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STATE OF FLORIDA DMARTMEmT OF TRWSPORTATIco B6W$i8 <br /> DRIVEWAY CONNECTION PERMIT SYSTEMS PWMG <br /> aM <br /> FOR ALL CATEGORIES VMS <br /> PART 1 : PERMIT INFORMATION <br /> APPLICATION NUMBER: 7 <br /> Permit Category , S`4rz- : V' p (t tell" j'�r Access Classification: <br /> Project cR 51 2 rnrri dnr TmnrnVxre>ntc <br /> Permittee : Tnrii an River County Board of County Comassioners <br /> Section/Mile Post: `��c $ 1 1 9 3 State Road: 1_ 95 <br /> Section/Mile Post: State Road <br /> PART 2: PERMITTEE INFORMATION <br /> Permittee Name: Indian River County Board Of County Ccnanissioness <br /> Permittee Mailing Address: 1840 25th Street <br /> City, State , Zip: Vero Roach r Fl nri ria -499F,0 <br /> Telephone : 772-567-8000 <br /> Engineer/C onsultant/or Project Manager. M' J c7-nnh T x f r -TP F <br /> Engineer responsible for construction inspection: Chri et-o her J KAfarr, Tr <br /> W ME PE / <br /> Mailing Address : 184f) ?Fi-h Ctf- <br /> City, State , Zip: Vern Rearrhr &T. r ' 291;n <br /> Telephone:772-567-8000 Mobile Phone <br /> PART 3 : PERMITAPPROVAL <br /> The above application has been reviewed and is hereby approved subject io all Provisions as attached. <br /> Permit Number. v� z7 � 7 -- <br /> g,e6p. nrnan, of Transportation j <br /> Signature: ZA <br /> Title : ro✓ger G . Lc�aLanne , PE . <br /> Department ReoresentatiWaPrinted Name District !- CIIII S Engineer <br /> Temporary Permit O YES ® NO (If temporary, this permit is only valid for 6 months) <br /> Special provisions attached ® YES ONO <br /> Date of Issuance ; <br /> Z722 G7 /0 `7 <br /> If this Is a normal (non-temporary) permit R authorizes oonstructipn for one year from 6 date of issuance. This ca only be <br /> extended by the Department as specified in 1496.007(6). c 1 } j"s Ze11 <br /> See following pages for General and Special Provisions � N <br /> MAR 0 6 N07 <br /> aaei.'411�d a PSI; <br />