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^ •• v<*- 't'*"* ♦i* <br />.HENHEMN COUNTY PUBLIC WORKS^ . ftnnit No, 3 ^ / <br />*320 WMiinaMn AvtnutS^h <br />Hopkins, Minntsott 55343 <br />APPLICATION FOR DRIVEWAY OR STREET ENTRANCE PERMIT <br />...... <br />Num of •ppHctnt ^ <br />(Rtid "Otmral Rtquiramtnti" itvirw lidi) <br />,A_ » ^ * ■ 0 1 VN • • <br />• I <br />^ * <br />I <br />TSRvT ttip com <br />1. CoiilMCliif nwrfnfffiinM MMvk Phono <br />^0** <br />2. AppMeotion Is hsfsby mod* lor psrmistkin to constfijct and thorsoftor msintiin: Oriwtwwifis) PuMieStraotfe) <br />3. lylldin|tobtcowwrwcw<; ° Vas a No o Wtaidanca Q Commareial (tpadfy Typa) <br />4. Orivasway or stiaat will ba: Q Tamporary Q Parmanant Data proposad antranea will ba naadad: <br />8. Is tha proparty: Q Platlad □ Unplanad Numbar of prasantdriaaways or antrancas to proparty: <br />A OuiWiniPNmitaeqMirad: a Yn o No City •' f ■ >•■'PwmitNe. <br />7. Typa of propaaad antranea surfMa. c Htwidnous ^Concwta □ Rock o Otbar. <br />A Looation ___/■r <br />0. Location, if rural:Mias <br />(Co. nooo) <br />of- <br />7 <br />IBTiniTwrWJ <br />iCity) <br />TRSoTSfiSSStT <br />ApiMicantli SigwgtMfi •j <br />APPLtCANTBMAQIlAM • (W plot or oonatrwedon plan is not subndttsd). f <br />• / <br />a- <br />P*"' <br />• *-* <br />I I <br />-------- <br />*« • # •♦ •• «»«. <br />r ? <br />V > <br />ir AMT A Mbdw M <s