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r; <br /> hzs HENNEPIN COUNTY PUBLICPermit No. <br /> 320 Washingt ij venue <br /> G <br /> Hopkins, Mihti�*3ota- 3"`" <br /> APPLICATION FOR DRIVEWAY OR STREET ENTRANCE PERMIT <br /> (Read "General Requirements" reverse side) <br /> Name of applicant %tephen & Joanie Weird rOCT 2 5 Q91 Phone 612-472-1879 <br /> Address Nortin ::)more Drive, Mound ( ' )ne) , MinnG5UL6 .4 <br /> (city) (state) (zip code) <br /> Name of Property Owner Stephen & Joanie Marc Address 4695 Pio"i are (give 55364 <br /> 1. Contractor performing work Jpward Bound Design & Construction, Inc. Phone 612-471-07223 <br /> 2. Application is hereby made for permission to construct and thereafter maintain: Driveway(s) %bhc Streets) <br /> 3. Building to be constructed: o Yes El No C Residence 11 Commercial (Specify Type) <br /> 4. Driveway or street will be: E) Temporary ❑ Permanent Date proposed entrance will be needed: <br /> 5. Is the property: Q Platted E) Unplatted Number of present driveways or entrances to property: <br /> 6. Building Permit acquired: 11 Yes 0 No City Permit No. <br /> 7. Type of proposed entrance surface. 0 Bituminous 11 Concrete El Rock o Other <br /> 8. Location <br /> (Address) (Co. Road) (city) <br /> 9. Location, if rural: Miles of <br /> (N.,S.,E.,or W.) (Road or Street) <br /> Dated Applicant's Signature <br /> To help the inspector, place a stake with a cloth attached in the center of the proposed entrance, higher than any surrounding <br /> vegetation. <br /> Qh,jn -�r Met hith D=ave %t,,tterStrcm nt 1 i to to discuss proposed garage placeaont <br /> APPLICANT'S DIAGRAM - (If plot or construction plan is not submitted) and access to County Road 19. <br /> AN�40i` /). '' <br /> *'+�.�.nP.0.... .�. ,....,.:,::_.+..,.,.,_....r. ..:.._..x_..:�_.._..-_.:. ;: .__ ....�.:-_.�. - .. •;,a�..,.�-_•o-:-.c.a--c�'�r..a�-�n.r.:-.;::�.-..:._ - --x--ai-s«:.�__.�..._�::A-ti,. <br /> i <br /> fE: <br /> r•` sr <br /> Jy <br /> (Complete this form and send all copiesto:Hennepin County <br /> Highway Division, Traffic Office, 320 Washington Avenue <br /> South, Hopkins, Minnesota 55343. Phone: 935-3381. <br /> After approval, one copy will be returned to applicant.) <br />