWAY <br /> <br />CONSTRUcnON MATERIAL. <br />ASPHALT <br />V'tONCRETE <br /> <br />HEADWALL REOUIRED? _YES L--N6', <br /> <br />.NonCE TO APPUCANT: If actual work exceeds scope of this description, additional permits or drawings <br />will be required. <br /> <br />UTIUTY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 <br /> <br />Page'1 of 3 <br /> <br />--- <br />