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Driveway Permit #13-D-15
� Aug 27 13 11,25a p,2 �a� D��VE'WA1t' PERMIT APPLICAT�ON' c�'� p ��.� � � PERMIT# �°.(� �- l�� � DATE: Z7 �_ �i�jy��h ��'� �� p�t0�'ERTY: �Residentia) O Gammerc a1��0 lnduslrfal AP{�LICANT NAM�: �V, �'�- Yl'1 i� �E. � d 1t 0 ��- � —� OWIVER NAME: � ±ac� ' Q�' Y11t i`�" t, L. d, r. t+� v b P QP�R"fY ADDRES9: `� �1 U �-F �.�. : �1 �,� . r� �,� � - C - r � r r s .� �....� k.� (�.v� _ �'"/ �- ARIV� APPRQACH Ap ove�( B� �� TQ CONS7'FtUCT: O New I�teplace � W�den p� � � ' ��z7/� . wlde (TEMPQi�ARY, PERMANENT) Drfve approach Fee: � Type of Material � t'�' �p18a� p�vide skstch oq raverae sfde Dr on a eeparats sheet} `� �- �� ��aur�e�n�Nrs . ' 1• No work under this appqcation is to be started until appifcation is appraved and the pertrsiE is issued. 2• Wt�er� work an trav�led road+nray is necessary, traffic must be protected and 8ags, sigros, satety cones and p,�p�. barcic�des must be p�aced in accor+da�e with safety pracedetres. �. No foreign matsrial such as dari, gravel, or bituminnus ma�leri�( shall be left or depostted or� t�e road du{,ng the constructiori nf drivevray. �, Road must b� swe,pt c(eart after work is compfeted. �. Priar tct placement af concrete or biturninous surFacing, the appficant shalr natify the En�fneerin� E�epa�tme�t that#he work has been completed anci is ready for final Inspectfon. B• Nn ohanges or alteratlans in entrances may be made at any tim� witt�out � n er is Io frvm the Engineering Dep�rtmerrt or (nspeator. � fMPORTA,N'f: Beforn startina work Tt�e Applicant shall calf Gopher State One Cal► (1 48 hours prlar to starfing wUrk. Applieant must caA the Engineecing Department {952} 447•9830 for fnspectian 24 hoar� prfor to tlme of lnspecHon. When widening or canstructing new drlveway approaches a$10.00 fee is req�ired �1 the time of appftcatian and a sketch pP �►e prapeKy depicting present and proposed driveways in relatian to the prvperty line (Sketch on reverse side of application or provicle a separate plan� As prnvide 1n Ordinance Numbers 1107.205 +& 11 Q7.206? I,1Ne the undersigned, f�erewtfn make app![cation for perrnfssion ta oanstruct the driveway at iha �boue Iocs�on, said driveway to be cnnstructed ta confarrn wrth #he sta�ndards of the Gify of Prior Lake and to any speaial provtsions Irlclurlad Iri ttte permit. If is agreed tnat ali wark will be done to tl'� setisfaction oF the EngJneering Deparlment. If is furtFrer agreed that na work �n ctifln wiih thia application will be started ur�tll ihe applit�ation is approvad and fhe permtt isstred. Cvntractor Applicant's Signature Date: a-k � •�.0! ' Aug 27 13 11,26a p,3 �,�p � �����'.�� A��'l�AL�' S P�.GIA�`T1�S �C�,��,A,�� ��� � �S �,;� � —�-- � � �- ��~ .� �'�? � �' �.�u n %�.� � snu�s. a �noa�ss TR� R007'S • C] � � � � ,/�i�.�L" fr2.�i SPRIhJNLING SYSTEiM O � � '� " HoUSE ztP �, �S, 14 2.r c7 1-. f� +�cr .. B:EC�RtG WIRES , O . t�oME Pt�oN� � � � � �� C:�1BL� (� � ' WE7RK r�IQNE 1NATER SHIJT OFF .. . G7 '` R�J � — �w $ '?' -� ? .� A $ DRA�� PRC�i.EMS :�: � Q• APPOIt�4T�EF1T kE�D SOURCE DATE Sblll GRAf.}E CH�4C,� ' ' � , HFAVlI9G 4 ❑ TIME •� ( •� �.. . �AG).�$ , � .[� • . . TREE�i.1MBS � �p p �"` ROOFQVERtIANG ❑ !3 � APpoitirrMetr . E57r�7oK CJ-WN=5AW p PRD�P�R7Y LfNE flISTANCE r �,�,,,_, 9l.4C2C R�AIR ' ��� p CR0.S5 SIREET� f►s+�ti f2�2 �/ � r U,� f� r T h'NP CQ•OD CALL CC,OP'HER �� w' f� r a� � �r c. (�4 �� C� �?CCAVATE `^` � � � �,SE . . , , ' ' � , , . , . . rb +�s • � • � - . . � . , . REPUQC�ASlS L� '�' �,��,� -- � . . . , , , . . � ------.--- _._ � . , . �. . . ���s ❑ �' . � � nr�E a� R��ra��.. t�MERm . �� � , � . , . } QC GRASS DcrRa GRAVEL rRUCKStx�r ° � . . . . . . . . . , . . CC3F�lCRE7 0�'HER - � snw cuT • �.-... . , , . . . . . , . . . . ,,� , S��fE!]3�1�R: f'G S!f' ❑ EXTRA �TrZk � . . , . . LOADS IN � � � ' ' ' • � • � � � . . . . . , . , . . .� .�.. � . . � �. . . . --- � ����� � � , � ; : : ; � : � ; � � � o �z����� W(1"H . . . oRT�c�ci�Ya�o . , . . . . , , , . . . � . . . cx.�rc��s� � f . . . FORat�iYYARDDNNAGEAND • . � , . , . • . . , . . . RE.STC7RA'1'fON sto�wa�x • , . . , . . . . . , , CUST S!G � . . . • �p ` ' ' • � • • , , . . . . . . . REGAftC?tNGTHl51NSTALLA�'IOiY, j � ��, . . . , . . . , . . . . . . . OR 7ERM5 flF 7Hl3 PROF'QSAt., --�—�---,.. Al�c ' 15 EVERYTHlNGYQU WANTEO . . . . . . . , . , , , , , . . . �rrwRr�rr��?�t���a�`, �Eas� s�a�r�,r . . . . . . , puT��vw�rrn���ar+�a,arra,ch coN . " . . . , . , . Ct1SrtOMER TQ RAYANY 5E�ls • . . • . . . . . . . . . . , . FiEQUIR�DP�FtM1T�EES � • . � • • � • • . • . . . . , S250A[}DFTIOt+FAL �FC}R Mi4JUR . ... ,. . . . . � • • ... . . . . . . ... . .. ... �, . ., . . . � BIOCKREPAslR � , CQM�lAi j CUST SIG �� v " r'�',,�,� r ��' �„c�'" � ,�, ��..._.....__ ........ ... . ... ..... ., .. ... , . .. , . . , . . . . . PG20F2