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-PERMITAPPLICATION <br /> DRIVEWAY:PERMIT:APPLICATION <br /> CONSTRUCTION WITHIN 1PUBLIC :RIGHT-OF-WAY <br /> 'All information must be completely <br /> • City_orZephyrhills <br /> 1 <br /> 3335 8 th.Street,2eph <br /> - Telephone 813380.0000 Fax 813.780.0005 <br /> - .---- - - - - - '.- --' ' '''' ' + -,..Z"`" -- 7,1 ,7?; \l'I. * I) ...-1 ' fill• _:,'-' <br /> r : JOBSITE: f -PROPERTY <br /> Address: '-- 4 ,71 , e , 7-e-r ,-- Name: 2 AIMED • A ' A • . z_ <br /> Unit #: Address: 390 ? 07,4a, <br /> Parcel Identification Number: CitYrState, - _et---4/1/1 A <br /> Phone: <br /> CONTRACTOR: <br /> Company: <br /> Name: <br /> Contractor's License #: E-Mall: <br /> -Phone: tell: Fax: <br /> ARCHITECT/ENGINEER: <br /> - Name: • Firm Name: <br /> 'Address: • City: • State: Zip: <br /> State License #: Phone: Cell: • Fax: <br /> ..1; • ; • 1 •j Pro' - <br /> TYPE OFDRIVEWAY <br /> X RESIDENTIAL DRIVEWAY WIDTH OF DRIVEWAY ( ) REINFORCED <br /> COMMERCIAL DRIVEWAY <br /> (z„,"----------------" - 91 <br /> R' i LENGTH OF DRIVEWAY-- 1 <br /> 5 - t-ae <br /> 3 z i . & W. EXCAVATION CULVERTS NEEDED <br /> CONCRETE <br /> ( ) CORRUGATED MATERIAL <br /> - P1: 1 ' • B • EWA 5C_Ak _LINEAR FEET ( ) BOX CULVERT <br /> ( ) OTHER (EXPLAIN) <br /> ( 0 - u: am_ • N MA - ,: CURB CUT REQUIRED <br /> kk„.. • ASPHALT - YES NO <br /> *SONE-REM <br /> , HEADWALL REOLIII,' _YES 0 <br /> ,-- <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: 1.808.431.4770 <br /> Page 1 of 3 <br />