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f <br />h <br />* • • • <br />u' OF transportation <br />Al I....ATiyN FOR ACCESS DRIVEWAY PERMIT <br />.......: I i <br />oA.r,. . , ^v..r..«dm.,lM,Mm„e.oUOep*,,m,„,olT,.nvor«,io;;; ------------------------------------------------- <br />Control <br />S#ci(on f runh <br />Hwy../a. <br />W“ ^ ^ ^^- ±10 SCALE wIpRloumlo ?Y THI C^^N gSr . and RELATION TO TRUNK HIGHWAY. <br />r\ < *“ p*l. V7>'-3/^ir <br />P»op#fly Oi%ne <br />Addfttg <br />r\ tr r^’^TTTTPr^-----^7-—:------------------Location ^ propoMd driveway------------------y ., '*J ~ ' ~ <br />^«'po.. of --------------------------------------------------------------^urpo*f of <br />Oriwtway <br />Witt tht <br />Building bt <br />Ltfid ii <br />nciidtnct <br />i Cofnmfrcul (Specify Type) <br />^____ w ^ ^ <br />(Specific ro»d. Undmerk. or roed intertection) <br />Temporary or <br />Permanent <br />Higher? <br />Show feet & inches <br />lower? <br />r«op»nv O Platted or <br />'*'" Unplatted Area <br />Level <br />with highway <br />M^9 ■ «wi. <br />Give E.«^ I pe >« P,opo^ ^SV /-^ JTT^ ^/9*7~Cf^ ,vrv <br />' .....ei p.et^nt ^ ^ i I <br />^«<ve«.y toP . ^.My V ye- ^ ^ i. « <br />SPECIAL PROVISIONS <br />‘■’ »c »" O'' •PPllc»n<s- .t(.c!,.d drawinr . <br />con.tij'uirfom. '" -Irivowy' <br />2. Thf Applicant shall reshape the hacksJop alone T.H. 12 from a 1*1 slooe to « To ,i <br />starting at the proposed access to 300 feet east of the Dronn««H n,-^.- <br />»iU cst.h,i.h th. p,cp„ .nount o, riChrii^^ic: .Ct 'f :S:”;ccIsr <br />4.) ihe appHcr.r.t shell remove the inplace access and restore the State's r <br />tc natch surrounding grades, contours, and torf/ T^^St^e ^.a! ^^aln T'' <br />-^Piicancshaii .ocify Anderle; at sJoJeirviln t^ Ll^fiu" <br />n;^tfc..al hes been removed end the culvert is ready to pick up, <br />5.) The attached “Special Provisions" shall be a part of this permitT <br />G.) The applicant shall notify Mr. Cordon McKir.non, at 5G5-3761, one (1) week before <br />Starting work so State inspection may be arrsriged. <br />7.) The applicant has furnished the State with $100.00 surety. <br />^.r a*mh b .pp,o»*f: All work to be complcted_S State to furniih SCq ' „ /R"cx\ . i <br />CZ] Cfttn to Mynkfpsfity OfSoc. Cf€w <br />apron! <br />Oait <br />aOADV/AY£EGULATlOH SUPERVISOR <br />mtk