HomeMy WebLinkAboutAPP2013-1669c CITY OF GRAPEVINE
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CITY WALKS & APPROACHES PERMIT APPLICATION
PLEASE PRINT
PERMIT NUMBER:
DATE OF ISSUANCE:
JOB ADDRESS: 'so °t 13�✓ �o.v,v
LEGAL DESCRIPTION
LOT:
BLOCK:
SUBDIVISION:
OWNER j �� ���
CONTRACTOR
ADDRESS
ADDRESS D . �3G_ 76 g
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CITY, ST, ZIP GQ, �4v�,u` % 7 GO S (
CITY, ST, ZIP HZ, LL F Q ��s 76 Z�
PHONE NUMBER ( ,617)
PHONE NUMBER ($�7 ) 33 7 $-I SS
USE OF PROPERTY
REQUIRED ATTACHMENTS:
1. DIMENSIONED PLOT PLAN (2 COPIES)
A. SHOW DRIVE APPROACH(S) LOCATION. (INCLUDE DISTANCE FROM STREET AND /OR ALLEY
INTERSECTIONS).
B. SHOW DRIVE APPROACH(S) WIDTH AT PROPERTY LINE..
C. SHOW DRIVE APPROACH(S) RADIUS ON BOTH SIDES.
D. IS DRIVE APPROACH CONCRETE OR ASPHALT?
E. IS CURB & GUTTER PRESENT?
F. IS SIDE WALK AT PROPERTY LINE, CURB, OR OTHER?
G. SHOW SIDEWALK(S) WIDTH.
H. SHOW SIDEWALK(S) LOCATION.
PERMIT FEES
SIDEWALKS (NEW CONSTRUCTION) $15.00
SIDEWALKS (REPAIR) FOR EACH INSPECTION $15.00
DRIVE APPROACH (EACH) �j_0 -ate X
RE- INSPECTION FEE $30.00
NO FEES WILL BE CHARGED FOR WALKS & APPROACHES WHEN INSTALLED IN CONJUNCTION WITH NEW
CONSTRUCTION OF BUILDINGS UNDER A CURRENT BUILDING PERMIT.
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THAT THE SAID
WORK WILL BE DONE IN CONFORMANCE WITH THE INFORMATION HEREIN SET FORTH AND IN COMPLIANCE
WITH THE CITY OF GRAPEVINE ORDINANCES REGULATING DRIVEWAY APPROACHES & SIDEWALK
REQUIREMENTS. IT IS UNDERSTOOD THAT THE ISSUANCE OF THIS PERMIT DOES NOT GRANTOR AUTHORIZE
ANY VIOLATION OF ANY CODE OR ORDINANCE OF THE CITY OF GRAPEVINE.
PRINT NAME: L :yy t SIGNATURE:
PHONE #:
TO B COMPLETE BY BUILDING INSPECTION DEPARTMENT
-J3
ENGINEERING DEPT DATE
APPROVED FOR PERMIT DATE
TOTAL FEES (�
O: FORMS\D SAPPLICAT IO N SXAPP R OACH. doc
10 /12/00,R -5/06, 2/07