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    CITY OF PASADENA HILLS
    DRIVEWAY PERMIT APPLICATION
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    Applicant (Owner or Contractor)  
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    Check one
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    Owner
    Contractor
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    Job Location / Address 
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    Property Owner's Name
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    Owner's Phone #
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    Contractor Name
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    Contractor Address
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    Contractor Phone#
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    Description of Work
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    Estimated Job Cost
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    Estimated Start Date
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    Please type your initials and email address as proof of your signature (tml tom@yoururl.com). This acknowledgment and your payment will serve as your acceptance of this permit.
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    Appropriate plans, specs, etc., must be submitted in accordance with instructions from the Building Commissioner or Pasadena Hills Municipal Code, Section 505.010.
    NOTE: BEFORE WORK CAN BEGIN, A SAMPLE OF THE CONCRETE MUST BE SUBMITTED TO THE BUILDING COMMISSIONER FOR APPROVAL.

    PLEASE ALLOW 5 - 7 working days for approval.

    Numbers to Inquire:

    Approval of Permits** Inspections Inquiries
    Building Commissioner
    or 382-4453 (leave a message)    		 Building Inspector
    210-7771 (daytime cell)    		 City Office Manager
    382-4453


    ** Under some circumstances approval from the Historic Preservation Committee may be necessary.

    For Office Use Onlv
    DATE APPROVED BY BLDG. COMM. _____________________________ PERMIT #_____________________________
    ISSUE DATE: ______________________  Permit Fee: $35.00   Payment Type___________