Agenda - Council - 08/26/1980 - Laserfiche WebLink

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MINN:SOTA DEPARTMGI\IT OF TRANSPORTATION S~ction APPLICATION FOR ACCESS DHIVEWAY PERMIT District No. Print or type application. Fill out 3 copies, sign and mail to Minnesota Department of Transportation. Permit ATTACH TO ALL 3 COPIES, A SKETCH OF THE PROPERTY, PRESENT AND PROPOSED DRIVEWAYS AND RELATION TO TRUNK HIGHWAY, SUCH SKETCHES 8HALL BE DRAWN TO SCALE WHEN REQUIRED BY THE ENGINEER. Applicant City of Ramsay Property Owner Haakon I. Jarnes Location of proposed driveway: T,H. 10 in Anoka Cou.~ Legal Description of Property NW¼ of S~ of Section 28 & The IAddress 55303 Tel. . AnnPa. MN I 427-1410 I 15153 Nowthen Bm~levarrt N.W_, , Tel. 1275 Yo~hn Drive. Annka, MN '(circle one) (Specific road, landma k,o road'nte section) 1 Mi~esN--S--E~-------"~f Anoka Co. Rd. N0. 55 SEN of NE¼ of Section 27, Township 32, Range 25 P,rposeof []]Residence Access to Plat of Driveway [] Commercial (Specify Type) A1 paca Estates Isa Building to [] No be Constructed [] Yes (Type) Not determined Will the [] Temporary or Property ~ Platted or Building be [~ Permanent is in F--] UnplattedArea Land is Vari es Show feet & inches [] Level higher? See P] aJ~_$ lower? with highway Give Exact Location of Proposed to Property Armstrong B] vd. N.N. & A1 paca No. of Present Driveways to Property One Distance from center of highway to front of building, or front of pump island is N,'A, I Date Driveway is needed Sept. 30, 1980 Street N.W. (See Plans) Location of Present Driveway to Property At proposed Alpaca Street N.W. I, We, the undersigned, herewith make application for permission to construct the access driveway at the above location, said driveway to be constructed to conforn with the regulations of the Minnesota Department of Transportation and to any special provisions included in tnb permit. It is agreed that all work will be done tc the satisfaction of the Minnesota Department of Transportation. It is further agreed that no work in connection with this application will be started until the app[i cation is approved and tho permit issued. It is expressly understood that this permit is conditioned upon replacement or restoration of the trunk highway to its orig[ hal or to a satisfactory condition. It is further understood that this permit is issued subject to the approval of local city, village or borough authorities having ioin~ supervision over said street or highway. And subject to the applicant's compliance with the rules and regulations of the Minnesota Environmental (~uality Council and any other affected governmental agencies. Date DO NOT WRITE BELOW THIS LINE Signature of Applicant ACCESS DRIVEWAY OR NOT VALID UNLESS 1 SIGNED AND NUMBEREDJCashier,sCheck No. ENTRANCE PERMIT Or certified Check No. No Deposit Required For District Use Only A deposit of $ , payable to the Commissioner of Transportation, in the form of a Certified or Cashier's Check, shall accompany the application. This Deposit Made by~' Deposit will be returned to applicant upon completion of item 5 (reverse side.) Special Provisions: All work to be completed State to furnish x culvert and After Permit is approved; o^T[ [] White to Applicant MINNESOTA DEPARTMENT OF TRANSPORTATION E~Pink to Dist. Maint. Office [] Green to Munlc/p~lity or Sec. Crew Date District Director apron'