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<br />:~'~~:~~~J~~;; <br /> <br /> <br />JlCH A SKETCH OF THE PROPERTY, PRESENT AND PROPOSED DRIVEWAYS, AND REUTlON TO TRUNK HIGHWAY. SUCH <br />SKETCH SHAlL BE DBA WN TO SCALE WHEN REQUIRED BY THE ENGINEER. PRINT OR TYPE APPUCATlON. SIGN IN <br />SPACE PROVIDED. SUBMIT TO LOCAL OFFICll OF MINNESOTA DEPARTMENT OF TRANSPORTATION. <br />APPLICANT Be...i::J.-. e..( (1 Lle."f2.... TELEI'IIONK ADDUSS (-. City, s_ ZIp) <br />'J. ('-5) <br />PROPER1Y OWNER TELEI'IIONK ADDRESS (S...... C;ly. S..... ZIp) <br /> <br /> <br /> <br /> <br />('5\ ) {,,38-,6:l <br />(CIIlCLE ONE) <br /> <br />390D 8 !1,.-.J ,..... 55h:; <br />(SPECIFIC ROAD, LANDMARK, OR ROAD 1NTERSI!C110Nl <br /> <br />T.R. 5' \ m 12........~"'1 <br />LEGAL DI!SCIlIFfION OF PROI'ER1Y <br /> <br />C..... (J.4 MiIaN.l!l.E-W fN'fl!:ft - ~".... ^....:r.,,'~ ~ m 51 <br /> <br />PURPOSE OF DRIVEWAY <br /> <br />~ <br />o Tomporuy <br /> <br />o Propoood I'llblic S..... <br /> <br /> <br />o C..........w lSpeeify Typo) <br />WILL THE BUILDING BE 0 Tempol'U}' PROPERlY IS IN <br /> <br />II(Pbllod Ala <br /> <br />,Q(No 0 Y.. (Spcc;fy Type) <br />DISTANCE FROM CI!In'EIl OF IDGBWAY TO FRONT OF <br /> <br />N OP_ <br />NlJJ\lIlER OF PRESENT DIlJVEW A YS TO PROPEllTY <br /> <br />/- of"f"ffl 51 t 1- OF"I'" 0 J <br />GIVE EXACT LOCA110N OF PRESENT DRIVEWAY(S) TO PROPEll1Y <br /> <br />o UopWuod Ala BUILDING OR FROIn' OF PVMP ISLAND IS NAnn. <br />DA11! DRIVEWAY IS NEEDED <br /> <br /> <br />GIVE EXACT LOCA110N OF PROI'OSl!D IlIUVEWAY TO PR01'EllTY <br /> <br />A <br /> <br />- .' - - <br />~e, die: ~, ber'ewUb make: applkacioD fer pcrmiIIioo 10 ct'Il:m\X11b1: accaa: driveway lib above Iol::2IiaB. aid driveway 10 be eoDlUUdcd 10 coofona widllbc rquI.uioaI of~ MiDDeIoII <br />ofTramporwiooaod IOlDY specialpnrvisicm Ux:tOOcd iDkpamiL II: iI~ dw an work will be door: 10 die ilWfacdoa.ofdw: MiaDe:Ioa.DcputmcIIlofTI'IDIpOItIdoa. his ftsr1bI:r <br />Ibal DO wort in cmocaiaD wDb IhiI applic:adoa will be swud UDdlIbe applicldoD ill approwd aDd dac: pa1Dic iDual. k 11 1urtba" uadenrood Ibat d1ia pmDir: is subject 10 Ibe: IpprOftI of local <br />city, vi.1laI:eor IIonR.IP aulboritic:l baviDajo\nllUpCt'risioa ova'" aid ta'Id orbiJinwy aodlUbjca.1O app6r:::ad'J!~ I rl;"..... widl1be nda IDd replaDoas oflbc WiaDc:soca E.....~ -I QuaJiQ' Board <br />and III)' other .ffccud JOVc::omePfal .,CDQCI. ~ . <br />qlE:.l'19 <br />0... <br /> <br /> <br />5IlIt IIIl\'EIIllB SIDE _ GENERAL <br />1NF01lMA110N AND U(lUIJlI!MENTS <br /> <br />PERMIT NOT VALID UNLF.SS <br />BIWUNG S1GNA1tJIlE AND NUMBER <br /> <br />AUl'BORIZATION OF PERMIT <br /> <br />11 is apreaIy UIldenmod IhaldUs pamiI is cooditioual upon replat.emca or raIOI'IdoG of !be mmt bipway 1D ill ortpDaI coodicioa. 01 fa . JUisfac:tory caadIdoa. Ia '. aioG of die 1pp~.1 <br />.~ 10 comply ia aU rapedI widllbc fCIUladom of Ibc (" .. a..r of TraIlIpoI1adoa CO\'Criaa IUCb ~..di... permiItiaIl iI Jwnb)r pUItaI lot.. wodI: ID be perbmalIlI dcIcribcd II. <br />....-JPI?Iicali....... _'" bo",,- ia ---- - ~prvriIiom"""""- <br /> <br />SEE ATIACHED SPECIAL PROVISIONS <br /> <br />~."... ,;,"_0_, ;7.~ ~ <br />.- - .,...., <br /> <br /> <br />"'" 2 9 <br />dli" 1999 <br /> <br />(i' .,. <br />',." <br />lc. <br /> <br />;:~'-;"0'_'_'~' u~,.;..s..,~ <br /> <br />AD wort: 10 be Compleud By <br /> <br />CldMrt Ulll <br /> <br />Apnlllo <br /> <br />-..- <br /> <br /> <br />TYI'II <br /> <br />""" <br /> <br />MINNESOTA DEPARtMENT OF <br /> <br />DISI1UB11110N <br />o 0ri1iDoJ1o Aw- <br />o Ala M.......... E.,;.a <br />O_~ <br />O___S..,.....;- <br /> <br /> <br />DEI'OSIT REQUIIlEMENTS <br />No DepoIilIlaplDed <br />o DepoIilIlaplDed ill... -.. 0( S <br />Darz DepoIil_ <br />DoIoo* to..._ _ JOIWadaI7 ............... "'.. wwlt. <br /> <br />Cublcr', Ood<, <br />CaIiW Ood<' <br />M_ Older' <br />BeaI' <br /> <br />DAn: WOIllt COMl'U11!ll <br /> <br />(De dIU.... dM: ...-kll-p'-..... __ 'De npcir&eII.... Ar-. "-'~ <br /> <br />1rIqjMr~ <br />