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<br />Foem 17"�1 (9-61) ;' �; :1r� �, r
<br />MINNESOTA HIGHWAY DCPARTMENT � T.��k �-� ` oi:+*itt
<br />• APPLtCATION FOR ACCESS DRiVEWAY OR ENTRANCE P�RM1T Hwr• "�• -
<br />� (Applicaat to b+ tumi�hed wlth proper atacadard plate) Rout� G Z�� P�rmlt ��� _��p �„ ;
<br />? Saction No•
<br />�:�' � Print or �ype applicatio�e. Fill out 4 copies, sign and mai! tu Minnasota Higbway Department. � !
<br />;� ' SKE7CH PROP�RTY, PRESENT'AKD PROPOSED DRIVEWAYS AND RELATION TD TRUNK HlGHWAY ON BACK OF AlL 4 COPIES. ,
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<br />.� ' Name Qf M�.1.1&'clCi� .t�"`.7IILf�Iv(AN � � ��� ���� A � �-Tel. � ' � 1�,�
<br />'�' O�PPlicant . - � Address i
<br />� Ndme of - ,` 1 , , , - . . . . . '
<br />,`i.. .. �'roperty dwnerh�A� � l i�' � .C".� Q �..,.CJ �.��t A.ddress � .. � . � Tcl. t ` — — '
<br />� � Location: � . � . , : . , . , a + � � ?
<br />T.H. " in '�.�5'Z .. .Coun�y,_,_Miles N-S-E-W of � d�� �1�. � �' �J �"'���� Pi `,
<br /><� �-� —+ ecitlo road Iaadmsr � or,ros3 lnteroecdon) � i
<br />� (Cirolo One) i5P r ,
<br />� Lagal.;�Descrip4ien: - �� ' � ." , ' � ;;
<br />�af Property
<br />'�i ' C !�''�,S � (� �. o � `� � � ��? ```�•t.o `� � �;� �1 ; �f;j
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<br />,i � � � �►,h S � � � i ;
<br />' "� Purpos of . � ':�
<br />. � . _ .
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<br />;�� ., Driv�v�oy : Q :�te:idonce � C�mm�rciat (spocifY tYpoj �• lr'��'Y�.�..�� . � �� �� "�' � � .,-,
<br />� ��� i$ a �iutlding t� kYhct , . � � . � . t� � + �}
<br />� -; � : b�' Constructed ❑ IVa � Yes . Kind , ' �;,
<br />;;; � check _ � � • � � { �;
<br />� Wiil th� Bvilding be [� Temporcry nr� Permanent praper !s the Proper4y in�] Ptntted or ❑ Unplatted �rea , ;,;
<br />� , � �r,�
<br />xct��y�`% . . . . $quQi�.S /� � n?�
<br />i .D�.StdI9C@ �YOm Ce t r of highway to front of building, or frontoi pump island is ��/' feet. y '-'-
<br />�� � � t
<br />I , �:
<br />,;-� ' is lancl }tigher?, ��r•�°` lower? . or level?�.�with highway,, p , i
<br />1^ i �.t 8i►ow [eat Oc inche■ :� Show Isat b inchsa. : 1
<br />' , �1� � �ate Pro osed Dr6vewc Wi ( l b@ Needad ! �� �0' �'`'�' t�'`���""
<br />�.; � , Number of Present Driveways ta Praperfy�. ' P Y '.
<br />z{.� ' J � . ,
<br />k C: ,�ivei Exact Location af Proposad � �
<br />. f Driveway ta Property �s..' �-� .�';�:;;,t 1!' k> � '�.:� d�i C.L C?.S �, �
<br />�.����, , , t �
<br />y��°�' '� ` UiYe �xaet LoCation ort Presen! �� i x �
<br />����� ��` �r Drivaway 4o Property , ;
<br />, �.,} � ��
<br />'�!�; > T� We, the urfdarel�ttad, h�rewitti rtieke applination tpe perimiiefon to cpaeteuct !he eccoas drlveway et the above loaatlon, sald •drlveway to be. conotsuClmd to i ,
<br />�,;:r E aon[otm wlth;th� �tand�rdrof the Mlnnewta iilghway llapsrtmant''�nd to eny �pooial proyi�ian+� is�oluded in the permit. �It is agreed that ail;woek w131'bo ' ��,4�
<br />� ( , dbn� to ths tatl�f�ClLon of the:Mim�atota Hiahw�y Aopartment. 'It ia't�alliar O��ed that n .i�i cosuaeotloa wtth this appiicatlon wiil be bferted wxtii the ,^� `,
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<br />';r � � i��ip!loat�on iti a�oved'�►nd !hq pesmlt i��uad. ' �' � �
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<br />y�'`�� Ddto Si�rat e of Applidant
<br />j: t ;. ,; D0 NbT NlRITE BELOW THIS l.INE •• �, :v
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<br />r.�',: i � . . ..: . , .. . . .. :.. . ._ . - . ` � :�;
<br />� � NoT V�,tlu �tH4Ess ACCESS DRIYEWA'� OR EiV7RANCE PfEF�.MiT a—q -C-��- _'�'
<br />s� i� 51GN�t� ANR;: NUM�ER�D erm t um e . � i
<br />w' � { F�ermission is,here6y �ranterl for 4he canstruction of the driveway as described in the above appliaation, said da�iveway ta`6a � w'
<br />��` f��canstructmtl in tsscordaote with th�e Minnesota High•way Departments DPiveway StandbPd Plate iJo.�_,,,,,;,r,and,�ubje,ct to �
<br />�r �G: � , � :
<br />�, t�« the requtr�monts an reverse sid� and itlie faliowing speciat prtiv�sions: �
<br />'�,''' 7 .� . .. � �. _...�.._• �a.....hH.��f6in�J!i.v�.�+b�c.�a�MmLaI�,`wwrM�u�}7�P./:kA�.tfei:iLe.rit't'se}cC�b.M...i�.la.A.1..5.Jc�>.!.t41'94'rVSYlas..t'w:.,.M � .....�,,�y„w.ye�AtTGN;..4� . • �'_ � . •
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<br />fi This �ermit sha17, appl� on'l.y as : to the connection with the �x�.sting frontage .road ;�,
<br />`?" ' to be dev�lo d. It does not impl�� any �t
<br />af�, ij �': at the southeast corner of tha property E� (
<br />s� , approval `oi the "'Proposed Frontage Road Fxtension" �ying outside State right oi way �
<br />" � a thereto �.��,�,�^�"�°'�."„�*��������.�:�,��'`�. �
<br />� ;�� , nor : any acces.. . t
<br />� ` �� ti : . - . �„aa,,,,,mu.�stl�+°'�'�' � . . � .
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<br />+� �� t I � .. . .. . m,aa,�.ar:.v,w.sww^` . - : . . . .. . . . . �
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<br />�� � It is ex ressty understoo�! that this permit is condifiioncd upon replacoment or restaration of the trunk highway to its original z'-
<br />;` it is furiher understood thaq this permit fs issued subjeet to the approvat of (ocai city, vSllage i�
<br />p
<br />'. ar to d satisfactory condltian. �:
<br />'or borcugE� cutho�ities havir�g joint supervision ovar said street or highway. �,
<br />�,' t�INNESOTA HIGHWAY DEPARTMEN7 �; � ' � '
<br />Afler Povmit 1s approvsds
<br />C1 Whito ta Applfea,s,t � r� _ � �- /;�
<br />Ci Ba// to Cerstta'l 0%Jeca . `' ; � �j ' j, '� { y U � /�; -�`"����v. (_`. �:. /1.: � '
<br />� ..,. i
<br />f�d AAnk to 4�ist, Me�iret. l�//!ee Date ' �'� aiatriet MoJrkt+naa�ce Engla►eot '
<br />CI Gitea to Mu�i.icipality or Sec. Craw - `'
<br />� � . . . . � . . . . . . . ._ i. . . . . , ':'S^'.' . . � �Y.. W .�y.. 1Y`
<br />' a�v!p+ i.^Yl�'RYa/='T�,-�..s...�,wf,M!ww^i!�.!la�1Jv�1!�4M'h„?'i.ayp��+i�Y!'n.' � . .. . � . . . . . . . _
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