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APPLICATION AND PEMMIT <br />TO CONST~3C~ DR1ACEWAY ACCESS <br />PURSUANT TO ORS. 374. 305 <br /> <br /> (P~t or Ty~) <br />Permit Fee: 7 o 00 <br />Dfklress: 2-i~599 501ores Way, N. ~. <br /> Planning Action: Yes __ <br /> <br /> Case NO.CU $3-11 <br /> <br />Phone: <br /> <br />(work) 222-~2935 (Home) <br /> <br />Applicant hereby applies to Marion COunty for permission to construct a driveway <br />access to County Road NO. along the %~6~/ side. <br /> <br />SPECIAL PROVISIONS: <br /> <br />1. APPLICANT OR CONTEACTO~% SHALL NOTIFY THE [EP~ OF PUBLZC WORES AT <br /> 588-5304 WHEN FORb~ ARE ~-±' BUT BEFORE POURING CONCRETE. <br />2. The driveway access shall be constructed in accordance with requirements as <br /> <br />3. Conmtruction of said access shall be completed on or before , __ <br /> / <br />4. <br /> <br /> I <br /> <br />DRIVEWAY WITH CURB-LINE WALK <br /> <br />DRIVEWAY WITH PROPERTY- LINE <br /> WALK <br /> <br />Applicant declares he is the owner orowner's agent of the real property abutting the <br />above described County road. This permit is issued subject to the t~rms and provisions <br />contained her~'.~3__~ . ,an~t/ab~ched hereto, and is accepted by the applicant subject to <br />said <br /> <br />Mailing. 12704 ~alen~{o~ ~.i. ~. By: <br />Address. Aurora, Or 9~O02 Title: ....... <br /> Date: <br /> <br /> DPW - A2 <br />Date: !5/17/83 March 1982 <br /> <br /> <br />