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. ��-��� <br /> � � <br /> P,�� Z- �-�� <br /> PERMIT=APP.L7CATION _ _ � � :�S`f�►"'L <br /> . <br /> . <br /> SDRIVEWI�iY�PER[w�T i4P,P��i4��N <br /> ��01�51'RU.CT3�1�=UV�=i'MYN:P.U��IC�RI�tif OF=WA'Y <br /> Ail information must be-filled-in compietely <br /> ;Cit�y-of;Zephyrhills <br /> "5335.8�'Street,Zephyrhi8s,�FL�33542 <br /> 7elephone.813.780.0000 Fax 813.780.0005 <br /> ti..,. _ _ ._ ,.,. <br /> , . <br /> . . � :,., � . . v .t � �« M ' � � ��°=�����t <br /> � . . <br /> .,::.: <br /> .^..,-«..->:�ltk.ii,.�� ' . ..': '. IdI_ �.�.. , . .�... .t._.;_. .:��'.'.'ir,`�r4a7sYx,_Y ..�-,.-3' ' � + �k,t���*`�1,y�,R,�� fA� <br /> -_.-.. . , . . .:.: } .. <br /> . .. .I....: . . . ....._ .;�. <br /> �PR07ECT .70B�ITE: `•PROPERTY�OWNER <br /> Address 0 � �l ' Name: O f — •7r <br /> Unit#: Address: �%/� �l .�t . <br /> Parcel Identlfication Number: '— �' Ci State Zi � �1 . S <br /> � Phone: i -7 �S' Eax: <br /> :CONTRACTOR: <br /> Cor� an : <br /> Name: �„1 !2 <br /> Contractor's License#: E-Mait: <br /> -Phone: �Ceif: Fax: <br /> 11RCHITECT/ENGINEER: . <br /> -�,tJ�e� ' <br /> Name: Firm Name: <br /> Addres.s: Cfty: State: Zip: <br /> State License#: Phone: Cell: fax: <br /> ��' Descriution of Proiect <br /> TYPE OF DRIVEWAY I�LENGTH OF DRIVEWAY CULVERTS NEEDED <br /> �`RESIDENTIAL DRNEWAY f � WIDTH OF DRIVEWAY ( )REINFORCED CONCRETE <br /> COMMERQAL DRIVEWAY EXCAVATION O C�RRUGATED MATERIAL <br /> PUBLIC ACCESS DRIVEWAY . ii DEPTH ' 'LINEAR FEET O BOX CULVERT <br /> _ ( )OTHER(IXPLAIN) <br /> COIVSTRUCTION MATERIAL CURB CUT R� <br /> P5PHALT YES NO <br /> �,_CONCRETE <br /> HEADWALL REOUIREd? YES _�NO <br /> NOTICE TO APPLICANT: If actuaf work exceeds scope of this description, additional permits or drawings <br /> wilt be required. <br /> UTILITY LOCATIOHlS REOUIRED: CALL BEFORE YOU DIG:1.800.432.4770 <br /> Page 1 of 3 <br />