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l <br /> TOWN OF BURKE DRIVEWAY AND CULVERT PERMIT FEE: $50.00 •D• <br /> FOR INSPECTION, TELEPHONE DAVE STEVENS AT 576-1975 ��.. <br /> NEW PARCEL ADDRESS 50'5 5 <br /> PARCEL NUMBER <br /> OWNER c) 5 M'2J? ) a-v-e-P <br /> PRESENT ADDRESS (p£(40 1 O <br /> `-- adiso. S �l <br /> TELEPHONE _7 3 - d <br /> CONTRACTOR <br /> TELEPHONE '(� �- 2_2 0 '�d2 / /2 s <br /> DATE OF REQUEST • <br /> DATE INSPECTED <br /> APPROVED BY oxen,i1' /�' <br /> DATE <br /> COMMENTS <br /> IT IS THE OWNERS RESPONSIBILITY TO INSTALL THE PROPER CULVERT AND <br /> CONFORM TO ALL TOWN SPECIFICATIONS. OCCUPANCY PERMITS WILL NOT BE <br /> ISSUED UNTIL PROPER INSTALLATION IS COMPLETED. <br /> Please note that the minimum standard culvert for residential drives must be <br /> a 21 inch arch by 24 feet long,with endwalls. <br /> There must be a 6 inch cover from the top of the culvert to the materal used to finish drive. <br />