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• <br /> TOWN OF PERRY <br /> • <br /> DRIVEWAY CONSTRUCTION PERMIT <br /> 1. NAME <br /> Applicant_ <br /> 2. PROPERTY LOCATION C <br /> Property address: ° /C7 c'j// -H /Z I 17Q/eL AZT S- S7 <br /> 3. PROJECT DESCRIPTION <br /> Project type: Private driveway _Field road <br /> 4. CON T60/VS OF APPRO VAL <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,f-9,.J . Any subsequent <br /> change from this information must be approved in advance by the Town Board. In addition, this Permit <br /> requires the applicant to notify the Clerk within 30 days of completion of construction of the driveway or field <br /> road so that inspection of the road can take place. ////� <br /> Specific conditions: / ac/ �Ci,�Q ��/j� �7i 14- P/IQ,iI��,'s p/2 z <br /> `)O ,-201 /sh/c4 /(per �/ <br /> 0 ohm.( ��.�,ar/7.e itinz_2c-?&/6n <br /> 4.c/rl(/nom -C posj,1A/P . • <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 - —/•e)- 9e with any specific conditions as noted. <br /> Town Clerk Date <br /> • <br /> source:Clerk, filename: PERMITS.FRM, version: t1, date: 1/31/96 <br />