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HomeMy WebLinkAboutPermit Curb Cut 1990-3-8 Application No, 033 ~d%LfI Permit No. ~~. 2?i1 , ) 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 (! JUVI- J~s f1--J. OWe~ /./7 J) #/,Ie ::P1i4 ;;:e - Please ?rs~, 5 ) (Road Name) (County Road Number) )( I, 'j> , hereby make application for a facility permit upon the right-of-way of Mile post(S; O. 0 R ILl <;:'h) l.. / 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- '- ~,~ ; rle v-/..- Ii e~ u,;.J /-1' IUI d t> f /7- 03 - 25 -]3' /35'c)() ./ (~-<'k, a1v- Signature y. 7.v (,.. - .2 / IS-' (Phone where you can be reached) 'j. Date: ..;> //(1 J'? D , , i (k-C! f //t"-,,-,-'"'d a? ~+- / '?? J/7 7 (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~ ~ ~.~ 01) S' /Jr/~q/~ll 5/-c;~/~)r-dr J . ; ./ lJrd/:U:JjrJ I..~ I l-r M -/ tJ/;sl-t~c-td' /')r- "/;J~,q~d ADDITIONAL REQUIREMENTS: ~/1 ,lri"cl Al't' e $".\ L r, 1"r.).J. A /,/,,&. )," ~') 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 V6 rJ