HomeMy WebLinkAboutRAP2005-00219 - RAP Permit / Conditions - 9/13/2005 ROAD ACCESS PERMIT APPLICATION AP2 -0021 R 005 9
Mason County Road Department
415 N 6th ST Road Number: 54170
PO BOX 1850 Road Name: Clonakilty Drive 54170
Shelton, WA 98584 cop��
(360) 427-9670 ext 450 Road District: 102
Applicant: RICHARD MYER Phone: 818-998-3315
10428 WILLOWBRAE AVE
CHATSWORTH, CA 91311
To Install: Single Family
Location: 120 E Clonakilty Drive. Driveway already existing.
Parcel Number: 321275400042
Legal Description: LAKE LIMERICK 5 TR 42
Bond Information
A bond in the amount of$25.00 accompanies this application.
Bond receipt number: 21299 Check number: CASH
Cont ractor:
Address:,
City / ST / Zip:
Phone:
License: Expires:
Specifications:
Access to be graveled to property line with 3" depth of clean gravel
Access will be staked and flagged by the permittee for the pre-inspection
Access will be inspected b this office prior to installation
Pe Y
Access installation shall be in accordance with Mason County specifications
Commercial /Multi use access shall require STOP sign(s), installed in conformance to the MUTCD manual, at intersection
with the county road
Culvert to be aluminum, concrete or polyethylene
Culvert will lay in line of ditch
Culvert to be a minimum of 12" diameter by 30' length
shall be d No work one until a permit Is granted by the Mason County Public Works
By signing below, I attest that all information provided is true and accurate. Further, I agree to all applicable
RCW's and provisi ns in qffect time of application
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Signed: `�:'' � � � --� Date:
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