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Home My WebLink AboutDriveway Permit #11-D-25 � �� 4R�� y { � � �""�`'r��'` "EXHIBIT B" FOR CITY USE ONLY DRIVEWAY PERMIT PERMIT# '?. f , �1- DATE u -- y ,� 1 ��sl�i APPLICANT NAME: �,_ O�G ��ruo�R D L�'S/ 4N �a� L AwvDs� ✓�Q� ��'is��°. '�I SZ� ZZa • 3 OWNERNAME: �L°�2r �/2iG�-('+j''o[il PROPERTY ADDRESS: __ __�-Z7 7 Eo��° �vc� J. �' TO CONSTRUCT: ❑ New �Repiace ❑ Widen TYPE OF PROPERTY: �Residential ❑ Commerciaf ❑ Industrial � � Proposed width of temporary or permanent driveway , J g (Please provide sketch on reverse side or on separate sheet) Type of Material Cer►G re �e �a v'er s Is property within the Shoreland District ?(�Yes ❑ No (If yes, applicant must submit impervious surtace calculation) The driveway is proposed off what roadway? �(3v2 �� Is driveway shared by another property owner? ❑ Yes �'No (If yes, signature of all parties is required) Estimated Start Date f�- l(-(� � Estimated Completion Date � �' �� SKETCH REQUIREMENTS 1. A driveway sketch is required as a part of this permit. The sketch can be drawn on page two of the permit or on a separate sheet. The sketch does not need to be drawn to scale, however dimensions must be provided on sketch. 2. Driveway sketch should inGude proposed driveway, existing driveway (dashed line), driveway dimensions, property lines, dimensions of driveway ftom property lines, building locations near driveway, arrow indicating north, surface features near proposed driveway location (trees, hydrants, utilities, etc.). 3. If on a comer lot, the sketch should include dimensions to intersecting roadways. CONDITIONS OF APPROVAL 1. No work under this application is to be started until application is approved and the permit is issued. 2. Where work on traveled roadway is necessary, tra�c must be protected and flags, signs, safely cones and proper barricades must be placed in accordance �nrith safety procedures. 3. No foreign material such as dirt, gravet, or bituminous material shalt be teft or deposited on the road during the construction of driveway. 4. Road must be swept clean after work is c�mpleted. 5. Prior to placement of concrete or bituminous surtacing, the applicant shall notify the Engineering Department at 952- 447-9830 that the work has been completed and is ready for final inspection. 6. No changes or alterations in entrances may be made at any time without written uermission from the Engineering Department. �(Z I vr -1-� b� �e p l� c�� - l� �s� � � � ��e �- � is.. - �s �� J� ��^ � � � d � �� vuS� �� ERfq� � �� "`Y•yc�'' "EXHIBIT B" 7. Permit expires 90 days after approval date. 8. Additional Conditions IMPORTANT: Before startins� wo�k . . . The Applicant shall call Gopher State One Call (1-800-252-1166) 48 hours prior to starting work. Applicant must call the Engineering Department (952) 447-9830 for inspection 24 hours prior to time of inspection. As provided in Ordinance Numbers 1107.205 & 1107.206 I, We the undersigned, herewith make application for permission to construct the driveway at the above location, said driveway to be constructed to conform with the standards of the City of Prior Lake and to any special provisions included in the permit. It is agreed that all work will be done to the satisfaction of the Engineering Department. It is further agreed that no work in conne ' n with this application shall start until the application is approved and the p it i ed. L Contra or Appli nYs Signature � G'�''✓✓C)�'L /.� t � � • Date: �f �[� // FOR CITY USE ONLY AUTHORIZATION OF PERMIT __.. � , . � ,.., // �' // � � C G` � ,.�,� (;,, �/ Permit Fee $ �� - In consideration of agreement to comply in all respects with the regu►ations of the City of Prior Lake covering such operations, and pursuant to authorization duly given by said City of Prior Lake, permission is hereby granted for the work to be done as described in the above application and submitted drawin s, said work to be done in accordance with this application and submitted drawings. i -'"� ENGINEERWG OFFICIAL Date /��4�/� Permit is valid if signed by City Official Permit Expiration Date (90 days from approval date)