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. • IhAR-19-1996 15�39 FROr1 F�NN CTY PUBL I C I�KS TO BRW P.03 <br /> ' HENNEPIN COUNTY PUBLIC WORKS� Peri�nit No. � <br /> � ENTRANCE i 320.Wa�hinqton Awnue South <br /> ': PERMCf fEES � ! Hopkina,Min�esota 5'5343 ' <br /> i • � <br /> � PRIVATE 550. ' ' . . <br /> TEMPORARY S3o. � AP!PL'ICATION FOR DRI�/EWAY OR STREET ENTRANCE.PERMIT <br /> ' COMN�RCIAL $100. � . • <br /> � STREET $�oo. '; (Re�d "Ginerai R�quinments"rsve�u sid�} ' ' . : <br /> � Nse�N of�pplieant ��� 1 ' ' LJ� '1�'Bf Z Z <br /> � Phon� <br /> � � � � « •o� � ,u � � z <br /> � i4ddress 1' � 3 <br /> � � � ' • spae • <br /> ' Wame nf Property Owne� Address _��3 J� 7��C"� /'i i�%� C.�/' <br /> . . , <br /> 1. Contractor performinp work (!f Known) � ' Phone <br /> i . <br /> 3. Application is f+�reksy'mad�for per�;uicn to eons�r�:t ind thereaftar maintaln: Oriveway(s Fublic�Street(a) • <br /> ; . <br /> 3. 8ui�dir+g to be eo�utructed: a Yei o Ne a Residene O Commercial tSPecltY TYPeI � ' . <br /> • 4. Drivtway or strest wiU be: a Teer�porary o Purr��ertc Dacs proposed entranc�will be needed: : <br /> : �� . ' . (Pem�t�Pi�s On@ yit�a�NOm Gete) . <br /> � 5. Is the property: �Plattes! O U�Plattad Number of presQ�t drivewayt or e�tr�ca to property: • <br /> �. Building P,ermit atquind:"�Yas �o No City • �� •�.� � �_ Permit No. � <br /> . � . <br /> f. Type of propaied envanae surisce��{Bitumtnous a CooaQte o Rock o Other <br /> . \ <br /> s. �.o��«�� S�3 S� �o���� .,vF' ,il/ (Si�i�P � . � . . <br /> Aae r.� t o.Pt e.e ' ip • <br /> iF+�+:'7'' -- � ' <br /> • 9. Location,ifru�al: Z�• �1�1e� L= of S c? . � �./,,vB' . � <br /> . . ' N..S.,fi.:or w. Rosa w 5treat} <br /> � Deted � ? � S i ' ' �S ra^'` n�1+2�� <br /> �Applipnt'a Siqnature • <br /> , • ' • � P�inWd Nartie �,i M .L ' . ; �,�,..��>• :�,Y � ' '.::e'� . <br /> ; 7U HELa 7ME INSPECTOR,;PUCE AI STAKE W?N A CCOTH ATTACHED/N TkF CENTER OF TFIE PAOPOSFO ENTRANCE,HIGNER THAN <br /> ' ANY SURAOUND/NG VEG6TA710N. ; � � ' , � , <br /> ; APPLICANTS O(AGRAM-flf pbi or co�struction plan is noc submittad) • <br /> . • � <br /> . ' i • ' • <br /> . � . <br /> . . .. ; . <br /> : i . ' • � . <br /> � . ' ; ' � . <br /> . , • ' � ' ; • <br /> ; . <br /> ' i � ' , , . . . <br /> . . � <br /> i ' ' . . <br /> . { •• , <br /> i . ' , . ' . <br /> , ; . . <br /> , . � . <br /> i • . <br /> � i , . . <br /> i � ' ; <br /> I • .� . . ' . <br /> ; ' • (CompMte fMs.fonn d send.ali oopks to: `Heenepin ' <br /> , Couet�/�ublic allorks P�biFee,3Z0 Wa'shington Avenus � <br /> • . ' SoulA,Hopkins,lYlirn�esbta 56943.�Pha�e:9�-�548. � <br /> ' Al1K approwl.'on�oopr wiN be r�turnad to ippUeant) . <br /> , . . • • � . <br /> • . i • <br />