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RIGHT OF WAY USE PERMIT CHEMIST <br />2031 <br />A-B n'1c�,JRcr <br />Av 12 SuL.-( 79 <br />(ADDRESS) <br />(DATE), ( ECTOR <br />I. <br />TYPE OF BUILDING: <br />7 2 1' O <br />[] single fam. <br />9 multi fam. ❑ comm. ❑ indus. <br />2I. <br />EXISTING CONDITIONS: <br />s/w <br />curb & gutter street condit. F e- 1^—' <br />width of pvmt. 20 <br />drainage A-10Nr- driveways alleys <br />II. <br />IMOVEMENT REQUIRED: <br />sidewalk ❑ " <br />(5-8 ft. width) <br />curb & gutter ❑ <br />(A-i, integral) <br />street widen. ❑ <br />(width, strucC, section) <br />driveways ❑ <br />(width, type, pipe req.) <br />Access ❑ <br />(off alley only, light turn, local•.) <br />drainage ❑ <br />(catch basin, Dia pipe, oil sep) <br />alley ❑ <br />(pave, gravel) <br />alley drain ❑ <br />(pipe- catch basin, connection point; <br />'landscape ❑ <br />(requirement) <br />steep slope ❑ <br />(erosion control, etc.) <br />1IV. <br />LID Covenant required <br />street ❑� alley <br />V. <br />OTHER <br />�g 75 <br />