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850{190.15 SYSTEMS PLANN M 04105 Pap Saf3- Vyou are requesfq commercial or industrial access please indicate the types and numberof businesses:and provide ihefloorarea square V you footage.of each Lase additional sheets,if necessary Sti3fams Naim and lypel Square FooragW. ausin"s.fNarne No Type),. uare Foo e" "Nino's.Corner (existing restaurant) 2,198 Urtiale Sam's (existing drinking place) 9,590 Flatningo Laundrothai (existing) 3,324: j) Proof of liability insurance after Development in and along the right of way If- ' u are requesting a tesidenfial deveio " type.(s)ngle•fammly, apartment, townhouse) and number of milts? yo eq pment•access, what is the Provide an estimate of the daily traffic volume anticipated for the entire property at twikl, out is not requited to complete this-secliori) home duplex Milly Traffic Estimate = :573 (Use the latest Institute of Transportation Engineers (f , Trio Generation F ei3 I If you used the ITE Trip Generation Report, provide the land use codei,. independent variable, and ,reldtence page number 9.39; 918, 925 1 SF Check with the Florida DOT Office where you will return this -form to determine which of the. Approve foliowinn documents are, Mitred to comoiete the review of vou[ aotificatiorn. Platys should be 1'14'x' -Ir.( t" x 501P.ro used -"access d Note` No, pians largerthan 24- x 36` Will be accepted. g) Parcel and :ownership maps including eas&nents (Boundary Survey); a) Highwsyand .driveway,plan profile h) Signing and striping plans ia) Drainaget plan showing impact to the highway right-ofay Tye Controf/Maintenance ofTraffic playa o) Map and letters. detailing utility lod0bris-befdre and j) Proof of liability insurance after Development in and along the right of way k) Traffic Impact Study d) _ bdivision zoning, or development plans e) Property map indicating other access, bordering roads and streets 1) Cross section of roadway every 1.00r if exclusive tunilanes are 1required Important Notices to Applicant Before Signing Application The: Depart oWd Reserves Thell:111ght`To Change i'ralft Fa duires'And 'Devior s in Right of Way AtAny-Time _. .. _ ... ......... _. Proposed trac control feaduresand dvrces.in the of way;suctm as rnedian openings and other traffic cormtrot devir:es; are _notpart of the connection(s) to be authorised ,by.a connection permit. The Department. reserves ti nght.to change these"features and devices in the futurein order to prornota.safetym the rghtof way or effldermt traffic operations on the fdghway.. Experidrtute bythe appliicantof ironies for installation ornmainfertance of such features or devices shall. not:create ;any imterost in the rnsiroonante of such feahim or devices. Significant Changes In Propeity Use Must Midas go Furthbr Review Wan access pehWt Is issued to you itvnllstaita the terms and conditions for its use.. Sigri ficant changes in the use as,defined In Section 335 182{3), Florida Statutes, of the perms access not consistentvnth the tennis and condi !tad on the permit,rry.be considered ip:vi6(ation'ofthe permit. All Inforn ation 1 Give Is Accurate I cerfity gut I am familiar with the. information coidained In aft **Hcadon and that to the Gest of my knowledge and. beflef,.such ,inkrmation:is trump, complete'amd accurate, Starling Work On The Driveway Connection After l Get * Permit Mears i Accept All the Conditions to My Permit I will not !begirt work on the connection until t receive my Permit and I understand all the conditions ofthe Permit When I begin work on the connection, t ant accepting all conditions listed In my Permit. " Applicant Name Fainted)- . �— 5)20t- APplicariftWgnature: Mr.. M�Q Ennis, P.E. date 1121*5)20A- pprove 2018-A-490-01 Mesa Harden 5/8/20018