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HomeMy WebLinkAbout2013-02-19 Planning Board Supplemental Materials (48)TOWN OF NORTH ANDOVER - DIVISION OF PUBLIC WORKS Permit to Connect a Driveway to the Town Right-of-Way Permit to be issued at each building permit signed This Permit only approves connection to the Town Right-of-Way and not the overall driveway design. The pavement elevation of all driveway entrances must be at least 4 inches below the edge of the existing roadway's pavement at a distance of 6 feet from that edge of pavement into the roadway shoulder. Please legibly fill out the following information completely (blue or black ink) Date of Application: <^~7 Address: .5?/ Tu(CAjP(/Cf 5T Are Town Boards involved? / N Building Permit? Y / Approved plan attached? Owner: Phone: \oH<v $ Q If yes, which Board(s)531 c°Py of Permit attached? Y / N / N Proposed plans submitted? © / N Driveway information New Y Existing _ New driveway sq ft _ Expansion sq ft _ Existing sq ft Storm water runoff flows to the street right-of-way? Y / (N) Work to be done in right-of-way? Y / ® If yes, describe Runoff mitigation provided? / N i.e. infiltration, grass areas, change grades, etc If yes, describe U/UP/ll€k Contractor Information: Address: Name: Phone(s): This portion to be filled out by the town Approved by:Date:Final Inspection Date: Completed by: tOO.OO' new 12 foot wide gravel driveway o 8 m. am - S 0 5 I OO.OO' TURNPIKE STREET 60 feet +/- 100.00* new driveway 12 feet wide gravel continues to Hillside through 591 existing driveway 12 foot wide connects to existing drivewa I OO.OO1 599 TURNPIKE STREET 72)