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Driveway Permit Application
Block __________ Lot ____________ Date ____________
Street location_______________________________________________________________
Owner name________________________________________________________________
Address____________________________________________________________________
Telephone No: Work_____________________ Home_______________________
Plan prepared by:_____________________________________________________________
Address:____________________________________________________________________
Telephone No:_______________________________________________________________
Proposed construction: (check one)
New driveway_________
Alteration___________
A plot plan of the site showing elevations and the proposed
driveway must accompany the application.
Contractor:__________________________________________________________________
Address:____________________________________________________________________
Telephone No:__________________________________
Upon approval of the Driveway Permit, you will be given
the Ordinances #28-80 and #46-87 entitled Driveway Standards
for Single Family Residences.
Name____________________________ Signature________________________________
OFFICE USE ONLY
Review comments:____________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Approved by:___________________________________ Date_________________________
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