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<br />ele~lt~i ~ B-f,-c'1 <br /> <br />PERMIT APPLICATION <br /> <br />. <br /> <br /> <br />DRIVEWAY PERMIT APPLICATION <br />CONSTRUCTION WITHIN PUBLIC RIGHT-Of-WAY <br />All information must be filled-in completely <br />City of Zephyrhills <br />5335 8th Street, Zephyrhills, FL 33542 <br />Telephone 813.780.0000 Fax 813.780.0005 <br /> <br />PROJECT I JOB SITE: <br /> <br /> <br /> <br />I <br /> <br />CONTRACTOR: <br /> <br /> <br />~ I-Qf't4. c:.. I/~L. <br /> <br /> <br /> <br />Zi: <br />Fax: <br /> <br /> <br />DescriDtion of Proiect <br /> <br />C~NSTRUcnON MATERIAL <br />_ASPHALT <br />_CONCRETE <br /> <br />HEADWALL REOUIRED? _YES ~ NO <br /> <br />LENGTH OF DRIVEWAY <br />]Q:WIDTH OF DRIVEWAY <br />R.O.W. EXCAVATION <br />DEPTH f'L..-.UNEAR FEET <br />~4. "i'-'t V~ <br />CURB CUT RE~ED <br />_YES NO <br /> <br />CULVERTS NEEDED <br />( ) REINFORCED CONCRETE <br />( ) CORRUGATED MATERIAL <br />( ) BOX CULVERT <br />( ) OTHER (EXPLAIN)__ <br /> <br />TYPE OF DRIVEWAY <br />RESIDENTIAL DRIVEWAY <br />X COMMERCIAL DRIVEWAY <br />_PUBLIC ACCESS DRIVEWAY <br /> <br />NOTICE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings <br />will be required. <br /> <br />UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 <br /> <br />Page 1 of 3 <br />