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Application for Encroachment Permit 10-02-08

Department of Transportation Form 637 (Rev 4/2008) Application for Encroachment Permit Permit Number: _____ Applicant: County: Street: 1. Road / Route Road Name 2.

(Attach sketch indicating roadway features such as: pavement width, shoulder width, sidewalk and curb and gutter location, significant drainage structure, north arrow, right of

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  Roadway, Sidewalk

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