HomeMy WebLinkAboutDRIVEWAY APPDocuSign Envelope ID: 434860E4-487E-4405-8104-E6F15307BA01
APFL11,.A I IUN r -UK uKIVEWAY CONSTRUCTION
Driveway Type:
New Construction (Fee $155.00) ❑ Upgrade/ Replacement (Fee $25.00) ❑
Residential Ld Commercial ❑
Applicant Name_fo'I �-r� d e t S Phone# 'I't2-331�"'Jln 3
Mailing Address _-SII
Owners Name----dG2�0-�_._Af1.fFi __.Phone# 1 L-3310—'1 X53
Construction Address D -I 0 CSP +oy\.
Parcel Tax ID Number a I D
Lot-,jr
Block # Subdivision.____
The Nearest Intersection Road/Street isLde$ 0_'Cj.------
The Nearest Property Line to Proposed Driveway is Feet (This distance must be
minimum of 9' with or 6' without a culvert)
Desired Driveway Width is Feet
(Residential D/W must be between 10' Min. And 20' Max.)
(Commercial D/W must be between 20' Min. And 40' Max.)
Driveway Surface to be – CONCRETE ❑ ASPHALT. ❑ UNPAVED ❑ PAVERS ❑
(Note: A Driveway on a Paved Road Must Be Paved and On an Unpaved Road Must Nc Be
Paved In the County Right -Of -Way)
The Center of the Proposed Driveway will be clearly marked on - -
I Will Mark the Driveway with: (Driveway Must Be Marked For Permit to Be Processed)
( ) A Stake Marked Center Line of Driveway Placed At the Right -Of -Way Line
( ) A Bright Color Center Line Symbol Painted On the Edge -Of -Pavement
( ) Driveway to Be Centered On Garage Door Opening (Opening Must Be Visible)
For All D/W Permits:
A County Inspector Will Process Your Permit, Determine Grades, Setbacks Etc., On Or As loon As
Possible After The Date Marked Above, Please Allow A Minimum Of 10 (Ten) and Maximum of 3 (Thirty)
Working Days From The Date Marked Above For The Permit To Be Completed To Prevent Any H; dship.
Notice To Owner And Builder: The Certificate Of Occupancy (C.O.) Will Be Withheld By The 'fanning
and Development Services Department Until All Conditions Of this Permit Are Inspected And Sati ied.
I/We Agree To Abide By The "Conditions Of Driveway Construction" Listed On Page Number 2 Two) Of
The Permit Issued. I/We Agree To Construct the Driveway In Accordance With The St. Luc County
Land Development Code (Section 7.05.06) And Construction Specifications Listed In This Permi In The
Event The Culvert Fails Or Becomes Unserviceable, Or The Driveway Needs To Be Replace( For Any
Other Reason, racment Shall Be Arranged By And At The Expense Of The Owner,
ocu igned by.
crud Date 10/30/2020
Owners Signat939728276A04F5...
Date Received By Planning and Development
Date Received By Construction Inspector
M
By
Rev. 6/10 Master Building Permit Number Receipt Number -