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09/02/98 09:12 $612 885 4769 MCDONALD'S CORP. <br />1? 002 <br />r- - <br />Ra olcy Cowtty Publik Wafti Permit No. i5 <br />3377 North Rife Street <br />shoreview, MN 55126 Permit Pee "T <br />iu?a?rravm (diZ?tSe-9XtM <br />AvDli tjoa for Driveway or Street .Entrance Permit <br />(Read 'General Requirements' reverse side) <br />dame of AppliC2tnt S 37r c w "e 22 tiAL2'S CoRa?o,??-, r o?J Phpne 6.8 4 - 4 w,s <br />r g as flu- giaMtie•lGTori r.? fad ( -- <br />(City) (state) (zip code) <br />Nmw of Property Owner t< n ?.TI Address <br />1. Contractor Porforrning Wax - ''17L--rE2tvtt,. n7 Phone <br />2 Application is made to construct and thereafter maintain: <br />Driveway" Residential Gommeraal Public Street(s) <br />s. Driveway or street will be: <br />Resurfaced Reconstructed (widened)® New Consiruction? <br />4. Driveway or street will be: <br />Temporary ? Permanent Date proposed for cor>$truction: <br />5. Building Permit 8AUIred: Yes No City, N 1 t t?.t C ?_ <br />6. Number of driveways or entrances to property: Existing_ Proposed <br />7. Type of proposed entrance surfacing: Bituminous C,oncxete <br />a. Width of proposedontranceK. txs er. N u) dirt 6401% <br />9. Location 11 fob t?./?'l? L-&,K i-_11a ?. _ t ?.r? r? - - <br />(eddress) (chy) <br />10. Location, if no address: feet (N, 3, E or W) {road or street} <br />Place a stake in the center of the proposed entrance, higher than any surrounding veget2ttion. <br />1, We, the undersigned. herewith acaopt the terms and conditions of the reguiawm of the RarnrAy County Engineer and <br />agree to fully comply therewith to the satisfaction of the Ramseynty Department of Public Works, <br />?Dated: /2_Z/ Applicant's Signature:. - <br />Reviewed by POW Culvert Size: X? - <br />Design Apron: <br />Maintenance commer t, e i t M t r%0JP_ Gr t y ' 4t) <br />"- rrti e j 12 ri <br />it is expressly understood that this permit Is conditioned upon repiacement or restoration of the County roadway to its <br />MOM or to a aat'rs tOorY . It ie turthsr understood that this porrrit ie issued subject to the approval of local. City. <br />or township audwrilies. <br />A PROVED DENIED RAMSEY GOU Y?DEPART ENT OF PUBLIC WORKS <br />--- ? By I C Date S Lo 9V