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TOWN OF PERRY <br /> DRIVEWAY CONSTRUCTION PERMIT <br /> 1. NAME / <br /> Applicant� Ir/// C la_aC <br /> 2. PROPERTY LOCATION <br /> Property address: /!' l ei K ( //Fy 7c (c/-A <br /> 3. PROJECT DESCRIPTION <br /> Project type: /{r Private driveway Field road <br /> 4. CONDITIONS OF APPROVAL <br /> General conditions: This approval is based solely on the specific information supplied with the Driveway <br /> Construction Permit Application that was signed by the applicant on /2- � . Any subsequent <br /> change from this information must be approved in advance by the Town Board. In addition, this Permit requires <br /> the applicant to notify the Clerk within 30 days of completion of construction of the driveway or field road so that <br /> inspection of the road can take place. This Permit is effective for 12 months from the date of issuance and shall <br /> expire unless renewed. The permit may be renewed for 1 additional period of 12 months (see Applications Guide. <br /> If the driveway has not been constructed by the end of this period, a new application must be submitted and <br /> approved. <br /> Specific conditions: -TA c: L41/6,-• C 7 <br /> r(5,'II FP/' ri/ci U Lf,T 6 p1 F_ 4,77 r/ e-; e <br /> /-X / arj/?er•xf to • <br /> 5. AUTHORIZATIONS <br /> By my signature below, I certify that the Town of Perry Board has approved the Driveway Construction Permit <br /> Application cited above on -5 -'J' with any specific conditions as noted. <br /> Town Clerk Date <br /> source:Clerk,filename:PERMITS.FRM,date:5/21/96 <br /> • <br />