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Anii it-ig I I/•/BI walu Control Trunk <br />MINNESOTA DEPARTMENT OF TRANSPORTATION �`4�ty5 Seniors Hwy, <br />APPLICATION FOR ACCESS DRIVEWAY PERMIT s <br />Dialritt Permit <br />u 1 No. No. <br />point or type application, Sign In space provided. Submll 3 copies to local office of Mlnnnola De part men) 01 TranIp0lUtlon. <br />H TO ALL 3 COPIES, A SKETCH OF THE PROPERTY, PRESENT AND PROPOSED DRIVEWAYS AND RELATION TO TRUNK Hld' <br />SKETCHES SHALL BE DRAWN TO SCALE WHEN REQUIRED BY THE ENGINEER. <br />r.t <br />Ronald L. Richardson <br />T.II_10 m Ramsey Cou I _ Mdm N__s w of Lounty_noaD n-z <br />Leg.) Desctlpuon of Properly-3S000-5. more orless of the westerly portion of lot 2 blocs: b <br />Eigenheer 2nd addition <br />Purpose of ❑ Reodenee Proposed Ise Building to ❑ No <br />Ul,vewty ® Cuamsraat ISpoafy T;�V7 <br />❑Public Street be CunWucteJ Yet Irypel <br />Will the ❑ Tempolmy or Proy d or Datence Isom center of highway to Irons <br />Budding be ® Permanent n uI autd Area o1 budding, or Irons of pump island a130IMI. <br />Land n Show leer &inches Nu of Present Dnvtways Dote Driveway islneed�eddhintied 31+ Or - Inwer? hlyhway m Properly Non _J _ 19 a.r_ <br />Give Exact Location of Proposed <br />mtyp::dy loprupelly 251 rest of Dro:osed east nronerly-hire <br />Give Exact Location of Pnsem <br />Driveway to ProPar ty <br />I. We. the u lde,Pgned, herawnlr make "'laalro , to, Ounoluon Ica Wnspuq nu u, at durewae at ❑u suavethepolocation, tard duvewey to be all wcortork <br />will <br />to con to <br />with In. ragutabont of me Mn.nemla D+Pa,bnwb at lumpol utmn end to use 4reaiat pravNom mcluder: m IN puma It rf agreed IM all work will be done <br />the IebJacbon of the Murnnata Oepa,tms„I or T,anidu,tapan II d further agreea Ina1 no work In au:meclron wile this sVa,cslron will be started until In* aPf <br />cation n aPVlaved and the Permit issued. II is e.pnsly undertlood In+i this Puma it conditioned upon r@plscamenI a rostpntiyn of Ine Trunk highway to It10n <br />oval or to a leutlaclmv condruon art Wane, understood that this pumrl Is atued subject to the epPmval 01 local city. village or borough authoribst having 10• <br />Vitriol understood Intl tits permit It Issued lublect 10 anpbcanlrt cMplignee witn the rules and regulations Of 11 <br />supervision over utU Weal ar blgnw+Y• It It l <br />•sots Envlranmullal QuanlY CPatcll sold any olhar 0161ed gavel0men1+1 aylncles. <br />&44June 10. 1985 �.-. <br />DNe �gnumea Apphaant <br />DO NOT WRITE BELOW. THIiLINE_� <br />ACCESS DRIVEWAY OR ENTRANCE PERMIT <br />NOT VALID UNLESS <br />SIGNED AND NUMBERED Certified or Cashier's Check, or Money Order <br />No Deposit Required <br />A deposit of E , payable to the Commissioner of Transportation, in the form cf a Certified or Cashier's Check or <br />Money Order shall accompany the application. <br />This Deposit Made by - <br />For " Ye <br />District Deposit will be returned to apphcanl upon completion at item 5 (levefte side.) <br />Use Only Special Provisions: <br />All work to be completed! Slate to fmnith ._ k CIO, II and <br />After Permit is approved: o.I. <br />❑WAlfe to Applicator <br />MINNESOTA DEPARTMENT OF TRANSPORTATION <br />❑ PIIA Ica Dill, Merrill. Other <br />❑ Griffin 10 Mpn6peflty of Sec. Crew Dale auuuuu.0 51one1we <br />