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Home My WebLink AboutDriveway Permit #12-D-18 � 4 � r �;; r�a�,� ` � � � �` ' "EXHIBIT B" FOR CITY USE ONLY DRIVEWAY PERMI�' PERMiT# '2- �DATE q Z. APPLICANT NAME: �I�iV� �I�� 1�') � OWNER NAME: I�ea'1C'.�.� /�Ii� �'GI�.v� I � PROPERTY ADDRESS: �S�W W �� or�'��"'� G��r SF� ,� /��D = ,,1� _ �bs- a31— D ��:�,� TO CONSTRUCT: ❑ New Q�-Replace ❑ Widen TYPE OF PROPERTY: �.Residential ❑ Commercial ❑ Industrial Q � Proposed width of temporary or permanent driveway �C7 (Please provide sketch on reverse side or on separate sheet) Type of Material _ ��P�o,� Is property within the Shoreland District ?❑ Yes �'1Vo (If yes, applicant must submit impervious surFace calculation) The driveway is proposed off what roadway? �oST T.T� �� G � r �� Is driveway shared by another property owner? ❑ Yes �No (If yes, signature of all parties is required) Estimated Start Date �� /� Estimated Completion Date � � � 1 � 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 include proposed driveway, existing driveway (dashed line), driveway dimensions, property lines, dimensions of driveway from 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, traffic must be protected and flags, signs, safety cones and proper barricades must be placed in accordance with safety procedures. 3. No foreign material such as dirt, gravel, or bituminous material shall be left or deposited on the road during the construction of driveway. 4. Road must be swept clean after work is completed. 5. Prior to placement of concrete or bituminous surFacing, the applicant shall notify the Engineering Department at 952- 447-9830 that the wprk has been completed and is ready for final inspection. 6. No changes or alterations in entrances may be made at any time without written permission from the Engineering Department. � � �� : � � �' � : «EXHIBIT B" 7. Permit expires 90 days after approval date. 8. Additianal Conditions IMPORTANT: Before startina work . . . The Applicant sh�ll call Gopher State One Call (1-800-252-1166) 48 hours prior to starting work. Applicant must call the Engineering Department:(952) 447-9$30 for inspection 2,4 hoursprior 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 �ake and to any special provisions included in the permit. It is agreed that all work will be dqr�e to the satisfaction of the Engineering Department. It is further ee t no work in connection with this application shall start until the application is approved a he mi ' s d. �'�al -%3/a.�� , Z,�� Cohtractor r pplicanYs Signature f Date: Q/ZS �`Z- ; { FOR'CITY USE ONLY �' AUTHORIZATION OF PERMIT � d � ': �,�,r � Pe�rnit Fee $ � � • � � In consideration of agreement to comply',in all respects with the regulations of the City of Prior Lake covering such operations, and pursuant to authorization duly;yiven by said City of Prior Lake, permission is hereby granted for the work tobe done as described in the above application and submitted drawings, said w rk to be done in accord�nce with this application antl submitted drawings. �' , ENGINEERING OFFICIAL '�. . •� Date ��7 IZ'' 4: Permit is valid if signed by City Official Permit Expiration Date (90 days,from approval date) �.,L /L �� f ;, �. + _ l ,, ; ; ; ,� ,_ 5� W�l �ns� Na �, ��, G� �- 5� �� c ��C.e, �. 3 � Z � /8� y � I+,J . �7 �1 L Scott County, MN � � �: �� t � t�� " i � � �� ,, , � ,� � 3� � �� ,'. ' �� s�3 � �: �� [�R�� '�°�i��''' '� k�� $ i�& �, k $ ��`�� (I�' �.� I� �` $a �{ ��3.��$ � I I A � :�'�5�� e 1 � d p � � � }p � 3� i � di � IF � �� f � � � , � � � i `I ¢f " ;� � M a . d��y r � i�� y'�y, �. r .. : ; ' � � � �� iVi ' ... ... kf � 3� � � �� s ��_ � � � �� . E °Ea� �, � ,� A �� , ( � � � ��,a3Taa � ; � I I :�� i i ,i, .�, . ` .. 5555 .r ':>�3'°� �- F'F J ��,. ; cu wH ,�'.." q �(° �� !'� ` q �� !� � �, I ,. S 9� �� '�p� � :��.. u+ i5s:s�- � ,. � � � �� ,.: ". � j � �� " ti�m a�� a; a P �1�'. �'�,�,� �° �� . 4 � ; � � � � .�, fl�� , a�.:� „�; j °� �e��r�� rv t' " °� � ` �° r , h�� r ; "�� ' � � N. This drawing is neither a legally recorded map nor a survey and is not Ma p Scale N intended to be used as one. This drawing is a compilation of recnrds, information, and data located in various city, county, and state offces. and 1 inch = 34 feet � other sources affecting the area shown, and is to be used for reference W E �-""+ ., purposes only. Swtt County is not responsible for any inaccuracies herein t1 contained. If discrepancies are found, please contact the Scott County Ma �ate ;��'� �,.� , � » � ,_ � x � SurveyorsOffice. 9�26�2��I2 S' �# �.a�,