HomeMy WebLinkAboutDriveway Permit #13-D-09 ./' _
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"EXHIBIT B"
DRIVEWAY PERMIT FOR CITY USE ONLY
PERMIT# -- ,-D
DATE — //-
APPLICANT NAME: �OR�"� `������� PHONE: � � Z 3 �� ' 7 �� 0
OWNER NAME & ADDRESS: �� �� ���'`��" �/ �'�����
PROPERTY ADDRESS: ������ ��� ��� ��� � � �
TO CONSTRUCT: ❑ New �place ❑ Widen
TYPE OF PROPERTY:�Residential ❑ Commercial ❑ Industrial
Proposed width of temporary or permanent driveway / v (Please provide sketch on reverse side or on separate
sheet)
Type of Material ��� �
Is property within the Shoreland District? ❑ Yes plo (If yes, applicant must submit impervious surface calculafion)
The driveway is proposed off what roadway? � f �P G1160 �� ��
Is driveway shared by another property owner? ❑ Yes �(If yes, signature of all parties is required)
Estimated Start Date � �Z � 3
Estimated Completion Date /'
SKETCH REQUIREMENTS
1. A driveway sketch is required as 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 the sketch.
2. The driveway sketch should include the 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 corner 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 work has been completed and is ready for a final inspection.
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"EXHIBIT B"
6. No changes or alterations in entrances may be made at any time without written permission from the Engineering
Department.
7. Permit expires in 90 days after approval date.
8. Additional Conditions
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