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, <br /> �..�; - <br /> 'y - <br /> �. <br /> :PERMIT'APP.�CATION =�'� <br /> ��� -_ <br /> :DRIVEWAI(:PER IT:AP.PLICA;PIOIV <br /> �CONSTitU�ION�UVITMT bp.UB�C-RIGFiT�O.F=WAY <br /> All information must be-filled-in completely <br /> • zCity.of-; _phyrhills <br /> "5335�8�'Street,Z phyrFiills,'FL�3542 <br /> Telephone.8i3.780.0 00 Fax 813.780.0005 <br /> _' ' w.�.. �::1.:7,�"::.�c :•Y.';f.. �,a.:' "yY R ::_1�y{a�;'3::r :.j4:=: �}i;�.: - ��..?y_. _ .a.S�' ' " ' <br /> �'��';ti.�.4X?et .y j,�.�':i:r.. � z x_�'r"C=,•.•=� ':i; ' :.�di;-^'..t;'t',:���^' :'S};':,�'ai <br /> ��I�E'.,O�s��11�1I.. :�� r�y='±z r:�'a.'pl",OE?�55P.[1,�,..,.�,{'S. - ��13i1�r_�S,".;i� - ''vt.t;i;t�-•.�;,'i:,.,�`" 1 <br /> � Y::--.-.37• �+.�.p:� ..z-4tuf,'�ii.:--� ..._•�Y:::^.'r.�.. %�.+..�r ;'Y'Ji^ ...}._'S`% "+'�:nc?:'.�:lY.:'=;:%=:.�„`" ;-_�::� ':s.:e�t4�:"' "'�';:: ,T!-...:,•i..»,. <br /> '�_7'-"t:`..'.$;:.'�•::5:: .i.'-iJ:r..i�.tlL�s.�s1.•s=°.`.7. _ -�..ts"..,.p.. ::l�i.: '!{tiL�:t: �.."rTU.+`..- �t _.�i.C� '7'�"' _ :F�..%'�t�-, - .'.7'..`::�'i <br /> ;�Y;'.- �*!`.is �' :y �.5�lS9E:OnTY)...;.,'^ "'r:ii"M�-,°`..,.•-�rv�:� _ ..�.r.F..« :i� �� <br /> a��'.-t...4:«- - 2�.�?.SR�w �3:�;3.�:'j:: "9':kf':f� �+tis. - �".td. «,v�s'",`i�.t <br /> �:. :-`.�s;. <:X� ...�" r:4:" ':Mf.,..��.. _hv._..1.".i`'':%-e:�?::rti'%c.....;....Y , _ <br /> ' ':'�.�y��-.F�i,^� E_.^c�l,.�•� ' ..f'S?� .v�::�'':::'iyii, r.,>^ :t-..r:i,.;:'�Y�;_`':'.pYi:_.,.c?,;. <br /> f.;=:.t;��:'s_< .�:�." `��^'CoRY�-$.Uitt11[19��F�L!etit�::f�,s�.r,7::.?r:�=si:��i:,c, �.?-;,,:v.�a::��a,_^�:,-w��-�'�?iTY�tOkP.tlbltCsiNor�r>r;�::�_:=:a�+���..x�-.._•:tsr%=;�=��; <br /> ':PROJEC'P .JO��SITE: 'PRO�ER7Y�OWNER <br /> Address: 5 G//� �; �'� ,c`:` Name: �, , r�;2,�- �rs ��1/, ,�-�-� <br /> Unit#: � Address ��J�f��- ��)� j� e) ±� Unit: - <br /> Parcel Identification Number: .� °-,� � -..;: � ���1� - Ci State Zi <br /> 6-� r�, � ��c��r,°� Phone• � Z.2�5`� Fax: <br />' ��COIVTRAC'TOR: <br /> Corn an �fc.�.c',-6_ �� �=;�r.�:��M�r��.-� ;f�. �.� <br /> Name• ,�.-r f��,� �� � �s . <br /> Contractor's License#: a-� # ,���. ���5 U� !.r�-� r?�, �.� .:� E-Mail: <br /> �Phone: �`.35 �4�- I '�F``� �Cell;'�1.-j? �i`f-�3�1 �,:� Fax: <br /> ARCHaTECT/ENGINEER: _ <br /> �Name: Firm Name: <br /> Address: Ci State: Zi <br /> State.License#: Phone: Cell: Fax: <br /> Desc ' ti n of Pro'ect <br /> TYPE OF DRIVEWO.Y �o��LPNGTH OFDRNEWAY CULVERTS NEEDED <br /> _RESIDENTL4L DRNEWAY !�WIDTH OF RNEWAY ( )RIINFORCED CONCRETE <br /> COMMERQAL DRNEWAY R.O.W. �EXCAVA'L'ION ( )CORRUGATED MATERIAL <br /> PUBLIC ACCESS DRNEWAY �DEPrH � LIN�EAR FEET ( )BOX CULVERT , <br /> ( )OTHER(IXPLAIN) <br /> CONSTRUCTION MATERIAL CURB CUT RE UI D <br /> ASPHALT YES NO <br /> � CONCRETE <br /> HEADWALL REOUIRED? YES �!� NO <br /> NOTICE TO APPLICANT: Iff actual work exceeds sco e of this description,aciditional permits or drawings <br /> wilt be required. <br /> U�'ILETY LOCATIONS ttEOUIRED: ALL BEFORE YOU DIC:1.800.432.4770 <br /> Pag 1 of 3 <br />