1995 - 3884 - driveway/street entrance permit

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._...._...-.-r... '+].+yip. .-;a- .y.-:•A`^G^R +�"�'r yK`W.TA; cin.w'Yvyn.l'y ..ro- - .:-. _._-�.�_". 4.. __ -,.... .. __ -v__._' va. _.�:�.e.r...gs._.� _ _ .. HO55Q.i(3/95) HENNEPIN COUNTY PUBLIC WORKS Permit No. 35M ENTRANCE 320 Washington Avenue South PERMIT FEES Hopkins, Minnesota 55343 PRIVATE $50. TEMPORARY $50. APPLICATION FOR DRIVEWAY OR STREET ENTRANCE PERMIT COMMERCIAL $100. STREET $100. (Read "General Requirements" reverse side) 1.dmer 3. Peterson Company 5-15- Name of applicant Phone - 921 Dague Avenue S.E. Delano, MN. 55320 Address � t nary ( lf'bDonalc1 (state) 2060 FyetilA 'cofE1I ls, Orono Name of Property Owner Address Elmer 3. Peterson Company 471 -0151 1. Contractor performing work (If Known) Phone 2. Application is hereby made for permission to construct and thereafter maintain: (' Driveway(s Public Street(s) 3. Building to be constructed: 0 Yes kl No 0 Residence ❑ Commercial (Specify Type) q , 1995 4. Driveway or street will be: Temporary ❑ Permanent Date proposed entrance will be needed: (Permit expires one year from date) 5. Is the property: El Platted 0 Unplatted Number of present driveways or entrances to property: 6. Building Permit acquired: U Yes 0 No City I Y) Permit No. 7. Type of proposed entrance surface. 0 Bituminous ❑ Concrete ❑ Rock 0 Other Brown Road. Orono 8. Location (Address) ,..(co. Road) (City)r 9. Location, if rural: Mks` s of £_14 y 15, 1 995 (N.,S.,E.,or W.) j ad or Street) Dated Applicant's Signature � Printed Name/ F, /1, 1.c, I , . c' • TO HELP THE INSPECTOR,PLACE A STAKE WITH A CLOTH ATTACHED IN THE CENTER OF THE PROPOSED ENTRANCE,HIGHER THAN ANY SURROUNDING VEGETATION. APPLICANT'S DIAGRAM - (If plot or construction plan is not submitted) L. r' I (Complete this form and send all copies to: Hennepin County Public Works Permit Office,320 Washington Avenue South,Hopkins,Minnesota 55343. Phone:930-2548. After approval,one copy will be returned to applicant.)