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PERMIT APPLICATION <br /> DRIVEWAY PERMIT APPLICATION <br /> CONSTRUCTION 1NITHIN PUBLIC RIGHT-OF-WAY <br /> Aii infurmation mu be fiiled-in canpletely <br /> City af Zephyrhills <br /> 5335 8"'Street,Zephyrhills, R 33542 <br /> Telephone 813.780.0000 Fax 813.780.0005 <br /> Dabe of applicationc P�»oessed By: P�nnit#c -���'�( <br /> �CApy bD BUildirtg D�htlLnt �'area 6or s�f use arr�r) <br /> [�py to H�blicwor�CS' <br /> PRO]ECT 70B SITE: PROPERTi(OWNER <br /> add�.ss: s' "/ - L� N Mame: KeYsTGrve e /_� — <br /> L��� #: Address: a �s,Fra,E.tO/��N Unit: <br /> Paroel Ide�flcation Number: Stabe 2i L �0.3 <br /> - �i~ �-�7 �3--DJG'OO-- Phone: �7�Y3 -�7ad Fax: 7a i- -9_3s <br /> CONTRAGTOR: <br /> Companv: (r�V2/Vr9" rN ES,1.� <br /> Name: T.�-1/;Q Wi�Lj/�-nr s <br /> Contiac�or's Voense#: GI'� �..��c�� E-Mail: c�i;�i�-rns �',,'TA-rM,��/�'�Y��,�'. ��/ <br /> Phone:7r�7 Cdl:���� � -, 7d Fax: 7�"7-5�6�-3Sy� <br /> a�3 a�a� <br /> ARCHITECT/ENGINEER: <br /> Name: �irm Name: <br /> Addl�esS: CitY' S1�fiL: Tjp• <br /> State Uc�ense#• Phone: Cell� Fax: <br /> �p!��AY I b j LENGTH OF DRIVEWAY ;u,Q•�J,Ltl <br /> �RESIDENT7AL DRIVEWAY �_WlDTH OF DRIV�WAY :N�Q GV ( )RQNfORCED CO�2fTE <br /> aDMh1ERQAl ORNEWAY EXCAVATION ( )t)ORRI�ATED MATERL4L <br /> PIiBLIC AOCESS DRIYEWAY �� DEFTH LINEAR FffT ( )BmC CULVERT <br /> ( )OTHER(D�LAIN) <br /> cx,Re cxrr�a,n� ,�,��ve <br /> ��T � y��� . <br /> QONCREff <br /> YES ,�NO <br /> N4?ICE r0 APPLIGNT• If acfival work e�caeeds�oope of this desniption,additlona!pern�its or drawings <br /> wiil be reqt�ned. <br /> UTILt7'1r�a'.ATIONS tL��D' GLL BEFORE YOU DIG: 1.�0,432.4770 <br /> Page 1 of 3 <br />