HomeMy WebLinkAboutPermit Curb Cut 1990-3-8
Application No,
033
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Permit No. ~~. 2?i1
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LANE COUNTY
DEPARTMENT OF PUBLIC WORKS
3040 N. DELTA - EUGENE, OREGON 97401
Tel. (503) 341-6902
APPLICATION FOR FACILITY PERMIT
PERMIT TYPE
Driveway Approach
Utility .
V Other,2 h,.J J2,,'l~t",.v(
Special Events
o Plans Attached
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(Road Name) (County Road Number)
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, hereby make application for a facility permit upon the right-of-way of
Mile post(S; O. 0 R ILl <;:'h)
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in strict conformity to the exhibits attached hereto, subject to all terms, conditions, agreements, stipulations, and provisions contained in the application
and permit, and the rules and regulations regarding roads and rights-of-way, as set forth by the Lane Code 15,205-225 and Lane Manual 3.120-124 and
15.505-550, and any other applicable regulations, law or ordinance.
'){DescriPtion of FaCility: ~A. i-' j (I!..A..I- r~ (h,) i/.:' I",./~<-/ 16-
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Signature
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(Phone where you can be reached)
'j. Date: ..;> //(1 J'? D
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(Zip)
SPECIAL PROVISIONS: (Adhere to specifications as checked)
DRIVEWAY APPROACHES ONLY:
feet of
ATTACHMENTS:
Standard Driveway Approach
Buried Cable Placing on County RIW
Tree Cutting and Pruning
Logging, Brushing, Trimming of Vegetation
Standard Traffic Control & Safety Procedures
Other
inch culvert (either concrete or corrugated metal)
inChes of 11/2-0" crushed rock (Subbase)
inches of 314-0" crushed rock
inches of asphaltic concrete (State "B" Mix) to property line
The approach must meet shoulder grade so as to prevent surface water flowing onto the road surface. This will be accomplished by having a slight
downgrade equal to a 2 inch drop at the property line.
Note:
UNLESS OTHERWISE SPECIFIED, ALL CONDITIONS PERTAINING TO DRIVEWAY APPROACHES MUST BE MET PRIOR TO USE OF THE
FACILITY. " n '10
t.~ ft~ ~_.~~~"ft~
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ADDITIONAL REQUIREMENTS:
~/1 ,lri"cl Al't' e $".\
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This permit shall be void unless the work herein contemplated shall have been completed before
J... / S- ,19 '1 /
Inspected /
Date /5 /I1!)rCI1. /99, U 0.1
BY{)~J.I( ;JJ;~r
C98-203
WHITE COpy - Permit File
~proved
o Denied
/ l?j the Boa,d 01 Co"my Comml"'''effi
~~ 10 '~roved
i 1SX Dale I'
- LX.'. 0 Denied
Director of Public Wor or Designee
YELLOW COpy - Staff
PINK APPROVED COPY - Applicant
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