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.c vs I4ENNE04N COUNTY PUBLIC WORKS per• , vo <br />• <br />320 Washington Avenue South <br />Hopkins Minnesota 55343 <br />APPLICATION FOR DRIVEWAY OR STREET ENTRANCEPERMIT <br />Mind "GWWW R«rirMtl�Ea , MMM tom) _ <br />Nmu of applicant .. _._. f L. J K i► t Phone • 1 ; / <br />Address fv J , l' 1 J L.. ► C ,.l . _ '— ., <br />•w rodW <br />Name of Pt operty Owner _ l , r t AddItla <br />1 Contractor performing work ' L ( L `� . ` �.. t - r) v 141 rN & p,o„e _ V 7_• V 7 <br />2. Application is hereby made for permission to construct and thereafter ma,ntaon _ Pubi-c Streetlsl <br />3 Butkdong to be constructed Ye+ No X/ tesidence Commends! (Specify Type) <br />4. Drtwwall or greet taall be. Temporary •7��tettarterw Daae lxorwed ontoanc• wtN be helots. A L x1A1 tt.``�.; Sr_ ._. rA i <br />S. Is the property Platted Unplatted Number of present driveways or entrances to property --1 _ .- <br />6 Building Permit acquired yes KW City _ ._ _._ Perm t No <br />7 Type of proposed entrance surfew: 0 Baum+nor{ c Concrete KCL 0 Other <br />•. Location X70,) a+fa�l�'b (rov•yrV �� ).�yN i.rkI, c i L)040NO� <br />f. Location, if rune:T Musa of 'Tvdal C414 L- <br />aj w Saaatl <br />Detect T J C Apobcant% SWMK-e t to-- ; , , . <br />To help the Inapsetor, plena a stake with a doth attached ,n the canter of the propped all Wool, higher then any, surrounding <br />ve*btioet. <br />APPLICANTS DIAGRAM (lf plot of construction plan is not submitted) <br />o [maul <br />,WN 13 do <br />'M <br />VILLAGE Of O11 M <br />(Complata the form an4�rtq aN copoet to Hannepm County <br />Hghway U,veron, �Q�r►. Otfter. 370 wM,nrton <br />Avenue South, Hopkins, Monrwgta 66343. Phone 936.3301 <br />After approval, one copy will be returned to applicant I <br />