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<br />. PERMIT APPLICATION <br /> <br />....-..............................-..'.. <br />c.:~ ".'0.. _ <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 /> <br />PROJECT/JOB SITE: <br /> <br />Address: <br />Unit #: <br />Parcel Identification Number: <br /> <br />u <br /> <br />CONTRACTOR: <br /> <br /> <br />~ ~(}f:tt. ~ , I#.)L. <br /> <br /> <br />Zi: <br />Fax: <br /> <br /> <br />DescriDtion of Proiect <br /> <br />TYPE OF DRIVEWAY <br />RESIDENTIAL DRIVEWAY <br />>< COMMERCIAL DRIVEWAY <br />_PUBUC ACCESS DRIVEWAY <br /> <br />~ LENGTH OF DRIVEWAY <br />~WIDTH OF DRIVEWAY <br />R.O.W. EXCAVATION <br />DEPTH 1"'L-UNEAR FEET <br />~~'-.e ~ <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 />C~NSTRUCTION MATERIAL <br />_ASPHALT <br />_CONCRETE <br /> <br />HEADWALL REOUIRED? _YES )C. NO <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 />