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<br />-"------- ____m 16/03/2: 46:20 003
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<br /> _or
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<br />- 443R
<br /> RAMSEy COUNn DEPARTMENT OF PUBLIC WORKS Permit No.
<br /> 3377 North Rice Street #(OO~.
<br /> Saint Paul, Minnesota 55112 Permit Fee
<br />. 4S4-910~
<br /> Namc of Applic.ant Q ~\\~\'iti.- , A\! .elAf fI 1;J, . Phone 'i $1.- 50S ]
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<br /> Address 3'{'{ () . \)",ve
<br /> Name of property oWnCl' 1-~, e"M"\:,,~ (' ~"P'P"I Address 3> 'v.J, '^1M ,I.- ST!-\\-', S"'1( lot
<br /> ' I '0,1. P"~" "'''', sno1
<br /> 1. Contr/J,l'tor pcrformihg work ~"'51!''''<>aCl r r'Iw~'\Q:lA.()"\"\.O,oJ Phone 7,'1-.- en\,
<br /> 2. maintain:
<br /> GPublic Street(s)
<br /> 3. DrIveway or street will be; OResurtaced OReconstructed (widMed) pNew Construction
<br /> 4. Driveway or street 1'1111 be: DTemporary ~el"manent
<br /> Da te proposed tor construction o l1"o{\lN-
<br /> I l'\ 'l.-
<br /> 5. Building permit acquired: DYes t;zmo City A~~~ \..\,,,,, Permit No.
<br /> 6. Number of driveways or entrances to property; Existing -----L- Proposed 'l.-
<br />. 7. Type of proposed entrance surface: e,zeltuminous DConcrete Gather
<br /> J I
<br /> S. IV;dth of proposed cntrance(s): \8 'f~
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<br /> 9. Location \\\,O WH'f' t'~-r RtL C- E'. fcP..D!:N fl\u",J
<br /> (address) (county road) city)
<br /> 1 O. Location, it no 'address feet ot
<br /> (N, S, E or W) (road or street)
<br /> Place a stake in the center of the proposed entrance, higher than any surrounding vegetation.
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<br /> I, We, the undersigned, herewith acoept the terms and conditions of the regulations of the Ramsey
<br /> County Engineer and agree to fully comply therewith to the satisfaction of the Ramsey County
<br /> Department of Public Works. \ ~i~~~~~~:t~.~~ y=-,,,
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<br /> Dated q-ZI-ql_
<br /> (ol....1"'1
<br /> REVIEWED BY DATE CULVERT SIZE; " x ,
<br /> Dcsign RT5ir'~ APnON:
<br /> Ma in tenance ~:ZS"- 9<::.- COMMENTS:
<br /> Environmental
<br /> . /Z.S-/C1 7..
<br />. It Is el<pressly understood that this permit is conditioned upon replacement or restoration of the
<br /> County roa'dway to, its original or to Ii l>atisfactory condition. It Is tu~thel" understood that this
<br />' permit'ls issued subject to the approval ot local, city, ,village or township authorities having joint
<br />_~!;:~!!..~P~'t~~~[i~~~fl:8~'~H~~~;,~6~~s,'1
<br />,'" Yell_rrl~~""~~"""" ~';;L~*~'1Il~n~ at1I'(}"'li";"'~-:";;ljgfiJf"2"'~':i"":;'1ii\\;""';"'~'~i~,""";'"'"
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